Author Question: Which remark by a family member of a client with dementia would allow the nurse to evaluate ... (Read 59 times)

CORALGRILL2014 · **on:** Jul 19, 2018

Which remark by a family member of a client with dementia would allow the nurse to evaluate
psychoeducation regarding medications as having been effective? We understand that medications

a. inhibiting the action of dopamine will restore short-term memory..
b. inhibiting acetylcholine breakdown may slow the progression of the disease..
c. affecting glutamate receptors will provide a cure for late-stage dementia..
d. offer virtually no positive effects on cognitive performance and function of
activities of daily living..

Question 2

An individual uses alcohol to relieve tension. When he first began self-medicating with alcohol, two
drinks made him relaxed and drowsy. Now, after 1 year, he needs four drinks to bring himself to the
same relaxed, drowsy state.

The reason for this is
a. the alcohol is less potent.
b. he is developing tolerance.
c. hypomagnesemia.
d. antagonistic effects.

katieost · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Tacrine, donepezil, rivastigmine, and galantamine act by increasing the brain's supply of
acetylcholine, a neurotransmitter deficient in people with Alzheimer's disease. These drugs improve
functioning and slow the progress of the disease in 20 to 50 of clients. They do not provide a
cure. Memantine affects N-methyl-D-aspartate receptors and has also been shown to provide
significant benefits when administered with donepezil. Options 1 and 3: Medications affecting
dopamine action or glutamate receptors are not indicated in treatment of Alzheimer's disease.
Option 4 is untrue.

Answer to Question 2

B
Tolerance refers to needing higher and higher doses of a drug to produce the desired effect. Option
A: The potency of the alcohol is stable. Options C and D: Neither hypomagnesemia nor antagonistic
effects would account for this change.