Neurocognitive Disorder due to Alzheimer's Disease

What is the best initial response by the nurses?

A) "Changes in behavior and personality often occur as Alzheimer's disease progresses."

Which of the following are risk factors for Alzheimer's disease? (Select all that apply.)

A) Advancing age D) Father and uncle had Alzheimer's disease E) Previous head trauma

Which are common components of an advanced directive for health care? (Select all that apply.)

A) Appointment of another person to make health care decisions if the client is unable. B) Specific or general instructions about physical health care treatment. D) Specific or general instructions about mental or psychological healthcare treatment.

What doe the nurse suspect that Mr. Caudill is experiencing?

A) Delirium

How does Donepezil (Aricept) reduce the symptoms for clients with mild to moderate Alzheimer's disease?

A) Enhancing Acetylcholine function.

What initial action should the nurse take?

A) Evaluate Mr. Caudill's vital signs before transferring him to his bed.

Which information would support this?

A) Mr. Caudill sleeps through the night.

What action should the nurse implement first?

A) Redirect Mr. Caudill's attention to a familiar object from his home.

Which behaviors are commonly associated with caregiver role strain?

A) Reports of physical symptoms such as frequent h/a. B) Feels a sadness that will not go away. D)Frequently forgets to change care recipient's soiled linens. E) Withdraws from family and friends.

Which side effect of donepezil (Aricept) is most important for Mr. Caudill's daughter to report to the HCP?

A) Tarry stool.

What is the goal for the care of a client with mild to-moderate Alzheimer's disease who takes donepezil (Aricept)?

A) The client will maintain the highest level of cognitive ability.

What is the best response?

B) "Everyone responds differently to this disease, but it is likely that his health and daily functioning will continue to decline."

Which response by the RN is most therapeutic?

B) "I will pull up a chair so that you may sit on the left side of the bed and hold his hand."

Which question gives the nurse the most information about Mr. Caudill's judgment?

B) "If you smelled smoke in a movie theater, what would you do?"

Which question is most important to ask Mr. Caudill's daughter before developing the plan of care to address caregiver role strain?

B) "What do you find most stressful in your daily life?"

What is the best response by the nurse?

B) "You are right to balance his feelings with the need to promote reality."

Which of the following memory issues/deficits are related to Mild Neurocognitive disorder due to AD? (Select all that apply.)

B) Forgets the purpose or use of an item C) Cooks a meal and forgets to serve it. E) Becomes lost on the client's own street.

Which action should the RN take?

B) Keep the room well lit during the evening hours.

Which lab test should be scheduled?

B) Serum liver enzymes

What is the best response to Me. Caudill by the nurse?

C) "I appreciate your cooperation. Tell me what you think is the problem."

Which is the best response by the nurse to Mr. Caudill's statement?

C) "You look worried. How can I make you feel more comfortable?"

What is the goal of nursing care for a client with a Neurocognitive disorder due to AD?

C) Maintaining optimum function.

What should the nurse advise the client's daughter to do? (Select all that apply.)

C) Make sure her father's room has sufficient light. E) Divert her father's attention with food or drink.

Which finding is most important for the PN to report to the Home Health RN?

C) Mr. Caudill has a weak and thread pulse.

What is the best response by the nurse?

D) "You have many conflicting emotions right now."

After assisting Mr. Caudill to the bed, which nursing action has the highest priority?

D) Elevate Mr. Caudill's feet fifteen degrees.

Which finding is most concerning to the PN?

D) Mr. Caudill's eyes water each time he swallows a bit of meat or bread.