Which of the following interventions should be incorporated into the care of patient diagnosed with Alzheimer's disease?
Limit conversations and redirect to complete ADLS
Use short, simple words and phrases
Confront patient's delusions and provide reality orientation
Talk with the patient about abstract ideas
The Correct Answer is B
A. Limit conversations and redirect to complete ADLs may be too restrictive and does not support therapeutic communication. While redirection can be helpful, limiting conversations may increase confusion and isolation in patients with Alzheimer's disease.
B. Use short, simple words and phrases is the most effective communication strategy. Patients with Alzheimer's disease often have difficulty processing complex information, so clear, simple, and concise language helps them better understand and reduces frustration.
C. Confront patient’s delusions and provide reality orientation is not recommended. Confronting delusions can lead to increased agitation and distress. A more supportive approach, such as using validation therapy or gentle redirection, is typically more therapeutic.
D. Talk with the patient about abstract ideas is not appropriate. Individuals with Alzheimer's often have difficulty understanding abstract concepts. Concrete, straightforward communication is more effective for maintaining engagement and reducing confusion.
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Related Questions
Correct Answer is C
Explanation
A. Lewy body disease is a progressive neurological disorder that affects cognition, movement, and behavior. However, it is primarily characterized by symptoms like visual hallucinations, fluctuating cognitive abilities, and Parkinsonism, not primarily uncontrolled movements as in Huntington's disease.
B. Traumatic brain injury (TBI) refers to damage to the brain due to external physical force, such as from a fall or accident. While TBI can lead to cognitive and emotional changes, it does not cause the uncontrolled movements seen in Huntington's disease.
C. Huntington chorea is a progressive brain disorder caused by a genetic mutation. It is characterized by uncontrolled movements (chorea), emotional problems, and cognitive dysfunction. It primarily affects movement, mood, and cognitive function over time.
D. Alzheimer's disease is a progressive neurodegenerative disease primarily characterized by memory loss, confusion, and cognitive decline. It does not typically cause uncontrolled movements like those seen in Huntington's disease.
Correct Answer is D
Explanation
A. Pain is a well-known risk factor for delirium. Uncontrolled or severe pain can lead to physiological stress, which may trigger or exacerbate delirium, especially in vulnerable populations such as older adults.
B. Medication is another significant risk factor for delirium. Certain medications, particularly anticholinergics, benzodiazepines, and sedatives, can cause or worsen delirium, especially when taken in high doses or during the process of withdrawal.
C. Infection is a major risk factor for delirium, especially in older adults or critically ill patients. Infections, particularly urinary tract infections or respiratory infections, can lead to inflammation and metabolic disturbances that may precipitate delirium.
D. Gender is not considered a direct risk factor for delirium. While delirium can affect individuals of any gender, there is no strong evidence to suggest that gender alone plays a significant role in the development of delirium. The risk factors for delirium are more closely related to medical conditions, medications, and environmental factors rather than gender.
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