A client has recently been diagnosed with Alzheimer's disease. Which medication would the nurse expect the physician to order for this client's cognitive impairment?

Zalepion

Donepezil

Nortriptyline

Quetiapine

Answer and Explanation

The Correct Answer is B

a. Zalepion: Zalepion is a hypnotic agent used for the short-term treatment of insomnia. It is not used to treat cognitive impairment in Alzheimer's disease.
b. Donepezil: Donepezil is a cholinesterase inhibitor commonly prescribed to manage symptoms of Alzheimer's disease. It works by increasing the levels of acetylcholine in the brain, which can help improve cognitive function and slow the progression of symptoms
c. Nortriptyline: Nortriptyline is a tricyclic antidepressant, not typically used for cognitive impairment in Alzheimer's disease.
d. Quetiapine: Quetiapine is an antipsychotic medication used to treat mood disorders and schizophrenia. It is not primarily used for treating cognitive impairment in Alzheimer's disease

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Correct Answer is C

Explanation

a. Is pathological and warrants postponing the test: Not necessarily true. Mild anxiety is a normal human response to stressful situations. Postponing the test might reinforce avoidance behaviors.
b. May be transferred to classmates and result in test anxiety: While anxiety can be contagious in some situations, the nurse should focus on calming techniques for the individual experiencing it, not assuming it will spread.
c. is conducive to concentration and problem solving (Correct): Mild anxiety, also known as arousal, can heighten focus and alertness. This can be beneficial for tasks that require concentration, like tests. In some cases, it can improve cognitive function
d. Will interfere with cognitive ability: Extreme anxiety can be debilitating, but mild anxiety can actually enhance focus and performance in some situations.

A. a client communicates significant distress. B. maladaptive responses to stress are coupled with interference in daily functioning. C. thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria. D. a client uses defense mechanisms as ego protection.

Correct Answer is B

Explanation

a. a client communicates significant distress. While significant distress is important to consider, it alone does not necessarily indicate a risk for developing mental illness unless it also impacts daily functioning and coping mechanisms.
b. maladaptive responses to stress are coupled with interference in daily functioning. This choice is correct because it reflects a combination of maladaptive coping (which can exacerbate mental health issues) and interference with daily functioning (a key indicator of mental illness according to DSM-5 criteria).
c. thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria. While alignment with DSM-5 criteria is crucial for diagnosis, this choice alone does not address the risk aspect. The focus should be on behaviors that lead to impairment in daily functioning and coping.
d. a client uses defense mechanisms as ego protection. Using defense mechanisms is a normal part of human behavior and not necessarily indicative of mental illness risk unless these mechanisms are maladaptive and interfere with functioning.

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A client has recently been diagnosed with Alzheimer's disease. Which medication would the nurse expect the physician to order for this client's cognitive impairment?

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