Which statement by the family is consistent with mild Alzheimer’s disease?
She has stopped speaking to all of us
She has difficulty using her toothbrush and comb
She seems forgetful and takes longer to do daily tasks
She has lost control of her bladder and bowel
The Correct Answer is C
Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.
Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.
Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.
Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bradycardia occurs in hypothyroidism; Graves’ disease, hyperthyroidism, speeds metabolism, causing tachycardia, not slowed heart rate, during exacerbation.
Choice B reason: Heat intolerance in Graves’ disease results from excess thyroid hormone accelerating metabolism, raising body temperature, a hallmark of hyperthyroidism flares.
Choice C reason: Weight gain aligns with hypothyroidism’s slowed metabolism; Graves’ causes weight loss from increased calorie burning, opposite to this finding.
Choice D reason: Lethargy reflects hypothyroidism’s energy drop; Graves’ exacerbation increases metabolism, leading to restlessness or fatigue from overactivity, not lethargy.
Correct Answer is A
Explanation
Choice A reason: Hypoparathyroidism lowers PTH, reducing phosphorus excretion, raising serum levels as kidneys reabsorb more, while calcium drops, a classic imbalance.
Choice B reason: Calcium decreases in hypoparathyroidism due to low PTH, impairing bone resorption and gut absorption, opposite to being high, so this is incorrect.
Choice C reason: Magnesium isn’t directly regulated by PTH; hypoparathyroidism doesn’t consistently elevate it, staying normal unless other factors intervene.
Choice D reason: Potassium is unaffected by hypoparathyroidism, controlled by aldosterone and kidneys, not PTH, so it doesn’t rise with this condition.
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