An older adult with moderate-stage dementia forgets where the ...

[pepyto]

An older adult with moderate-stage dementia forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the patient's family?
 
  a. Label the bathroom door.
  b. Take the older adult to the bathroom hourly.
  c. Place the older adult in disposable adult diapers.
  d. Make sure the older adult does not eat nonfood items.

Question 2

A patient with stage 2 Alzheimer's disease calls the police saying, An intruder is in my home. Police investigate and discover the patient misinterpreted a reflection in the mirror as an intruder. This phenomenon can be assessed as:
 
  a. hyperorality
  b. aphasia
  c. apraxia
  d. agnosia

[momtoalll]

Answer to Question 1

ANS: A
The patient with moderate Alzheimer's disease has memory loss that begins to interfere with activities. This patient may be able to use environmental cues such as labels on doors to compensate for memory loss. Regular toileting may be helpful, but a 2-hour schedule is often more reasonable. Placing the patient in disposable diapers is more appropriate as a later stage intervention. Making sure the patient does not eat nonfood items will be more relevant when the patient demonstrates hyperorality.

Answer to Question 2

ANS: D
Agnosia is the inability to recognize familiar objects, parts of one's body, or one's own reflection in a mirror. Hyperorality refers to placing objects in the mouth. Aphasia refers to the loss of language ability. Apraxia refers to the loss of purposeful movements, such as being unable to dress.