What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)

Brain atrophy

Overabundance of plaques (amyloid beta)

Overabundance of tangles (tau protein)

Enlargement of the hippocampus

Enlarged cerebral cortex

Answer and Explanation

Correct Answer : A,B,C

A.   Brain atrophy is a common physiological change in the brain of individuals with Alzheimer's disease.
B.   An overabundance of plaques, specifically amyloid beta, is a characteristic feature of Alzheimer's disease.
C.   An overabundance of tangles, specifically tau protein, is also a characteristic feature of Alzheimer's disease.
D.   Enlargement of the hippocampus is not typically associated with Alzheimer's disease; rather, it tends to shrink.

E.   Enlarged cerebral cortex is not a typical physiological change in Alzheimer's disease; it actually tends to shrink.

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Correct Answer is C

Explanation

A) Incorrect. Placing metal utensils on the client's meal tray may pose a safety risk, especially considering the recent suicide attempt.

B) Incorrect. Assigning the client to a private room may be beneficial for privacy, but the more immediate concern is ensuring the safety of the client by inspecting personal belongings.

C) Correct. Inspecting the client's personal belongings is crucial to remove any potentially harmful items that the client may use to harm themselves.

D) Incorrect. Tucking bedcovers over the client's hands and arms is not a specific intervention related to the recent suicide attempt.

A. "Why don't you discuss that with your physician?" B. "I would rather you reconsider that decision." C. "What happened the last time you stopped taking your medication?" D. "The physician prescribed that medication to help you."

Correct Answer is D

Explanation

A. This response may be seen as evading the client's statement. It's important to provide a more direct response.
B. This response may come across as controlling or confrontational, which may not promote open communication.
C. This response is a good therapeutic technique as it encourages the client to reflect on past experiences with stopping medication.
D. This response provides a clear and factual statement about the purpose of the prescribed medication, encouraging the client to understand its importance.

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What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)

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A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

Correct Answer is D

Explanation

A client with schizophrenia has begun a new prescription of clozapine. The nurse should assess the result of which laboratory study to monitor for adverse effects?

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