NP5

The daughter of a patient with early familial Alzheimer's disease (AD) asks how AD is different
from forgetfulness. You describe early warning signs of AD, including
a. Forgetting a colleague's name at a party
b. Repeatedly misplacing car keys or a wallet
c. Leaving a pot on the stove that boils dry and burns
d. Having no memory of preparing a meal and forgetting to serve or eat it

Answer: D

A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days
after admission. Which information indicates that the patient is experiencing delirium rather than
dementia?
a. The patient was oriented and alert when admitted.
b. The patient's speech is fragmented and incoherent.
c. The patient is oriented to person but disoriented to place and time.
d. The patient has a history of increasing confusion over several years.

ANS: A-The patient was oriented and alert when admitted

A 68-year-old patient is diagnosed with moderate dementia after multiple strokes. During
assessment of the patient, the nurse would expect to find
a. excessive nighttime sleepiness.
b. difficulty eating and swallowing.
c. loss of recent and long-term memory.
d. fluctuating ability to perform simple tasks.

Answer: C

Alzheimer's Disease

- Chronic, progressive, degenerative disease of the brain

- Most common form of dementia
- Ultimately, the disease is fatal,
- Only cause of death among the top 10 that cannot be prevented, cured, or even slowed
- Burden of care is staggering.
- Known as the "long good-bye" or "death in slow motion"

A patient who has severe Alzheimer's disease (AD) is being admitted to the hospital for surgery.
Which intervention will the nurse include in the plan of care?
a. Encourage the patient to discuss events from the past.
b. Maintain a consistent daily routine for the patient's care.
c. Reorient the patient to the date and time every 2 to 3 hours.
d. Provide the patient with current newspapers and magazines.
Answer: B

A 71-year-old patient with Alzheimer's disease (AD) who is being admitted to a long-term care
facility has had several episodes of wandering away from home. Which action will the nurse
include in the plan of care?
a. Reorient the patient several times daily.
b. Have the family bring in familiar items.
c. Place the patient in a room close to the nurses' station.
d. Ask the patient why the wandering episodes have occurred.

ANS: C-Place the patient in a room close to the nurses' station.

Alzheimer's the the ___ leading cause of death.

-7th.

The APP gene is located on Chromosome __.

--21.