Author Question: The physician states that the patient with Alzheimer disease has progressed from the preclinical ... (Read 6 times)

KimWrice · **on:** Jul 11, 2018

The physician states that the patient with Alzheimer disease has progressed from the preclinical stage of the disease to the mild cognitive impairment stage. What would the nurse expect to find upon assessment of the patient?

a. Inability to communicate
b. Incontinent episodes
c. Total dependency
d. Forgetfulness

Question 2

What is an appropriate response by the nurse to a demented resident in a long-term care facility who becomes combative when being prepared for a shower?

a. Call for assistance to complete the shower.
b. Say, I understand you don't want a shower, so I'll give you a sponge bath.
c. Medicate the patient with a sedative and complete the bath when the patient is more cooperative.
d. Say, Okay. It's your right to remain dirty.

scrocafella · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: D
Patients in the mild cognition impairment stage of Alzheimer disease will have some forgetfulness. The inability to communicate, incontinent episodes, and total dependency are indicative of the dementia stage of the disease.

Answer to Question 2

ANS: B
Focusing on feelings or offering an alternative is helpful with a combative demented patient. Arguing serves no purpose other than to make the resident more upset.