HESI case study "Neurocognitive Disorder:
Alzheimer's Disease (Early Onset)"
Mr. Wilson is upset about visiting the Nurse Practitioner (APRN) and he tells the
office RN that there is nothing wrong with him. The RN notes that Mr. Wilson's
face is flushed and he is wringing his hands. He states that he does not know
why he is at the clinic. He stands by the door, shuffling his feet.
"You look worried. How can I make you feel comfortable?"
Which of the following are risk factors for Alzheimer's Disease? (Select All that
apply.)
Advancing Age.
High cholesterol levels
Previous Head Trauma.
What is the best initial response by the nurse?
"Changes in behavior and personality often occur as Alzheimer's disease progresses."
Which question gives the nurse the most information about Mr. Wilson's
judgment?
"If you smelled smoke in a movie theater, what would you do?"
What is the best response to Mr. Wilson by the nurse?
"| appreciate your cooperation. Tell me what you think is the problem."
Which of the following memory issues/deficits are related to Mild Neurocognitive
disorder due to Alzheimer's disease? (Select all that apply.)
Forgets the purpose or use of an item.
Cooks a meal and forgets to serve it.
Mr. Wilson's daughter asks about the recent deterioration in her father's
functioning. "It's only been one year since his diagnosis. I thought Alzheimer's
disease progressed more slowly."
"Everyone responds differently to this disease, but it is likely that his health and daily
functioning will continue to decline."
What is the goal of nursing care for a client with a Neurocognitive disorder due to
Alzheimer's disease?
Maintaining optimum function.
What does the nurse suspect that Mr. Wilson is experiencing?
Delirium.
What Should the nurse advice the client's daughter to do? (Select all that apply.)
Make sure her father's room has sufficient light.
Divert her father's attention with food or drink.
How does Donepezil (Aricept) reduce the symptoms for clients with mild to
moderate Alzheimer's disease?
Enhancing Acetylcholine function.
Which side effect of donepezil (Aricept) is most important for Mr. Wilson's
daughter to report to the HCP?
Tarry stool.
Which lab test should be scheduled?
Alzheimer's Disease (Early Onset)"
Mr. Wilson is upset about visiting the Nurse Practitioner (APRN) and he tells the
office RN that there is nothing wrong with him. The RN notes that Mr. Wilson's
face is flushed and he is wringing his hands. He states that he does not know
why he is at the clinic. He stands by the door, shuffling his feet.
"You look worried. How can I make you feel comfortable?"
Which of the following are risk factors for Alzheimer's Disease? (Select All that
apply.)
Advancing Age.
High cholesterol levels
Previous Head Trauma.
What is the best initial response by the nurse?
"Changes in behavior and personality often occur as Alzheimer's disease progresses."
Which question gives the nurse the most information about Mr. Wilson's
judgment?
"If you smelled smoke in a movie theater, what would you do?"
What is the best response to Mr. Wilson by the nurse?
"| appreciate your cooperation. Tell me what you think is the problem."
Which of the following memory issues/deficits are related to Mild Neurocognitive
disorder due to Alzheimer's disease? (Select all that apply.)
Forgets the purpose or use of an item.
Cooks a meal and forgets to serve it.
Mr. Wilson's daughter asks about the recent deterioration in her father's
functioning. "It's only been one year since his diagnosis. I thought Alzheimer's
disease progressed more slowly."
"Everyone responds differently to this disease, but it is likely that his health and daily
functioning will continue to decline."
What is the goal of nursing care for a client with a Neurocognitive disorder due to
Alzheimer's disease?
Maintaining optimum function.
What does the nurse suspect that Mr. Wilson is experiencing?
Delirium.
What Should the nurse advice the client's daughter to do? (Select all that apply.)
Make sure her father's room has sufficient light.
Divert her father's attention with food or drink.
How does Donepezil (Aricept) reduce the symptoms for clients with mild to
moderate Alzheimer's disease?
Enhancing Acetylcholine function.
Which side effect of donepezil (Aricept) is most important for Mr. Wilson's
daughter to report to the HCP?
Tarry stool.
Which lab test should be scheduled?
