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Author Question: A client has experienced a gradual flattening of affect, confusion, and withdrawal and has been ... (Read 26 times)

corkyiscool3328

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A client has experienced a gradual flattening of affect, confusion, and withdrawal and has been diagnosed with Alzheimer's disease. The nurse assesses which of the following additional characteristics of this disorder?
 
  A) Personality change, wandering, and inability to perform purposeful movements
  B) Delusions, hallucinations, and confusion about date and time
  C) Tremors, unsteady gait, and transient paresthesias
  D) Transient blindness, slurred speech, and weakness

Question 2

The nurse is working with the family of a client who is newly diagnosed with Alzheimer's type dementia. Which of the following suggestions would be effective for assisting the family in daily orienting of their family member when the client returns home?
 
  A) Provide a flexible schedule and change the activities each day.
  B) Use daily newspapers, calendars, and a set routine.
  C) Read to the client for long periods at a time.
  D) Use a daily current events quiz, making sure that the client participates.



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essyface1

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Answer to Question 1

Ans: A
Alzheimer's disease is not typically characterized by delusions, transient paresthesias, blindness, or slurred speech. Instead, general changes in personality, wandering, and the inability to perform purposeful, goal-directed movements are impaired.

Answer to Question 2

Ans: B
Using daily newspapers, calendars, and a set, unchanging routine would be a more effective way to provide daily orientation for the family member. Changing daily activities would make it more difficult to maintain orientation. Reading to the client for long periods of time would not maintain client involvement and appropriate stimulation. Using daily quizzes would place stressful demands on the client and not provide functionally appropriate tasks.





 

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