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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Clients should not drive or operate machinery after receiving olanzapine pamoate due to the risk of post-injection syndrome and sedation.
Choice B reason: Monitoring for sedation is essential after administration due to the risk of post-injection syndrome, which can mimic olanzapine overdose symptoms.
Choice C reason: Excessive salivation is not a common side effect of olanzapine pamoate; sedation and delirium are more relevant concerns.
Choice D reason: Olanzapine pamoate should be administered via deep IM injection in the ventrogluteal site, not the deltoid, to reduce the risk of vascular entry and post-injection syndrome.
Correct Answer is A
Explanation
Choice A reason: Failure to administer prescribed medication is a medication error and must be documented through an incident report. This ensures accountability, promotes safety, and initiates corrective action to prevent recurrence.
Choice B reason: Aggressive behavior may be part of the client’s psychiatric presentation. Unless it results in harm or requires emergency intervention, it may not meet the threshold for an incident report unless facility policy dictates otherwise.
Choice C reason: Missing a therapy session is not typically considered an incident unless it results in harm or is part of a pattern requiring intervention. It should be documented in progress notes, not an incident report.
Choice D reason: Refusal to leave the room may indicate worsening depression but does not constitute an incident unless it leads to harm or safety concerns. It should be addressed in the care plan.
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