The nurse is helping develop a plan of care for a patient that has advanced Alzheimer’s disease.
The patient will be taking a new medication.
Which is a realistic goal for this patient?
Exhibit ability to provide self-care.
Show improved memory for recent events.
Receive appropriate assistance for care needs.
Demonstrate improved cognitive function.
The Correct Answer is C
Choice A rationale
Exhibiting the ability to provide self-care may not be realistic for a patient with advanced Alzheimer’s disease. Cognitive decline may impair their ability to perform daily activities independently, necessitating assistance from caregivers.
Choice B rationale
Improving memory for recent events is unlikely in advanced Alzheimer’s disease, as the condition typically involves progressive memory loss and cognitive decline. New medications may help manage symptoms, but reversing memory loss is not a realistic goal.
Choice C rationale
Receiving appropriate assistance for care needs is a realistic and achievable goal for patients with advanced Alzheimer’s disease. As the disease progresses, patients will require increasing levels of support to ensure their safety and well-being.
Choice D rationale
Demonstrating improved cognitive function is unlikely in advanced Alzheimer’s disease. While medications may help manage symptoms, the progressive nature of the disease means that cognitive decline will continue, and improvement is not a realistic expectation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.
Choice B rationale
Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.
Choice C rationale
Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.
Choice D rationale
Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.
Correct Answer is D
Explanation
Choice A rationale
Taking medication at the first sign of nausea may be too late to prevent motion sickness as it takes time for the medication to be absorbed and take effect.
Choice B rationale
Taking medication just prior to takeoff might not give the drug enough time to be absorbed and start working effectively.
Choice C rationale
Taking medication just prior to boarding the flight may not provide sufficient time for the drug to reach its peak effectiveness.
Choice D rationale
Taking the medication at 0700 before leaving for the airport allows enough time for the drug to be absorbed and reach its peak effect, which is essential for preventing motion sickness during the flight.
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