An elderly client with severe cardiovascular disease is given the diagnosis of dementia. Which type of dementia does the client most likely have?
Frontal
lewy body
Alzheimer's
vascular dementia
The Correct Answer is D
A: Frontal dementia (or frontotemporal dementia) is characterized by changes in personality and behavior, not directly linked to cardiovascular disease.
B: Lewy body dementia involves protein deposits in nerve cells and is known for its distinctive sleep disturbances and hallucinations.
C: Alzheimer’s is the most common form of dementia but is typically associated with age-related neurodegenerative changes rather than directly with cardiovascular disease.
D: Vascular dementia is directly associated with conditions that block or reduce blood flow to the brain, often due to cardiovascular disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.
Correct Answer is C
Explanation
A: Panic disorder involves unexpected and repeated episodes of intense fear.
B: Obsessive-compulsive disorder is characterized by unwanted repeated thoughts (obsessions) and actions (compulsions).
C: PTSD involves re-experiencing a traumatic event through flashbacks and nightmares, fitting the client’s description.
D: Agoraphobia is an anxiety disorder involving a fear of places and situations that might cause panic, helplessness, or embarrassment.
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