Author Question: The nurse is caring for a patient with dementia due to Alzheimer disease. What is the nurse's best ... (Read 69 times)

kaid0807

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The nurse is caring for a patient with dementia due to Alzheimer disease. What is the nurse's best understanding of the etiology of this disease?
 
  1. A presence of eosinophilic inclusion bodies in the cortex and brain stem results in impaired cognitive function.
  2. An infectious form of a normally harmless type of protein, called a prion, interferes with neuronal health, leading to dementia.
  3. Multiple vascular lesions occur in the cerebral cortex and subcortical structures, resulting from the decreased blood supply to the brain, lead to a decline in cognitive function.
  4. A buildup of beta amyloid plaques and tangled strands of tau protein interferes with neuronal health, communication, and transport functions, leading to dementia.

Question 2

The nurse is caring for a patient with a substance abuse disorder and addiction who is being treated at a Level III treatment facility for substance detoxification. What nursing intervention is most likely to be the focus of
 
  The nurse is caring for a patient with a substance abuse disorder and addiction who is being treated at a Level III treatment facility for substance detoxification. What nursing intervention is most likely to be the focus of care at this level of treatment?
  1. Providing daily outpatient care and monitoring
  2. Providing a referral to a halfway house in the patient's community
  3. Providing the patient with intensive medical and psychiatric care
  4. Providing safe, round-the-clock care that supports wellness and recovery



kingdude89

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Answer to Question 1

Answer: 4
Explanation: Alzheimer disease occurs when a buildup of beta amyloid plaques and tangled strands of tau protein interferes with neuronal health, communication, and transport functions, leading to dementia. Eosinophilic inclusion bodies, also known as Lewy bodies, are seen in Lewy body dementia. Vascular dementia occurs when multiple vascular lesions are present in the cerebral cortex and subcortical structures, resulting from the decreased blood supply to the brain.

Answer to Question 2

Answer: 4
Explanation: The five levels of care are:
- Level 0.5 Early Intervention
- Level I Outpatient Services
- Level II Intensive Outpatient/Partial Hospitalization
- Level III Residential/Inpatient Treatment
- Level IV Medically Managed Intensive Inpatient Services
Level III residential/impatient treatment provides safe, round-the-clock medical care for patients with less complex health concerns. More intensive care is available for patients with complex health conditions in Level IV treatment centers, which offer medically managed, intensive inpatient services. Daily outpatient care is available through lower level treatment centers. Referral to a halfway house may be provided at any level when the patient completes the detoxification process.



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