A nurse is caring for older adult patients with mild cognitive impairment (MCI). What are these patients more likely to develop?
Alzheimer dementia
Dementia, non-Alzheimer type
Psychotic disorders
Parkinson disease
The Correct Answer is A
A. Alzheimer dementia
MCI is a known risk factor and often a prodromal stage for Alzheimer's disease; many people with MCI progress to Alzheimer's.
B. Dementia, non-Alzheimer type
While possible, the most common progression is to Alzheimer’s, not other forms of dementia.
C. Psychotic disorders
MCI is primarily cognitive and does not typically progress to psychotic disorders.
D. Parkinson disease
MCI is not a precursor to Parkinson's disease, which is a neurodegenerative motor disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Renal calculi
Kidney stones are not age-specific and are not directly caused by aging kidneys.
B. Urgency incontinence
While incontinence is common, urgency may relate more to bladder or neurologic conditions, not specific renal aging.
C. Hematuria
Blood in urine is abnormal at any age and indicates underlying pathology (e.g., infection, cancer).
D. Nocturia
A typical age-related renal change is a reduced ability to concentrate urine, leading to increased nighttime urination.
Correct Answer is B
Explanation
A. Obtain an order from the primary caregiver for a sedative
Not appropriate as a first step; sedatives in the elderly increase the risk of falls and confusion and should only be used after thorough evaluation.
B. Ask the patient if he is sleeping well at night
This helps identify underlying sleep disturbances, such as nocturia or insomnia, which may be the cause of daytime fatigue.
C. Tell the patient that he cannot take any more naps
Restricting naps without assessing the cause of tiredness is inappropriate and may worsen fatigue.
D. Plan activities to keep the patient awake during the day
May be helpful after assessing nighttime sleep habits and determining the cause of daytime drowsiness.
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