A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention.
When the nurse attempts to talk to the client, he becomes angry and tells her to leave.
Which of the following defense mechanisms is the client demonstrating?

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect? The correct answer is choice B: Failure to recognize familiar objects.

Choice A rationale:

Excessive motor activity Individuals with Alzheimer's disease typically exhibit a decline in motor activity rather than excessive motor activity. As the disease progresses, they may become less mobile and experience difficulties with movement due to cognitive and physical impairments.

Choice C rationale:

Altered level of consciousness While individuals with Alzheimer's disease may experience changes in cognitive function, including memory loss and confusion, they do not typically have altered levels of consciousness. They remain conscious and aware of their surroundings, but they struggle with recognizing familiar objects and people.

Choice D rationale:

Rapid mood swings Rapid mood swings are not a prominent feature of Alzheimer's disease. Mood changes are more commonly associated with other psychiatric conditions. In Alzheimer's disease, individuals tend to exhibit personality changes, such as becoming more withdrawn or agitated, but these changes are not rapid mood swings.

Choice A rationale:

Hypothyroidism is not directly related to the use of bupropion for smoking cessation. It is essential to consider the client's overall health, but in this context, it is not the most significant concern, so it does not need to be reported immediately.

Choice B rationale:

Knee arthroplasty one month ago is not a contraindication for bupropion use, but it is essential to consider postoperative precautions and mobility. However, it is not the most critical issue related to the client's request for smoking cessation medication, so it does not need immediate reporting.

Choice C rationale:

Hepatitis B infection is a concern but does not necessarily contraindicate the use of bupropion. The nurse should address this issue, but it is not the most urgent concern for the client's request for smoking cessation medication.

Choice D rationale:

Reporting a recent head injury is crucial because bupropion is contraindicated in clients with a history of seizures or conditions that lower the seizure threshold, such as recent head trauma. Seizures are a significant potential side effect of bupropion, and a recent head injury could increase the risk of seizures. Therefore, the nurse should report this finding immediately to ensure the client's safety.