Which situation would be most likely to serve as a trigger to a ...

[melina_rosy]

Which situation would be most likely to serve as a trigger to a catastrophic reaction in a client with stage 2 Alzheimer's disease?
 
  1. Participating in singing Happy Birthday to another client at dinner
  2. Being scolded by an aide for spilling a glass of milk
  3. Listening to Big Band music from the 1940s
  4. Eating cupcakes in the activities room

Question 2

Which theory of etiology of Alzheimer's disease, suggested by current research, might the nurse use to help a family understand that this disorder is not of psychosocial origin? Alzheimer's dis-ease is associated with:
 
  1. -amyloid protein deposits in the brain
  2. Abnormal serotonin reuptake
  3. Excessive acetylcholine in the frontal cortex
  4. Prion infection of gray matter

[Hikerman221]

Answer to Question 1

ANS: 2
Catastrophic reactions are overexaggerated negative emotional responses initiated as a result of a perceived failure at a task or change in the environment. Only option 2 presents a situation that would clearly be frustrating to the client.

Answer to Question 2

ANS: 1
The prevailing theories of etiology of Alzheimer's disease include the following: angiopathy and blood-brain barrier incompetence; neurotransmitter and receptor deficiencies of acetylcholine; abnormal proteins, specifically -amyloid and their products; and genetic defects. Neither sero-tonin nor prions are implicated as problems in Alzheimer's disease.