Try Naxlex NCLEX-RN (Free-Trial)

A nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which appropriate statement will the instructor make?

"Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."

"Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease."

"Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease."

"Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."

Answer and Explanation

The Correct Answer is C

A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This statement is partially correct. Donepezil inhibits the breakdown of acetylcholine rather than encouraging its production. However, it correctly states that it delays the progression of Alzheimer's disease.

B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is incorrect because Alzheimer's disease primarily involves acetylcholine, not dopamine.

C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is the correct statement. Donepezil is a cholinesterase inhibitor that helps maintain acetylcholine levels in the brain, which is important for memory and cognitive function. It does not cure Alzheimer's disease but can slow its progression.

D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This is incorrect because donepezil does not affect dopamine levels significantly in the context of Alzheimer's disease.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Rotate staff to prevent caregiver role strain: Consistency in caregivers is crucial for dementia patients to minimize confusion and anxiety. Frequent changes in caregivers can be unsettling for them.

B. Limit the client's choices for daily activities: Simplifying choices helps to reduce decision-making pressure and confusion, which can be beneficial for dementia patients.

C. Provide a cognitively stimulating environment: While cognitive stimulation is beneficial, it must be balanced with the need for a calm, non-overstimulating environment to avoid overwhelming the patient.

D. Use confrontation to manage negative behavior: Confrontation is generally not effective and can increase agitation and confusion in dementia patients. Non-confrontational approaches are preferred.

A. Clozapine (Clozaril) B. Galantamine (Razadyne) C. C Olanzapine (Zyprexa) D. Sertraline (Zoloft)

Correct Answer is B

Explanation

A. Clozapine (Clozaril): Clozapine is an antipsychotic used primarily for schizophrenia, not for cognitive improvement in Alzheimer's disease. It is not indicated for treating Alzheimer’s disease.

B. Galantamine (Razadyne): Galantamine is an acetylcholinesterase inhibitor used to improve cognitive function in patients with mild to moderate Alzheimer's disease. It works by increasing the levels of acetylcholine in the brain, which helps with memory and cognitive processes.

C. Olanzapine (Zyprexa): Olanzapine is an antipsychotic used to treat schizophrenia and bipolar disorder. It is not used for cognitive enhancement in Alzheimer's disease and may actually worsen cognitive function in some cases.

D. Sertraline (Zoloft): Sertraline is an antidepressant used primarily for depression and anxiety disorders. It is not indicated for the cognitive symptoms of Alzheimer's disease.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which appropriate statement will the instructor make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is reviewing a client's medication list. Which medication has been indicated for improvement in cognitive functioning in mild to moderate Alzheimer's disease?

Correct Answer is B

Explanation

A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

The Nurse Educator in the Emergency Department is explaining to a group of student nurses, "What the primary role of a Sexual Assault Nurse Examiner (SANE) is when intervening with a victim of violence?" Student nurses reply that the primary role of the SANE nurse is:

A nurse is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.

A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?

A nurse is caring for a child in a psychiatric unit. Which of the following interventions should the nurse anticipate when caring for children diagnosed with ADHD? (Select all that apply)

A nurse is caring for a child diagnosed with Separation Anxiety Disorder. Which of the following assessment findings should the nurse recognize to be associated with Separation Anxiety Disorder?