Which statement by the family is consistent with mild Alzheimer’s disease?
She has stopped speaking to all of us
She has difficulty using her toothbrush and comb
She seems forgetful and takes longer to do daily tasks
She has lost control of her bladder and bowel
The Correct Answer is C
Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.
Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.
Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.
Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Levothyroxine treats hypothyroidism by adding T4, worsening hyperthyroidism’s excess hormone; antithyroid drugs are needed, so this statement is incorrect.
Choice B reason: Avoiding goitrogens (kale, cabbage) prevents thyroid suppression, appropriate in hyperthyroidism where reducing hormone production is the goal, so this is correct.
Choice C reason: Methimazole inhibits thyroid hormone synthesis, lowering T3 and T4 in hyperthyroidism, a standard treatment, making this statement accurate.
Choice D reason: Iodine blocks thyroid hormone release, reducing circulating T3/T4 in hyperthyroidism, a correct approach, especially in acute settings, so this is valid.
Correct Answer is D
Explanation
Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.
Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.
Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.
Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.
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