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."
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Arranging for individual therapy sessions: While individual therapy can be beneficial for clients with bulimia, it is not the sole intervention and typically part of a broader treatment plan. Therapy should focus on cognitive-behavioral strategies to address eating behaviors and underlying emotional issues.
B. Encouraging the client to keep a food diary: Keeping a food diary is a common therapeutic intervention for bulimia. It helps clients become more aware of their eating patterns and triggers for binge eating and purging behaviors. It also assists in identifying emotional and situational triggers that can be addressed in therapy.
C. Administering a medication to suppress the client's appetite: Appetite suppressants are not typically used in the treatment of bulimia. The focus is on addressing the underlying psychological issues and behaviors rather than suppressing appetite, as bulimia involves cycles of binge eating followed by compensatory behaviors like vomiting or laxative use.
D. Scheduling daily weigh-ins for the client: Daily weigh-ins can contribute to increased anxiety and obsession with weight, which may exacerbate bulimic behaviors. Therapeutic interventions for bulimia should focus on normalizing eating patterns and addressing the psychological aspects of the disorder rather than focusing on weight.
Correct Answer is B
Explanation
A. Ensuring that the client takes care of their ADLs to prevent dependence: While maintaining independence in activities of daily living (ADLs) is important, safety takes precedence because the client may not have the cognitive ability to perform ADLs safely.
B. Ensuring that the client environment is safe to prevent injury. Safety is the priority for clients with Alzheimer's disease due to their risk of confusion, disorientation, and falls. Creating a safe environment helps prevent accidents and injuries.
C. Ensuring that the client receives food they like to prevent anxiety: Providing familiar food can help reduce anxiety, but this is secondary to ensuring safety. The primary concern is to prevent injury in a client who may be disoriented or confused.
D. Ensuring that the client meets the other patients to prevent social isolation. While social interaction is beneficial, it is not the priority in the acute care setting for someone with Alzheimer's disease. The focus should first be on the client’s immediate safety and well-being.
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