After 1 week of sudden continuous mental confusion, an older African American client is admitted with a preliminary diagnosis of Alzheimer's disease (AD). What should cause the nurse to question this diagnosis?
The symptoms presented are more indicative of parkinsonism
AD The does not develop suddenly.
AD does not typically occur in African American clients.
There have been no liver function studies ordered.
The Correct Answer is B
A. Parkinsonism includes motor symptoms like tremor, rigidity, and bradykinesia, not sudden confusion. The presentation does not clearly indicate parkinsonism.
B. Alzheimer’s disease is progressive and develops gradually over months to years. A sudden onset of confusion suggests another cause, such as delirium, stroke, or medication-related effects, and should prompt further investigation.
C. Alzheimer’s disease does occur in African American clients, often at higher rates and with earlier onset compared to other populations. This is not a reason to question the diagnosis.
D. Liver function tests may be part of a general workup, but their absence does not specifically disqualify an AD diagnosis
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Contact inhibition refers to the process where normal cells stop growing when they come into contact with other cells. Cancer cells often lose this ability and continue to proliferate despite contact.
B. Anaplasia refers to the loss of differentiation in cancer cells, making them look less like the normal cells from which they originated. This is not directly related to regulated cell death.
C. Apoptosis is the term for programmed cell death, a normal process where cells that are damaged or no longer needed die in a controlled manner. Cancer cells often evade apoptosis, allowing them to survive and proliferate uncontrollably.
D. Anchorage dependence refers to the need for cells to be anchored to a surface to divide. Cancer cells often lose anchorage dependence, allowing them to grow independently.
Correct Answer is D
Explanation
A. Blaming the partner or others may reflect anger or guilt, which are common in the grief process, but not specifically avoidance.
B. Expressing sadness and disbelief is a normal part of grieving and emotional processing—not an avoidance symptom.
C. Inability to remember parts of the event can be a dissociative symptom, which may occur with trauma, but it’s not the clearest example of active avoidance.
D. Avoiding thoughts, conversations, or reminders of the traumatic event is a hallmark of avoidance symptoms, often seen in conditions like acute stress disorder or post-traumatic stress disorder (PTSD).
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