A client diagnosed with neurocognitive disorder exhibits ...

[nenivikky]

A client diagnosed with neurocognitive disorder exhibits progressive memory loss, diminished cognitive functioning, and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?
 
  A. Schedule structured daily routines.
  B. Minimize environmental lighting.
  C. Organize a group activity to present reality.
  D. Explain the consequences for aggressive behaviors.

Question 2

A nursing instructor is teaching about donepezil (Aricept). A student asks, How does this work? Will this cure Alzheimer's disease (AD)? Which is the appropriate instructor reply?
 
  A. This medication delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the AD.
  B. This medication encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.
  C. This medication delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the AD.
  D. This medication encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.

[yifu223]

Answer to Question 1

ANS: A
The most appropriate nursing intervention for this client is to schedule structured daily routines. A structured routine will reduce frustration and thereby reduce verbal aggression.

Answer to Question 2

ANS: A
The most appropriate response by the instructor is to explain that donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of AD.