Author Question: The husband of a patient with Alzheimer disease (AD) asks the nurse to explain sundowning. How ... (Read 37 times)

tuffie · **on:** Jun 25, 2018

The husband of a patient with Alzheimer disease (AD) asks the nurse to explain sundowning. How should the nurse respond to this question?

1. Your wife can become more agitated, disoriented to time, and wander during the afternoon or early evening.
2. Your wife's eyes will appear more downcast and the lids will droop.
3. Repetition of words or phrases occurs more frequently.
4. The ability to perform simple tasks is lost.

Question 2

The nurse suspects that a patient has Parkinson disease. What did the nurse assess as early signs of this neurologic disease?

Select all that apply.
1. fatigue
2. cogwheel rigidity
3. being frozen
4. bilateral involvement
5. a slight a rhythmic hand tremor

mochi09 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Sundowning can be decreased by providing quiet activities, such as listening to favorite music in the afternoon or early evening. Downcast eyes and drooping eyelids is not a description of sundowning. Echolalia is the term for frequent repetition of words or phrases. Loss of the ability to perform simple tasks is common to stage 2 of AD.

Answer to Question 2

Correct Answer: 1, 5
Parkinson disease begins with subtle manifestations. Patients may complain of feeling tired and may move more slowly. Tremor at rest is usually the first manifestation experienced in PD. Cogwheel rigidity, being frozen, and bilateral involvement are later manifestations of PD.