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.
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Related Questions
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.
Correct Answer is B
Explanation
A. Ingesting food containing a disease-carrying organism refers to foodborne transmission, not airborne transmission.
B. Airborne transmission involves pathogens that are carried through the air in tiny droplets or dust particles, which can be inhaled into the lungs, as stated correctly in option B.
C. Direct contact with a pathogen is associated with contact transmission, not airborne.
D. Being bitten by a tick or insect refers to vector-borne transmission, not airborne transmission.
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