A 59-year-old woman has just been diagnosed with early-stage ...

[Capo]

A 59-year-old woman has just been diagnosed with early-stage dementia. She is experiencing increasing forgetfulness but currently can function adequately. She lives with her husband and her daughter, who is a single mother of two.
 
  When planning care for this family, which of the following goals should the nurse identify as the priority?
  A) The client will maintain self-care abilities for at least 24 months.
  B) The family will discuss the correct emotional responses to the client's diagnosis.
  C) The caregivers will demonstrate accountability for their family member's health.
  D) The family will identify resources to meet the client's caregiving needs.

Question 2

A client with dementia is having difficulty finding the words that he wants to use. When he could not remember the name of his shoes, he referred to them as foot clothes. What is the name of this phenomenon?
 
  A) Agnosia
  B) Aphasia
  C) Apraxia
  D) Confabulation

[Ahnyah]

Answer to Question 1

Ans: D
Feedback:
As the client's cognitive abilities and behavior deteriorate, the needs of the client and family will become more extensive and will require careful planning and coordination. Fostering accountability, however, is not a primary goal. Emotional responses are inevitable, but these are not categorized as being correct or incorrect. Two years of self-care may be unrealistic.

Answer to Question 2

Ans: B
Feedback:
Frequently, clients with dementia have difficulty finding the words they want to use (aphasia) in conversation. This problem can result in a frustrating process of charades, relying on others to guess the forgotten word (eg, referring to Thanksgiving as the time of the turkey or pumpkin).