A patient diagnosed with moderately severe Alzheimer's disease ...

[CORALGRILL2014]

A patient diagnosed with moderately severe Alzheimer's disease has a self-care deficit of dressing and grooming. Designate appropriate interventions to include in the patient's plan of care. Select all that apply.
 
  a. Provide clothing with elastic and hook-and-loop closures.
  b. Label clothing with the patient's name and name of the item.
  c. Administer anti-anxiety medication before bathing and dressing.
  d. Provide necessary items and direct the patient to proceed independently.
  e. If the patient resists dressing, use distraction and try again after a short interval.

Question 2

A nurse gives anticipatory guidance to the family of a patient diagnosed with stage 3, mild cognitive decline Alzheimer's disease. Which problem common to that stage should the nurse address?
 
  a. Violent outbursts
  b. Emotional disinhibition
  c. Communication deficits
  d. Inability to feed or bathe self

[scrocafella]

Answer to Question 1

ANS: A, B, E
Providing clothing with elastic and hook-and-loop closures facilitates patient independence. Labeling clothing with the patient's name and the name of the item maintains patient identity and dignity (provides information if the patient has agnosia). When a patient resists, it is appropriate to use distraction and try again after a short interval because patient moods are often labile. The patient may be willing to cooperate given a later opportunity. Providing the necessary items for grooming and directing the patient to proceed independently are inappropriate. Be prepared to coach by giving step-by-step directions for each task as it occurs. Administering anxiolytic medication before bathing and dressing is inappropriate. This measure would result in unnecessary overmedication.

Answer to Question 2

ANS: C
Families should be made aware that the patient will have difficulty concentrating and following or carrying on in-depth or lengthy conversations. The other symptoms are usually seen at later stages of the disease.

[CORALGRILL2014]

TYSM

[essyface1]

Excellent