The geriatrician has begun an 80-year-old female client on ...

[09madisonrousseau09]

The geriatrician has begun an 80-year-old female client on donepezil (Aricept) in order to treat her dementia of Alzheimer's type (DAT). Which of the following teaching points should the nurse provide to the client's husband about her new medication?
 
  A) Aricept won't cure your wife's dementia of Alzheimer's type, but it has the potential to slow down the progression of the disease.
  B) It's important to closely follow the administration schedule for this drug if it is to make your wife recover.
  C) This won't result in any improvements to her symptoms of dementia of Alzheimer's type, but it will make her much more compliant and easier to manage.
  D) Aricept will help your wife sleep much better at night and stay awake during the day.

Question 2

The nurse understands that clients with cognitive disorders often experience spatial confusion as their diseases progress.
 
  Which of the following measures should be undertaken to maximize clients' safety and independence when navigating an inpatient facility?
 
  A) Post large, simple maps on the walls of the facility in high-visibility locations.
  B) Provide clients with a guided tour of the entire facility during admission.
  C) Encourage clients to ask staff members for directions when they are spatially disoriented.
  D) Post arrows, signs, and paths in the facility and increase lighting.

[adammoses97]

Answer to Question 1

Ans: A
Cholinesterase inhibitors such as donepezil (Aricept) cannot cure DAT, but they can slow the progression of the disease and can stabilize symptoms. The drug does not directly affect sleep patterns.

Answer to Question 2

Ans: D
Obvious and visible aides such as bright arrows, signs, and paths are more likely to be of use to clients than maps, which require abstract reasoning. Bright lighting is important, and clients with cognitive disorders may not necessarily benefit from tours or reminders to ask for help.

[09madisonrousseau09]

TY

[adammoses97]

Happy to Help