Author Question: The 55-year-old-daughter of a client with late-stage Alzheimer's disease mentions to the nurse that ... (Read 29 times)

Kikoku · **on:** Jul 19, 2018

The 55-year-old-daughter of a client with late-stage Alzheimer's disease mentions to the nurse that
she is concerned that she, too, will have dementia develop. The response that provides accurate
information is

a. Put aside your worries and make the most of the years you have. You will be
symptom free for at least another 20 years..
b. Statistics show that relatives of people with Alzheimer's disease are predisposed
to the disease, but the risk is not universal..
c. You might wish to have genetic testing, because the APOE gene analysis can
predict development of late-onset symptoms..
d. Talk with your doctor. Evidence is conclusive that people who take statin drugs
and nonsteroidal antiinflammatory drugs can significantly lower their risk.

Question 2

The medication protocol the nurse should use to provide immediate intervention for an angry
psychotic client whose aggressive behavior continues to escalate despite verbal intervention is

a. lithium.
b. trazodone.
c. valproic acid.
d. haloperidol.

dantucker · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Actually, little is known of the genetic and nongenetic risk factors for Alzheimer's disease. Even
though relatives of clients with Alzheimer's disease are more likely to develop the disease than the
general population, no etiologic hypotheses have been proven. Option A may not be a true
statement. Option C is untrue. Option D has not been conclusively proven.

Answer to Question 2

D
Haloperidol is a short-acting antipsychotic that is useful in calming angry, aggressive clients
regardless of diagnosis. The other drugs listed require long-term use to reduce anger. Option A:
Lithium would be used for bipolar clients. Option B: Trazodone would be used for clients with
dementia. Option C: Valproic acid would be ordered for bipolar or borderline clients.