The following best describes dementia except

Gradual progressive onset.

Can be classified as either primary or secondary.

It does not interfere with navigation of daily life.

It is irreversible.

Answer and Explanation

The Correct Answer is C

A. Gradual progressive onset. Dementia typically has a gradual onset and progresses over time. This is true for most types of dementia, such as Alzheimer's disease, where symptoms slowly worsen over months and years.
B. Can be classified as either primary or secondary. Dementia can be classified as primary (such as Alzheimer's disease or frontotemporal dementia, where the brain itself is primarily affected) or secondary (where dementia is caused by another condition, such as a stroke or a brain injury).
C. It does not interfere with navigation of daily life. This statement is incorrect. One of the defining features of dementia is that it does interfere with daily life. As cognitive functions decline, individuals often have difficulty with tasks such as managing finances, cooking, driving, and maintaining personal hygiene.
D. It is irreversible. While some types of dementia (like Alzheimer's disease) are irreversible and progressive, there are certain conditions, like some forms of vascular dementia, where the progression can be slowed or stabilized if the underlying cause is addressed. However, many forms of dementia are indeed irreversible.

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Correct Answer is C

Explanation

A. "I have been depressed for a long time" is a statement that reflects personal feelings but does not specifically demonstrate a common response from perpetrators of violent sexual assault. While depression can affect anyone, it is not directly related to the perpetrator's denial or justification for the crime.
B. "She dressed provocatively" is a common victim-blaming tactic used by some perpetrators to justify their behavior, but it still focuses on the victim’s actions rather than taking responsibility. It may reflect the perpetrator's need to rationalize their actions, but it is not as explicit in denying responsibility as statement C.
C. "It is not my fault she was asking for it" is the most likely statement from a perpetrator of sexual assault, as it directly reflects blame-shifting and a lack of accountability for the assault. This type of statement is commonly used by individuals attempting to justify their actions by suggesting that the victim provoked or deserved the assault, a typical defense mechanism in cases of sexual violence.
D. "Was under the influence of alcohol" is also a common defense used by perpetrators to attempt to excuse their actions by claiming they were impaired. While alcohol use is often involved in assaults, it does not carry the same blame-shifting implication as statement C.

A. "I think you need more medication. I will be right back." B. "Your wife passed away last year. Who's your date?" C. "Today is (today's date). Tell me about the other dances you've been to." D. You're confused. Today is not Valentine's Day."

Correct Answer is C

Explanation

A. "I think you need more medication. I will be right back." While medication is an important aspect of managing Alzheimer's disease, this response dismisses the patient's feelings and does not address the emotional content of the statement. The goal is to engage with the patient in a compassionate way, not to assume the medication is the solution.
B. "Your wife passed away last year. Who's your date?" This response may be truthful, but it could be very distressing for the patient. Alzheimer's disease often causes memory loss and confusion, so correcting the patient in this blunt manner may cause unnecessary emotional distress or frustration.
C. "Today is (today's date). Tell me about the other dances you've been to." This is the most appropriate response. It gently redirects the patient to reality by providing the correct date, but it also shows empathy and invites the patient to share pleasant memories. This approach validates the patient's emotions and encourages conversation, which is beneficial for maintaining dignity and engaging the patient in meaningful dialogue.
D. "You're confused. Today is not Valentine's Day." This response may make the patient feel invalidated or upset. Alzheimer's disease often causes confusion and disorientation, so harshly correcting the patient can lead to increased agitation and emotional distress.

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The following best describes dementia except

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?

Correct Answer is C

Explanation

A client is diagnosed with Alzheimer's disease. He tells the nurse, "I have a date tonight for Valentine's dance." The most appropriate response is:

Correct Answer is C

Explanation

The nursing action most likely to be effective in improving the level of orientation of a client experiencing dementia is:

Which of the following interventions should be incorporated into the care of patient diagnosed with Alzheimer's disease?

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