How To Treat An Alzheimer's Patient? Nursing care Quiz!

40 Questions | Total Attempts: 2838

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How To Treat An Alzheimer

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Questions and Answers
  • 1. 
    The nurse would expect a client with early Alzheimer’s disease to have problems with:   
    • A. 

      Balancing a checkbook.

    • B. 

      Self-care measures.

    • C. 

      Relating to family members.

    • D. 

      Remembering his own name

  • 2. 
    Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes emotional lability?   
    • A. 

      Attempt humor to alter the client mood.

    • B. 

      Explore reasons for the client’s altered mood.

    • C. 

      Reduce environmental stimuli to redirect the client’s attention.

    • D. 

      Use logic to point out reality aspects.

  • 3. 
     Which neurotransmitter has been implicated in the development of Alzheimer’s disease?   
    • A. 

      Acetylcholine

    • B. 

      Dopamine

    • C. 

      Epinephrine

    • D. 

      Serotonin

  • 4. 
    An elderly client with Alzheimer’s 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:   
    • A. 

      Tell the client family that it is time to get dressed.

    • B. 

      Obtain assistance to restrain the client for safety.

    • C. 

      Remain calm and talk quietly to the client.

    • D. 

      Call the doctor and request an order for sedation.

  • 5. 
    A 65 years old client is in the first stage of Alzheimer's disease. Nurse Patricia should plan to focus this client's care on:  
    • A. 

      Offering nourishing finger foods to help maintain the client's nutritional status.

    • B. 

      Providing emotional support and individual counseling.

    • C. 

      Monitoring the client to prevent minor illnesses from turning into major problems.

    • D. 

      Suggesting new activities for the client and family to do together.

  • 6. 
    Edward, a 66 year old client with slight memory impairment and poor concentration is diagnosed with primary degenerative dementia of the Alzheimer's type. Early signs of this dementia include subtle personality changes and withdrawal from social interactions. To assess for progression to the middle stage of Alzheimer's disease, the nurse should observe the client for:
    • A. 

      Occasional irritable outbursts.

    • B. 

      Impaired communication.

    • C. 

      Lack of spontaneity.

    • D. 

      Inability to perform self-care activities.

  • 7. 
    The nurse is aware that the following ways in vascular dementia different from Alzheimer’s disease is:  
    • A. 

      Vascular dementia has more abrupt onset

    • B. 

      The duration of vascular dementia is usually brief

    • C. 

      Personality change is common in vascular dementia

    • D. 

      The inability to perform motor activities occurs in vascular dementia

  • 8. 
    Rosana is in the second stage of Alzheimer’s disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain?
    • A. 

      “Where is your pain located?”

    • B. 

      “Do you hurt? (pause) “Do you hurt?”

    • C. 

      “Can you describe your pain?”

    • D. 

      “Where do you hurt?”

  • 9. 
    To encourage adequate nutritional intake for a female client with Alzheimer’s disease, the nurse should:  
    • A. 

      Stay with the client and encourage him to eat.

    • B. 

      help the client fill out his menu.

    • C. 

      give the client privacy during meals.

    • D. 

      Fill out the menu for the client.

  • 10. 
    Which of the following is not directly related with Alzheimer's disease?    
    • A. 

      Senile plaques

    • B. 

      Diabetes mellitus

    • C. 

      Tangles

    • D. 

      Dementia

  • 11. 
    During the evaluation of the quality of home care for a client with Alzheimer’s disease, the priority for the nurse is to reinforce which statement by a family member?
    • A. 

      At least 2 full meals a day is eaten.

    • B. 

      We go to a group discussion every week at our community center.

    • C. 

      We have safety bars installed in the bathroom and have 24 hour alarms on the doors.

    • D. 

      The medication is not a problem to have it taken 3 times a day.

  • 12. 
    A nurse caring to a client with Alzheimer’s disease overheard a family member say to the client, “if you pee one more time, I won’t give you any more food and drinks”. What initial action is best for the nurse to take?   
    • A. 

      Take no action because it is the family member saying that to the client

    • B. 

      Talk to the family member and explain that what she/he has said is not appropriate for the client

    • C. 

      Give the family member the number for an Elder Abuse Hot line

    • D. 

      Document what the family member has said

  • 13. 
    The client with Alzheimer’s 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:   
    • A. 

      Agnosia

    • B. 

      Apraxia

    • C. 

      Anomia

    • D. 

      Aphasia

  • 14. 
    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:   
    • A. 

      Chronic fatigue syndrome

    • B. 

      Normal aging

    • C. 

      Sundowning

    • D. 

      Delusions

  • 15. 
    The client with confusion says to the nurse, "I haven’t 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?   
    • A. 

      "You know you had breakfast 30 minutes ago."

    • B. 

      "I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse."

    • C. 

      "I’ll get you some juice and toast. Would you like something else?"

    • D. 

      "You will have to wait a while; lunch will be here in a little while."

  • 16. 
    The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?   
    • A. 

      Urinary incontinence

    • B. 

      Headaches

    • C. 

      Confusion

    • D. 

      Nausea

  • 17. 
    A 93 year-old female with a history of Alzheimer’s Disease gets admitted to an Alzheimer’s 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?   
    • A. 

      Recommend the patient remain in her room at all times.

    • B. 

      Recommend family members bring pictures to the patient’s room.

    • C. 

      Recommend a speech therapy consult to the doctor.

    • D. 

      Recommend the patient attempt to walk pushing the w/c for safety.

  • 18. 
     Alzheimer’s disease is the secondary diagnosis of a client admitted with myocardial infarction. Which nursing intervention should appear on this client’s plan of care?  
    • A. 

      Perform activities of daily living for the client to decease frustration.

    • B. 

      Provide a stimulating environment.

    • C. 

      Establish and maintain a routine.

    • D. 

      Try to reason with the client as much as possible.

  • 19. 
     The nurse is caring for a client with stage III Alzheimer’s disease. A characteristic of this stage is:   
    • A. 

      Memory loss

    • B. 

      Failing to recognize familiar objects

    • C. 

      Wandering at night

    • D. 

      Failing to communicate

  • 20. 
    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. Elison’s dementia is treatable. The nurse understands that the most common cause of dementia in this population is:   
    • A. 

      AIDS

    • B. 

      Alzheimer’s disease

    • C. 

      Brain tumors

    • D. 

      Vascular disease

  • 21. 
    Which of the following diseases has not been directly linked with Bell's palsy?    
    • A. 

      AIDS

    • B. 

      Diabetes

    • C. 

      Lyme disease

    • D. 

      Alzheimer's disease

  • 22. 
    As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer’s disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility?    
    • A. 

      Check for improvement in resident memory after medication therapy is initiated.

    • B. 

      Use the Mini-Mental State Examination to assess residents every 6 months.

    • C. 

      Assist residents to toilet every 2 hours to decrease risk for urinary intolerance.

    • D. 

      Develop individualized activity plans after consulting with residents and family.

  • 23. 
    A patient who has been admitted to the medical unit with new-onset angina also has a diagnosis of Alzheimer’s disease. Her husband tells you that he rarely gets a good night’s 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?    
    • A. 

      Decreased Cardiac Output related to poor myocardial contractility

    • B. 

      Caregiver Role Strain related to continuous need for providing care

    • C. 

      Ineffective Therapeutic Regimen Management related to poor patient memory

    • D. 

      Risk for Falls related to patient wandering behavior during the night

  • 24. 
    The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:   
    • A. 

      receives adequate nutrition and hydration

    • B. 

      Will reminisce to decrease isolation

    • C. 

      Remains in a safe and secure environment

    • D. 

      Independently performs self care

  • 25. 
     Which of the following is the most common cause of dementia among elderly persons?     
    • A. 

      Parkinson’s disease

    • B. 

      Multiple sclerosis

    • C. 

      Amyotrophic lateral sclerosis (Lou Gerhig’s disease)

    • D. 

      Alzheimer’s disease