Alzheimer’s disease Hesi case study
A. Ask Mary to list ten different types of fruits, colors, and animals
C. Forgetting to serve dinner after preparing the meal.
A. Changes in behavior and personality often occur early in Alzheimer’s disease
D. “Does anyone in your family have Alzheimer’s Disease?”
B. “The health care provider is looking for changes in the brain, which are consistent with Alzheimer’s Disease or for other conditions which can cause Mary’s symptoms.”
D. “Normal lab test results help rule out other causes of the symptoms.”
A. Stabilizes cognitive decline.
D. “This medication provides the most benefit to persons with early-stage AD, so it is important to start it right away.”
B. Serum liver enzymes.
A. Mary sleeps through the night.
C. Help Mary recognize the strong emotions that she is feeling.
B. “You are right to balance her feelings with the need to promote reality.”
A. Place a picture of a toilet on the bathroom door.
B. AD is a chronic disease that can progress with no set sequence and has a typical lifespan of 5-20 years
C. “Every person responds differently to the disease, but it is likely that her ability to function will continue to decline.”
C. Take Mary to the bathroom every 2 hours.
A. Provide Mary with a relaxing back rub at bedtime.
B. “What do you find most stressful in your daily life?”
B. Adult day care for Mary.
D. Encourage all group members to use humor as a coping mechanism.
C. Maintain a calm, consistent environment.
C. Provide a snack that the client can eat.
A. Redirect Mary’s attention to holding a stuffed animal.
C. “We may not need to administer a medication. Let me try to calm her.”
A. Evaluate Mary’s vital signs before transferring her to her bed.
D. Elevate Mary’s feet fifteen degrees.
Select all that apply
D. Administer the first scheduled dose of the prescribed oral antibiotic.
E. Calculate Mary’s intake and output for the shift.
B. The home health nurse who visits every other week.
D. “You have many conflicting emotions right now.”
B. Remain seated next to Sam while he is crying.