The elderly spouse of a 74-year-old male client states that she ...

[Coya19@aol.com]

The elderly spouse of a 74-year-old male client states that she has noticed that her husband doesn't remember as well as he used to.
 
   She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of: a. Vascular dementia
  b. Alzheimer's disease
  c. Acute delirium
  d. Aging

Question 2

The nurse records this entry in a patient's progress notes: Patient escorted to unit by ER nurse at 2130 . Patient's clothing was dirty. In interview room, patient sat with hands over face, sobbing softly.
 
  Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150 . By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation. How should this documentation be evaluated? a. Uses unapproved abbreviations
  b. Contains subjective material
  c. Too brief to be of value
  d. Excessively wordy
  e. Meets standards

[bulacsom]

Answer to Question 1

B
The person with Alzheimer's disease commonly shows deficits in familiar tasks. Vascular dementia and acute delirium relate more to confused states, and dementia symptoms should not be assumed to be part of normal aging.

Answer to Question 2

E
This narrative note describes patient appearance, behavior, and conversation. It mentions that less-restrictive measures were attempted before administering medication and documents patient response to medication. This note would probably meet standards. A complete nursing assessment would be in order as soon as the patient is able to participate. Subjective material is absent from the note. Abbreviations are acceptable.

[Coya19@aol.com]

Thank you

[bulacsom]

Happy to help you