Alzheimer's Disease Nursing Considerations
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Questions and Answers

The client with Alzheimer's disease is exhibiting:

  • Anomia
  • Aphasia
  • Apraxia (correct)
  • Agnosia
  • Which long-term plans would be most therapeutic for the client awaiting placement in a skilled nursing facility?

  • Placing mirrors in several locations in the home
  • Placing simple signs to indicate the location of the bedroom, bathroom, and so on (correct)
  • Alternating healthcare workers to prevent boredom
  • Placing a picture of herself in her bedroom
  • The client with dementia is experiencing confusion late in the afternoon. This phenomenon is known as:

  • Delusions
  • Sundowning (correct)
  • Normal aging
  • Chronic fatigue syndrome
  • Which age group has the highest rate of Alzheimer's cases reported?

    <p>85 and older</p> Signup and view all the answers

    The symptom that is unrelated to depression in a client with dementia of the Alzheimer's type would be?

    <p>Shallow or labile effect</p> Signup and view all the answers

    What response would be best for the nurse to make to a confused client asking about breakfast?

    <p>&quot;I'll get you some juice and toast. Would you like something else?&quot;</p> Signup and view all the answers

    A characteristic of stage III Alzheimer's disease is:

    <p>Failing to recognize familiar objects</p> Signup and view all the answers

    The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:

    <p>Remains in a safe and secure environment</p> Signup and view all the answers

    Study Notes

    Alzheimer's Disease Nursing Considerations

    • Apraxia: Inability to use objects correctly, such as using a toothbrush for hair instead of teeth.
    • Therapeutic Environment: Simple signs indicating locations (bathroom, bedroom) enhance client independence; mirrors and pictures may cause agitation.
    • Sundowning Syndrome: Increased confusion experienced in the evening as the sun sets, common in clients with dementia.
    • Age Group Statistics: The highest rate of Alzheimer's cases reported is among individuals aged 85 and older.
    • Symptoms of Depression: A shallow or labile effect is not typically associated with depression in dementia; it transcends Alzheimer's symptoms.
    • Response to Confusion: When a confused client claims to have not eaten, provide reassurance and food without confrontation, as they may forget prior events.
    • Stage III of Alzheimer's: A key characteristic is the failure to recognize familiar objects, marking the severity of cognitive decline.
    • Primary Nursing Intervention: Ensuring a safe and secure environment is crucial in moderate stage dementia; cognitive impairment increases safety risks.
    • Home Care Evaluation: Reinforcement of safety measures (e.g., installation of safety bars, alarms) is vital for optimal home care quality for Alzheimer's patients.

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    Description

    This quiz focuses on the essential nursing considerations for Alzheimer's disease, including recognition of symptoms, strategies for managing sundowning syndrome, and creating a therapeutic environment. Understanding apraxia and addressing the needs of clients in various stages of dementia will enhance care quality. Perfect for nursing students and professionals in geriatrics.

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