And All Actual Answers.
What data should the nurse expect during an assessment of an elderly patient diagnosed with moderate
dementia?
A. Loss of recent and long-term memory
B. Excessive nighttime sleeping
C. Ability to perform simple mathematical calculation
D. Inability to che and swallow food - Answer A
A patient with Alzheimer's disease is expressing frustration because of difficulty verbalizing needs. Which
communication strategy should the nurse choose?
A. Finish the patient's sentences so as to minimize anxiety
B. Ask open-ended questions to allow adequate time for answers
C. Ask simple questions, focusing on one topic at a time
D. Adapt the communication to the apparent age represented by the patient's behavior - Answer C
The nurse is panning home care for a patient with Alzheimer's disease. Which intervention should the
nurse plan first?
A. Tour the home with family to identify and resolve safety issues.
B. Schedule frequent time alone to reduce anxiety and stress.
C. Plan many activities to improve the client's attention and memory
C. Promote moderate exercise prior to bedtime to induce a restful sleep - Answer A
When providing community health care teaching regarding the early warning signs of Alzheimer's
disease, which signs should the nurse advise family members to report? (Select all the apply)
A. Problems performing basic calculations such as counting change from a purchase.
B. Becoming lost when in a familiar environment.
C. Misplacing objects such as car keys in spite of designating a place for them
D. Difficulty operation a new piece of technology such as a DVD player
, E. Forgetting the name of someone who was introduced a week ago - Answer A,B
A patient with early stage Alzheimer's disease has been receiving donepezil (Aricept) for 2 months. What
data indicates that the expected outcome has been achieved?
A. Increased muscle strength and tone
B. Maintained ability to solve simple problems.
C. Improved sense of well-being and happiness
D. Decreased episodes of urinary incontinence. - Answer B
A patient with early-stage Alzheimer's disease is admitted to the surgical unit for a skin biopsy. Which
nursing diagnosis is the priority?
A. Risk for Impaired Physical Mobility r/t progression of disability.
B. Impaired Skin Integrity r/t immobility and impaired nutrition
C. Potential for Injury r/t chronic confusion and physical deficits
D. Social Isolation r/t personality and behavior changes - Answer C
A patient with Alzheimer's Disease stated she saw her grandmother through a window. After the nurse
told her that this person was not her grandmother, the patients became upset and attempted to leave
the unit. How should the nurse respond?
A. You are an older person and your grandmother couldn't still be living!
B. If you leaven you will miss seeing your grandmother who is in your room
C. You are not permitted ti get on the elevator
D. Let's go in your room and you can tell me about your grandmother. - Answer D
The nurse makes a nursing diagnosis on Ineffective Individual Coping r/t decreased activity tolerance for
a home care patients with lumbar compression fractures. which patient outcomes indicate that
interventions have been effective?
A. Appetite and weight have increased.
B. Sleep and pain medication use have increased
C. Activities are limited to one room to decrease pain from walking.
D. Ability to perform self-care activities has improves. - Answer D