The most appropriate diagnosis for the older adult client with ...

[altibaby]

The most appropriate diagnosis for the older adult client with Alzheimer's disease who requires bathing is:
 
  A) Chronic Confusion related to disease process as evidenced by the inability to manage activities of daily living
  B) Chronic Confusion related to dementia and biochemical imbalances as evidenced by hallucination
  C) Altered Thought Processes related to confusion, biochemical imbalances, and Alzheimer's disease
  D) Confusion as evidenced by inability to remain oriented to place and time resulting from Alzheimer's disease

Question 2

The nurse is caring for a client who has suffered a stroke. The client is now unable to speak, read, or write. She is also unable to understand spoken language. The nurse would document this as:
 
  A) anomic aphasia.
  B) expressive aphasia.
  C) receptive aphasia.
  D) global aphasia.

[Beatricemm]

Answer to Question 1

Ans: A
Feedback:
The priority nursing diagnosis is Chronic Confusion related to disease process as evidenced by the inability to manage daily activities.

Answer to Question 2

Ans: D
Feedback:
Global aphasia results from severe and extensive damage to all language areas (Broca and Wernicke). These clients have no consistent functional skills in any language modality. Anomic or amnesic aphasia is characterized predominantly by word-finding problems of a milder nature than expressive aphasia. Expressive aphasia (also called Broca, motor, or nonfluent aphasia) is characterized by limited speech that is slow and halting with great effort, reduced grammar, and poor articulation. Receptive aphasia (also called Wernicke, sensory, or fluent aphasia) is characterized by speech that is well articulated and has good melody and normal or slightly faster rate. The major manifestations are impaired auditory comprehension and feedback.