Alzheimers
Alzheimers
Alzheimers
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Alzheimers
Text Mode Text version of the exam
1) The client with Alzheimers disease is being assisted with activities of daily living when the nurse
notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is
exhibiting:
Agnosia
Apraxia
Anomia
Aphasia
2) A client with Alzheimers disease is awaiting placement in a skilled nursing facility. Which long-term
plans would be most therapeutic for the client?
Placing mirrors in several locations in the home
Placing a picture of herself in her bedroom
Placing simple signs to indicate the location of the bedroom, bathroom, and so on
Alternating healthcare workers to prevent boredom
3) The client with dementia is experiencing confusion late in the afternoon and before bedtime. The
nurse is aware that the client is experiencing what is known as:
Chronic fatigue syndrome
Normal aging
Sundowning
Delusions
4) Which age group has the highest rate of Alzheimers cases reported?
85 and older
74 to 84
65 to 74
55 to 65
5) A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimers type
and depression. The symptom that is unrelated to depression would be?
Apathetic response to the environment
I dont know answer to questions
Shallow of labile effect
Neglect of personal hygiene
6) The client with confusion says to the nurse, I havent had anything to eat all day long. When are they
going to bring breakfast? The nurse saw the client in the day room eating breakfast with other clients
30 minutes before this conversation. Which response would be best for the nurse to make?
You know you had breakfast 30 minutes ago.
I am so sorry that they didnt get you breakfast. Ill report it to the charge nurse.
Ill get you some juice and toast. Would you like something else?
You will have to wait a while; lunch will be here in a little while.
7) The nurse is caring for a client with stage III Alzheimers disease. A characteristic of this stage is:
Memory loss
Failing to recognize familiar objects
Wandering at night
Failing to communicate
8) The primary nursing intervention in working with a client with moderate stage dementia is ensuring
that the client:
receives adequate nutrition and hydration
will reminisce to decrease isolation
remains in a safe and secure environment
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Parkinsons disease
Multiple sclerosis
Amyotrophic lateral sclerosis (Lou Gerhigs disease)
Alzheimers disease
18) Rosana is in the second stage of Alzheimers disease who appears to be in pain. Which question by
Nurse Jenny would best elicit information about the pain?
Where is your pain located?
Do you hurt? (pause) Do you hurt?
Can you describe your pain?
Where do you hurt?
19) Rosana is in the second stage of Alzheimers disease who appears to be in pain. Which question by
Nurse Jenny would best elicit information about the pain?
Where is your pain located?
Do you hurt? (pause) Do you hurt?
Can you describe your pain?
Where do you hurt?
20) How is Alzheimers diagnosed?
Mental-status tests
Blood tests
Neurological tests
All of the above
21) The usual span of years that Alzheimers may progress in the patient is:
three to five years
two to twenty years
fifty to sixty years
6 months to one year
eight to ten years
22) Scientists believe that _________________ develop in the brain of an Alzheimers patient, and may
be a cause of the disease.
cholesterols
tumors
ruptured blood vessels
plaques and tangles
23) To encourage adequate nutritional intake for a female client with Alzheimers disease, the nurse
should:
stay with the client and encourage him to eat.
help the client fill out his menu.
give the client privacy during meals.
fill out the menu for the client.
24) A 93 year-old female with a history of Alzheimers Disease gets admitted to an Alzheimers unit. The
patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is
refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
Recommend the patient remain in her room at all times.
Recommend family members bring pictures to the patients room.
Recommend a speech therapy consult to the doctor.
Recommend the patient attempt to walk pushing the w/c for safety.
25) The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimers disease. Which side
effect is most often associated with this drug?
Urinary incontinence
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Headaches
Confusion
Nausea
26) A patient with Stage One Alzheimers might exhibit these behaviors:
forgetting names
missing appointments
getting lost while driving
all of the above
none of the above
27) Which of the following diseases has not been directly linked with Bells palsy?
AIDS
Diabetes
Lyme disease
Alzheimers disease
28) The symptom of dementia that involved a more confused state after dark is called:
dark retreat
sundowning
agitation
dark reaction
29) Which of these is the strongest risk factor for developing the Alzheimers disease?
Heredity
Age
Exposure to toxins
None of the above
30) The priority of care for a client with Alzheimers disease is
Help client develop coping mechanism
Encourage to learn new hobbies and interest
Provide him stimulating environment
Simplify the environment to eliminate the need to make chores
31) An elderly client with Alzheimers disease becomes agitated and combative when a nurse
approaches to help with morning care. The most appropriate nursing intervention in this situation would
be to:
Tell the client family that it is time to get dressed.
Obtain assistance to restrain the client for safety.
Remain calm and talk quietly to the client.
Call the doctor and request an order for sedation.
32) Thomas Elison is a 79 year old man who is admitted with diagnosis of dementia. The doctor orders
a series of laboratory tests to determine whether Mr. Elisons dementia is treatable. The nurse
understands that the most common cause of dementia in this population is:
AIDS
Alzheimers disease
Brain tumors
Vascular disease
33) A patient who has been admitted to the medical unit with new-onset angina also has a diagnosis of
Alzheimers disease. Her husband tells you that he rarely gets a good nights sleep because he needs
to be sure she does not wander during the night. He insists on checking each of the medications you
give her to be sure they are the same as the ones she takes at home. Based on this information, which
nursing diagnosis is most appropriate for this patient?
Decreased Cardiac Output related to poor myocardial contractility
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of self-care ability, problems with relating to family members, and difficulty remembering
ones own name are all areas of cognitive decline that occur later in the disease process.