A 74-year-old client is diagnosed with mild Alzheimer disease. He ...

[Engineer]

A 74-year-old client is diagnosed with mild Alzheimer disease. He has no other noted health issues. When speaking with the nurse, he expresses concern regarding the progression of his disease. Which statement by the nurse is most appropriate?
 
  A) As you have no other health issues, the progression is usually gradual.
  B) The medications stop the progression of the disease.
  C) We never know how fast Alzheimer disease will progress.
  D) Yes, progression is usually fairly fast, you might want to start making plans.

Question 2

A nurse councils a care partner of a client with dementia. The care partner states He fights me when I try and bath him; he hasn't had a shower in 2 months Which response by the nurse is most appropriate?
 
  A) I hear your frustration.
  B) He wants to feel he has a choice. How do you get him to shower?
  C) I would just put him in there, he needs to be clean.
  D) Whatever worked before should work now.
  E) What other ways have you tried to assure he is clean?

[sarajane1989]

Answer to Question 1

Ans: D
Alzheimer disease is very gradual; it has accelerated decline with concomitant conditions. Medications slow the progression, but don't stop it.

Answer to Question 2

Ans: E
There are multiple ways to stay clean, if showering is a trigger, then avoid it. What has worked in the past does not mean it will work again. Forcing a shower is unsafe. They don't get him to shower, it's been months.

[Engineer]

TYSM

[ktidd]

Excellent