All of the following are defense behaviors observed among patients with Alzheimer's except
Denial
Confabulation
Perseveration
Rationalization
The Correct Answer is D
A. Denial is a common defense mechanism in patients with Alzheimer's disease. Individuals may refuse to accept the reality of their cognitive decline, which can lead them to deny their condition or deny symptoms, such as memory loss.
B. Confabulation refers to the unintentional creation of false memories to fill in memory gaps. It is a defense mechanism often seen in Alzheimer's patients as they attempt to make sense of their experiences or answer questions when they do not remember the correct information.
C. Perseveration is the repetition of a word, phrase, or action. Patients with Alzheimer's may exhibit perseveration when they become fixated on a thought or action and repeat it persistently, which is often a coping mechanism for confusion or disorientation.
D. Rationalization is a defense mechanism where individuals justify or explain their behaviors in a seemingly logical way to avoid feelings of guilt or discomfort. While it can be seen in many types of psychological distress, rationalization is not typically a behavior associated with Alzheimer's disease. Instead, Alzheimer's patients are more likely to demonstrate denial, confabulation, or perseveration, as they struggle with cognitive decline and memory loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Confusion is a common symptom of delirium tremens (DTs). It is one of the hallmark signs of alcohol withdrawal delirium, characterized by altered mental status and disorientation.
B. Hypertension is not typically a defining symptom of delirium tremens, although it can sometimes occur in the broader context of withdrawal. However, it is not a primary feature of DTs. The more characteristic symptoms are related to neurological and autonomic disturbances, such as tremors and seizures.
C. Seizures are a well-known symptom of delirium tremens. Withdrawal from alcohol, especially after prolonged heavy use, can lead to seizures, which are a significant concern in DTs.
D. Severe tremors (or shakes) are a hallmark symptom of delirium tremens. These tremors are usually very pronounced and can affect the hands, face, or whole body.
Correct Answer is C
Explanation
A. Electrolyte imbalance is a common stressor that can trigger delirium. Changes in electrolyte levels, such as sodium or calcium, can lead to confusion, agitation, and altered mental status.
B. Head trauma can also lead to delirium, especially if the injury affects the brain's function or causes swelling or bleeding that impacts cognition and awareness.
C. Depression is typically not a direct cause of delirium. While depression can lead to cognitive symptoms like memory problems and slowed thinking, it is not usually associated with the acute confusion and fluctuating consciousness seen in delirium. Delirium is typically caused by physical stressors, such as illness or injury, rather than psychological conditions like depression.
D. Infection is a common trigger for delirium, particularly in older adults or those with weakened immune systems. Infections like urinary tract infections or pneumonia can lead to acute confusion, agitation, and changes in mental status.
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