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A 75-year-old man finds that he continually misplaces items he uses every day. In addition, his wife becomes annoyed when he asks the same question several times because he does not remember the answer. What advice is the most appropriate for his health care provider to give him?

A.

He has Alzheimer's disease and nothing can be done to help him

B.

Further assessment is needed to determine the cause of these symptoms

C.

Admission to a nursing home for more intensive care is needed.

D.

These symptoms are a normal part of aging and he should accept it.

Answer and Explanation

The Correct Answer is B

A.    This is a premature conclusion. While Alzheimer's disease is a possibility, it's essential to rule out other potential causes before making a diagnosis. 
B.    A comprehensive evaluation can help identify the underlying cause of the symptoms, which could be Alzheimer's disease, other forms of dementia, or even treatable conditions like vitamin deficiencies or thyroid problems.
C.    Admission to a nursing home is premature and may not be necessary. The appropriate level of care will depend on the diagnosis and severity of the symptoms.
D.    While some memory changes are normal with aging, the described symptoms are more severe than typical age-related forgetfulness. It's important to investigate the cause to determine if there are any underlying medical conditions or cognitive impairments.
 


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Related Questions

Correct Answer is C

Explanation

A. During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B. Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C. This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness.
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D. Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.

Correct Answer is A

Explanation

A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.

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