Professional Documents
Culture Documents
Alzheimer's Disease
Alzheimer's Disease
“ CARE ”
Cognex ( Tacrine)
Aricept ( Donepecil)
Reminyl (Galantamine)
Exelon (Rivastagmine)
NOTE: Aricept(Donepecil) is the drug of
choice for Alzheimer’s Disease because of
long half life and fewer side effects!
1. The nurse in the dementia unit cares for the
client diagnosed with dementia, Alzheimer
type. The client wanders in the halls at night
and talks about the past and family. Which
action, if taken by the nurse, is MOST
important?
A. Provide a bedtime snack.
B. Place the client's mattress on the floor.
C. Keep the client awake during daytime
hours.
D. Administer a bedtime sedative.
Rationale :
Correct Answer: B
prevents falls when confused
"MOST important" indicates discrimination is
required to answer the question.
(A is wrong) hunger is not a usual cause for
wandering; low blood sugar in a known insulin-
dependent diabetic may precipitate agitated or
otherwise bizarre behavior during the night
(C is wrong) keeping the client awake during the
day may increase the chance of sleep at night,
but may still awaken and wander into the hall
(D is wrong) giving sedatives may actually
precipitate a paradoxical reaction of agitation
2. During the evaluation of the quality of home
care for a client with Alzheimer’s disease,
the priority for the nurse is to reinforce
which statement by a family member?
A. At least 2 full meals a day is eaten
B. We go to a group discussion every week at
our community center
C.We have safety bars installed in the
bathroom and have 24 hour alarms on the
doors
D.The medication is not a problem to have it
taken 3 times a day
RATIONALE:
ANSWER C
Ensuring safety of the client with
increasing memory loss is a priority of home
care. Note all options are correct
statements. However, safety is most
important to reinforce.
3. Patient's with Alzheimer's Disease will most
likely exhibit the four A's namely: agnosia,
aphasia, amnesia, and apraxia.
In connection with this, the nurse plans to
include which of the following interventions
in the patients's plan of care?
A. Perform frequent memory testing
B. Provide new names for unrecognized
objects
C. Lessen stimulating activities that require
step-by-step instructions
D. Initiate motion with gentle guidance and
touch
RATIONALE:
ANSWER: D
Assistance or supervision that is as
unobtrusive (mahinhin) as possible protects
clients from injury while preserving their
dignity.
4. An 85 yr old man who is a resident in an
extended care facility is in the late stage of
ALzheimer's Disease. He tells his nurse the he
has a sore back muscle from all the construction
work he has been doing all day. Which response
by the nurse is most appropriate?
A. You know you don’t work in the construction
anymore
B. What type of motion did you do to precipitate
the soreness?
C. You are 85 yrs old and you’ve been here all
day. You don’t work in construction anymore.
D. Would you like me to rub your back for your?
RATIONALE:
ANSWER is D.
In LATE STAGE of AD, it is better to go
along with the clients reality rather than
confront h with logic and reasoning. Asking
close-ended, simple questions that relate to
his reality is non-threathening and calming .
5. When does Alzheimer's start?
Answer : C