Tutorials - July 27, 2021

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Set B

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Last Name: *

First Name: *

School: *

Situation: Your patient, Mrs. P, who was diagnosed with Alzheimer Disease, is soon to be discharged. You scheduled a family conference to discuss some concerns regarding Mrs. P’s condition.

1. A family member expressed that they may not have the ability to care for Mrs. P. Your appropriate answer would be__. *

1 point

A. “I will call Mrs. P’s doctor to explain to you more about Alzheimer Disease.”

B. “What information regarding Alzheimer Disease has been given to you by her doctor?”

C. “Do you want to discuss with me specific concerns that bother you most?”

D. “I will refer you case to the social worker.”

2. A family member asked how they can help minimize Mrs. P’s disorientation to time. Your answer would be to: *

1 point

A. Encourage talking with friends on the phone

B. Place clocks and calendars at prominent places

C. Keep windows wide open

D. Provide adequate lighting especially in hallways, stairways and bathrooms

3. A concern in regarding physical safety came up during the conference. You would recommend to: *

1 point

A. Always close the door and windows

B. Provide adequate lighting especially in hallways, stairways and bathrooms

C. Use non-verbal communication

D. Reduce noises and distractions

4. You pointed out to the family that an important aspect of Mrs. P’s is the promotion of adequate nutrition. To address this concern, you would suggest to: *

1 point

A. Provide adequate lighting in the dining room

B. Reduce noised and distractions during mealtime

C. Do some active exercise before mealtime

D. Keep mealtime pleasant and serve foods similar to her

5. You explained to the family members that there will be times Mrs. P will feel agitated and fatigued. To minimize if not totally prevent this situation, you would suggest to _____. *

1 point

A. Make mealtime pleasant

B. Provide activities for her

C. Avoid noisy activities in the house and schedule rest period for her

D. Provide a consistent routine for her

Situation: Carlito, 70 years old, was brought to the hospital by his grandson. He was observed to be wandering characterized as “purposeless.” He was also remarked as excessively “forgetful” the previous days. Nurse Kaye is assigned to him. Initial diagnosis: Alzheimer’s disease.

6. Which of the following neurologic changes is an expected characteristic of aging? *

1 point

A. Widening of the sulci

B. Neurofiblillary tangles and plaques

C. Depletion of neurotransmitters

D. Degeneration of the frontal and temporal lobes

7. Which of the following nursing interventions is the most important aspect in caring for a client like Carlito? *

1 point

A. Make sure the environment is safe to prevent injury

B. Make sure the client receives food she likes to prevent hunger

C. Make sure the client meets other clients to prevent social isolation

D. Make sure the client takes care of her daily physical care to prevent dependence.

8. The following are appropriate care for an elderly client with dementia, except: *

1 point

A. 1 and 2 only

B. 2 and 4 only

C. 2 and 3 only

D. 1 and 4 only

9. Which of the following statements about possible causes of this disorder is most accurate? *

1 point

A. Alzheimer’s disease is most commonly caused by cerebral abscess

B. Chronic alcohol abuse plays a significant role in Alzheimer’s disease

C. Multiple small brain infractions typically lead to Alzheimer’s disease

D. The cause of Alzheimer’s disease is currently unknown.

10. Nurse Kaye places an object in the hand of Carlito and asks him to identify the object. Which of the following terms represents the client’s inability to name the object? *

1 point

A. Agnosia

B. Aphasia

C. Apraxia

D. Aewan

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