Author Question: An older patient is concerned that her neighbor was recently diagnosed with Alzheimer's Disease and ... (Read 44 times)

urbanoutfitters · **on:** Jul 11, 2018

An older patient is concerned that her neighbor was recently diagnosed with Alzheimer's Disease and asks a nurse what can be done to decrease the risk of Alzheimer's Disease.

The nurse includes which of the following in the response to the patient? (Select all that apply.)
a. Maintain blood pressure within normal limits
b. Smoking cessation
c. Maintain control of blood sugar (hemo-globin A1C 7)
d. Eliminate fats from the diet
e. Maintain ideal body weight

Question 2

An older adult is referred to a geriatric nurse practitioner because of changes in memory and re-ports by family members that there is something different about her.

The nurse practitioner evaluates the older adult for potentially reversible causes for the changes, which include: (Select all that apply.)
a. depression.
b. delirium.
c. osteoporosis.
d. rheumatoid arthritis.
e. medication side effects.

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

Answer to Question 1

ANS: A, B, C
Recommendations to decrease risk of neurocognitive disorders include maintaining blood pres-sure within normal limits, maintaining low-density lipoprotein cholesterol 100, maintaining he-moglobin A1C 7, taking aspirin (81 mg enteric coated) for persons with risk for heart disease and without contraindications, maintaining optimal control of heart failure, and smoking cessation. Eliminating fats from the diet is not recommended. Although maintaining ideal body weight is important to prevent many other chronic illnesses, it is not cited as a factor to decrease the risk of neurocognitive disorders.

Answer to Question 2

ANS: A, B, E
Reversible dementia-like conditions include depression, delirium, thyroid disorders, vitamin de-ficiencies (especially vitamin D), and excessive alcohol intake, as well as side effects from medi-cations. There is no evidence that rheumatoid arthritis or osteoporosis has a dementia-like condi-tion associated with them.