A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?

Intermediate stage

severe stage

end stage

early stage

Answer and Explanation

The Correct Answer is B

A: The intermediate stage might not show severe disorientation or visual agnosia.

B: In the severe stage, clients exhibit major confusion about what’s happening around them and may not recognize family members or themselves.
C: The end stage typically involves near-total dependence on caregivers for daily living activities.
D: Early-stage symptoms are usually mild like forgetfulness of recent events.

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Correct Answer is C

Explanation

A: A change in preference does not indicate delirium.

B: Suspicions of poisoning may suggest delusion but not specifically delirium.

C: Confusion about time and the recent presence of family members are typical signs of delirium.
D: Requesting extra blankets in a warm room may indicate altered thermal perception but is not a clear indicator of delirium.

A. Notify the charge nurse of the need for evaluation of the client's level of competence. B. Ask the client to express her reasons for refusing the morning medications and document the event. C. Crush the pills, if not contraindicated, and hide them the client's in applesauce. D. Try to talk the client into adherence by telling her the possible implications of missing a dose.

Correct Answer is B

Explanation

A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.

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A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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