Objective To understand the current situation of nonpharmacological management of behavioral and psychological symptoms of dementia (BPSD) in hospitalized patients in 116 hospitals across China, so as to provide basis for nonpharmacological management of these symptoms. Methods A convenient sampling method was used to conduct a questionnaire survey in September 2021 on the trainees of the geriatric specialist nurse training program offered by the Chinese Nursing Society. A self-designed questionnaire was used, with contents including general information and current situation of BPSD. Results Totally, 38 (32.76%) hospitals have carried out symptom evaluation; 31 (26.72%) hospitals have had nonpharmacological management policy or process for BPSD; 64 (55.17%) hospitals have implemented nonpharmacological intervention for symptoms, among which only 6 (7.32%) hospitals have provided nonpharmacological intervention for symptoms; 77 (66.38%) hospitals have carried out health education on symptom related knowledge for caregivers. There were significant differences in symptom assessment, inducing factor assessment, nonpharmacological treatment of BPSD, etc., among different hospital types and department types (all P<0.05). Conclusion The hospital-based nonpharmacological management policy or process for BPSD is in need of improvement. Meanwhile, nurse training and health education on BPSD related knowledge for caregivers should be ratcheted up, in an effort to provide standardized nonpharmacological management to patients.