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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Type 1 diabetes is not caused by a single recessive gene. It has a genetic component but typically involves multiple genes, with HLA-DR3 and HLA-DR4 being associated with increased risk, and is often triggered by autoimmune reactions.
B. The HLA-DR3 and HLA-DR4 genes are associated with an increased genetic risk for type 1 diabetes, as it is an autoimmune condition that destroys insulin-producing cells in the pancreas.
C. While infections (including viral infections) can sometimes trigger the onset of type 1 diabetes, bacterial infections themselves do not cause the condition. It is autoimmune in nature, where the body attacks its insulin-producing cells.
D. Excessive heat and temperatures do not cause type 1 diabetes. The condition is driven by genetic and autoimmune factors, not environmental ones like heat.
E. Exposure to processing of metals and proteins does not cause type 1 diabetes. The disease is primarily associated with genetic predisposition and autoimmune destruction of pancreatic beta cells.
Correct Answer is A
Explanation
A. Anorexia nervosa is characterized by a distorted body image, where individuals often perceive themselves as overweight, despite being underweight. The statement "I know I am skinny" reflects the client's awareness of their thinness, but in the context of anorexia nervosa, this is often associated with a skewed perception and excessive concern with body weight.
B. Excessive energy might be seen in some clients with anorexia nervosa due to the body's stress response or the effects of malnutrition, but it is not a defining feature.
C. Spending time searching for new recipes may reflect an interest in food, but it doesn’t directly indicate anorexia nervosa. In fact, many people with anorexia may avoid food-related activities due to anxiety or fear of eating.
D. Enjoying wearing form-fitting clothes may indicate a desire to show off one's body, but it does not directly reflect the core symptoms of anorexia nervosa, where individuals often avoid clothing that reveals their body shape.
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