A nurse is assessing a client who is experiencing mild Alzheimer's disease. Which of the following findings should the nurse expect?
Misplacing the keys to their house.
Sleeping during the day more than at night.
Making a poor decision once in a while.
Forgetting the day of the week.
The Correct Answer is A
Choice A reason: Misplacing items is a hallmark early symptom of Alzheimer's due to short-term memory loss. It is commonly reported and expected in mild stages.
Choice B reason: Sleep disturbances are more typical in moderate to severe stages. Daytime sleepiness may occur but is not a defining early symptom.
Choice C reason: Occasional poor judgment can occur in healthy aging. In Alzheimer’s, poor decision-making becomes more frequent and impactful.
Choice D reason: Forgetting the day of the week may happen occasionally, but consistent disorientation is more characteristic of later stages.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Nurses have a legal and ethical duty to warn identifiable third parties if a client poses a serious threat. Avoiding this warning may result in liability.
Choice B reason: Discussing treatment with a partner without consent violates confidentiality, regardless of admission status. Involuntary admission does not waive privacy rights.
Choice C reason: Clients retain the right to refuse medications unless a court order or emergency situation overrides this. Involuntary status does not eliminate this right.
Choice D reason: Clients admitted via emergency commitment retain legal rights, including access to counsel. Denying this violates due process protections.
Correct Answer is ["C","D"]
Explanation
Choice A reason: While reducing excessive fats and refined carbohydrates may support weight management, the statement lacks nuance. Healthy fats and complex carbohydrates are essential for brain function and mood regulation, especially in mental health contexts.
Choice B reason: Frequent weighing may contribute to obsessive behaviors and anxiety, particularly in clients with body image concerns or eating disorders. It is not universally recommended.
Choice C reason: Gastric acid exposure, especially in clients with purging behaviors or GERD, can damage tooth enamel and increase the risk of dental caries. This is a valid and evidence-based educational point.
Choice D reason: Music therapy is a recognized non-pharmacologic intervention that can support emotional regulation, reduce anxiety, and improve mood. It is appropriate for mental health education.
Choice E reason: Daily laxative use is not a safe or recommended method for weight loss. It can lead to electrolyte imbalances, dependency, and gastrointestinal damage.
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