A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?

Intermediate stage

severe stage

end stage

early stage

Answer and Explanation

The Correct Answer is B

A: The intermediate stage might not show severe disorientation or visual agnosia.

B: In the severe stage, clients exhibit major confusion about what’s happening around them and may not recognize family members or themselves.
C: The end stage typically involves near-total dependence on caregivers for daily living activities.
D: Early-stage symptoms are usually mild like forgetfulness of recent events.

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Correct Answer is A

Explanation

A: Goals must be relevant and important to the client to encourage engagement and commitment to the therapeutic process.
B: While regular evaluations are essential, they must align with the individual’s progress and specific needs rather than a set schedule.

C: Goals should indeed be achievable, but tying them strictly to discharge may not accommodate ongoing or long-term needs.
D: While physician input can be valuable, goals should be client-centered and driven by nursing assessments and the therapeutic plan.

A. Notify the charge nurse of the need for evaluation of the client's level of competence. B. Ask the client to express her reasons for refusing the morning medications and document the event. C. Crush the pills, if not contraindicated, and hide them the client's in applesauce. D. Try to talk the client into adherence by telling her the possible implications of missing a dose.

Correct Answer is B

Explanation

A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.

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A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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