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 B
Explanation
A. Bulimia does have long-term health effects, including electrolyte imbalances, gastrointestinal issues, and dental erosion. Saying it has no long-term effects is incorrect.
B. Eating disorders, especially anorexia nervosa, can lead to amenorrhea (absence of menstrual periods) due to hormonal imbalances, which is a well-established effect.
C. Eating disorders can affect the kidneys. Severe cases can lead to kidney damage due to dehydration, electrolyte imbalances, or the effects of purging behaviors.
D. Anorexia typically causes hypotension (low blood pressure), not hypertension. It can also lead to bradycardia, electrolyte imbalances, and organ damage.
Correct Answer is A
Explanation
A. Trauma-related disorders, such as PTSD or acute stress disorder, can develop after experiencing or witnessing a traumatic event, even if there is no physical harm. Events such as violence, natural disasters, abuse, or accidents can be triggers.
B. Physical harm is not required for a trauma-related disorder to develop. Psychological and emotional trauma alone can be sufficient.
C. While neurobiological factors may play a role in how trauma affects the brain, trauma-related disorders are primarily triggered by traumatic experiences, not solely by a chemical imbalance.
D. Although genetic predispositions may influence vulnerability, people are not simply born with trauma-related disorders; they develop as a response to traumatic events.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.