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 ["A","B"]

Explanation

A. "I don't have a problem, I can quit when, where and how I want to." This statement reflects denial and overconfidence, which are common obstacles to recovery. It suggests a lack of recognition of the seriousness of the addiction.

B. "I am not going to let my family and friends know I have an addiction and give them this burden." This statement indicates a reluctance to seek support from loved ones, which can hinder the recovery process. Keeping the addiction, a secret can lead to isolation and make it more
challenging to maintain recovery.

C. "I will start Alcoholic Anonymous meetings in two weeks when I am settled after discharge." This statement shows proactive planning and willingness to engage in support groups, which can be a positive step towards recovery.

D. "I know I am an addict, and it will take hard work and a higher power to help me." This statement reflects self-awareness and a recognition of the effort required for recovery. The
mention of a higher power suggests a willingness to engage in a spiritual or faith based approach to recovery, which can be beneficial for some individuals.

E. "I don't know how I am going to get through this but will take it one day at a time with my family." This statement acknowledges the challenges ahead and expresses a willingness to take recovery one step at a time with the support of family. It reflects a realistic and hopeful approach to the recovery process.

A. Administer thiamine intramuscular (IM) B. Assist the client with personal hygiene needs C. Place the client on continuous observation D. Explain milieu therapy

Correct Answer is B

Explanation

A. Administer thiamine intramuscular (IM) Administering thiamine is important, especially in
clients with alcohol abuse, to prevent or treat potential Wernicke Korsakoff syndrome. However, the primary intervention when admitting a client is addressing immediate physical and psychological needs, such as personal hygiene.

B. Assist the client with personal hygiene needs This is the primary intervention upon admission.
It addresses the client's immediate physical and psychological wellbeing and helps establish a therapeutic rapport.

C. Place the client on continuous observation While observation may be necessary for safety, it is not the primary intervention in this scenario. Addressing personal hygiene needs takes precedence.

D. Explain milieu therapy Milieu therapy is an important aspect of a comprehensive treatment plan, but it is not the primary intervention upon admission. Immediate physical care and safety are the initial priorities.

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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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Naxlex Comprehensive Predictor Exams

The nurse is teaching about obstacles to maintaining recovery. Which of the following statements would indicate to the nurse a greater risk for relapse? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

Correct Answer is B

Explanation

What intervention is a priority when the client is experiencing auditory hallucinations?

The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion. Which thought disturbance is the client demonstrating?

When a client diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The client now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the client?

The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

Which nursing documentation entry accurately describes a client's use of confabulation?

The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion. Which thought disturbance is the client demonstrating?

A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen. Which of the following would be an essential teaching point to include regarding the medication?

Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?