Which of the following is NOT an effective measure to reduce sundowning symptoms?

Engaging the client in stimulating conversations before bed is not an effective measure to reduce sundowning symptoms. Sundowning refers to the increase in confusion, anxiety, and agitation that can occur in individuals with Alzheimer's disease during the evening hours. This phenomenon is often linked to the natural changes in light and the exhaustion that can build up throughout the day.

Stimulating conversations can further increase anxiety and agitation, exacerbating the symptoms associated with sundowning. Instead, it is beneficial to create a serene and calming environment as bedtime approaches. Techniques such as providing a relaxing backrub, keeping the lights on to ease the transition into night, and maintaining a calm atmosphere during the day are all strategies that contribute to reducing sundowning behavior by promoting relaxation and a sense of security.