A nurse is planning care for a client who has Alzheimer's disease and is in the terminal phase. Which of the following findings should the nurse expect?
Speech degrades to a few words
Needs assistance with finances
Requires cueing to eat
Unable to sit up
The Correct Answer is D
A. Speech degrading to a few words is characteristic of the middle stage of Alzheimer's disease. In the terminal phase, speech is often lost completely.
B. Needing assistance with finances typically occurs in the early stage of Alzheimer's, when complex cognitive tasks become difficult.
C. Requiring cueing to eat may be seen in the moderate stage, when the client still retains some functional ability but needs prompting.
D. Unable to sit up is a finding consistent with the terminal phase of Alzheimer’s disease. During this stage, clients lose motor functions and physical abilities, often becoming bedridden, nonverbal, and fully dependent for all activities of daily living.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Borderline personality disorder is part of Cluster B, which includes dramatic, emotional, or erratic disorders.
B. Paranoid personality disorder is part of Cluster A, which includes odd or eccentric disorders.
C. Antisocial personality disorder is part of Cluster B, as it involves manipulative and often harmful behaviors.
D. Dependent personality disorder is part of Cluster C, which is characterized by anxious and fearful behaviors. Individuals with dependent personality disorder exhibit a pervasive and excessive need to be taken care of, leading to submissive and clingy behaviors.
Correct Answer is D
Explanation
A. Traumatic grief is a response to a sudden, unexpected, or violent death, often associated with shock and difficulty processing the loss.
B. Complicated grief refers to an intense and prolonged grieving process that interferes with daily life, occurring after a loss, not typically before death.
C. Disenfranchised grief occurs when a person’s grief is not acknowledged or validated by society, such as with a stigmatized relationship or loss.
D. Anticipatory grief occurs before a loss, when individuals expect the death of a loved one due to terminal illness. It allows time to process the impending loss and begin grieving before the actual death occurs.
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