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Chapter 34: Problem 259

The nurse is speaking to a group of family members of clients with Alzheimer's disease. Which behaviors would the nurse identify as characteristic of Stage 2 Alzheimer's disease? A. Progressive impairment primarily of short term memory B. Difficulties with house keeping and cooking C. Agitated movements and speech D. Confabulation E. Expressions of concern over loss of mental capacity

Short Answer

Expert verified
B and D are characteristic of Stage 2 Alzheimer's.

Step by step solution

01

鈥� Understand Alzheimer's Disease Stages

Alzheimer's disease is typically broken down into three stages: early (mild), middle (moderate), and late (severe). Each stage has characteristic symptoms.
02

鈥� Identify Stage 2 Symptoms

Stage 2, or moderate Alzheimer's, is characterized by symptoms that go beyond mild forgetfulness. These include increased memory loss, confusion, difficulty performing familiar tasks, and behavioral changes.
03

鈥� Analyze the Given Behaviors

Review the provided behaviors to determine which correspond to Stage 2.
04

鈥� Match Behaviors to Stage 2

A. Progressive impairment primarily of short-term memory 鈥� This is more characteristic of Stage 1.B. Difficulties with housekeeping and cooking 鈥� This fits Stage 2 as routine tasks become challenging.C. Agitated movements and speech 鈥� Typically seen in Stage 3.D. Confabulation 鈥� Common in Stage 2 as individuals may fill in memory gaps.E. Expressions of concern over loss of mental capacity 鈥� Usually noticed in Stage 1.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Memory Loss
Memory loss is one of the hallmark symptoms of Stage 2 Alzheimer's disease. Individuals in this stage experience more pronounced forgetfulness, especially concerning recent events and information.
This type of memory loss is not just the occasional misplacing of objects but is more persistent and impacts daily life. For example, a person might forget conversations they just had or repeatedly ask the same questions.
Additionally, memory issues in this stage often include difficulty remembering names of close family members and friends.
Behavioral Changes
Behavioral changes become more apparent in Stage 2 of Alzheimer's disease. These changes can include increased irritability, mood swings, and even signs of depression.
There may also be a marked increase in confusion and the tendency to become suspicious or paranoid. This behavior can be very challenging for caregivers and family members.
Some individuals might start displaying unusual behaviors, such as wandering or getting lost in familiar places, which is particularly concerning.
Difficulty in Routine Tasks
As Alzheimer's disease progresses to Stage 2, individuals find it increasingly difficult to perform routine tasks they once managed easily. Simple activities like housekeeping, cooking, or even personal grooming can become overwhelming.
Tasks that require sequential steps, such as preparing a meal or operating household appliances, often pose a significant challenge. For instance, someone might start a cooking process but forget important steps midway.
This decline in the ability to perform daily tasks can greatly affect their independence and require more hands-on help from caregivers.

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Most popular questions from this chapter

A child is found to be allergic to milk. To ensure adequate calcium intake, which foods would the nurse recommend be included in the child's diet? A. Coffee and tea B. Pork and ground beef C. Fruits such as apples and pears D. Green leafy vegetables such as collard greens and spinach

A client who is in the Cardiac Care Unit complains of mediastinal chest pain, dyspnea, and anxiety. The nurse gives the client a nitroglycerine tablet sublingual. The client now complains of being dizzy. Which is the priority nursing intervention? A. Get a 12 lead ECG B. Raise the side rails on the bed C. Open the D5W IV to 100 cc per hour D. Take vital signs including pulse oximetry

Which cranial nerve is the nurse assessing when the client鈥檚 gag reflex is checked? A. Five (trigeminal) B. Six (abducens) C. Nine (glossopharyngeal) D. Twelve (hypoglossal)

When planning care for a client withdrawing from cocaine, which is a critical nursing intervention? A. Monitor for seizures B. Protect from self harm C. Orient to time and place D. Monitor for hypotension

A teenager is admitted to the hospital with a diagnosis of osteomyelitis. An IV is started for administration of parenteral antibiotics. The teenager complains about hospitalization and asks the nurse: "Why can't I just be given some pills to take like my friend that had the abscess?" The nurse's response would be based on the knowledge that osteomyelitis: A. Lacks an effective oral antibiotic. B. Can cause pathologic fractures so the child must be hospitalized. C. Is caused by a different organism than the one that causes abscesses. D. Requires parenteral antibiotics to reach bone levels of the drug high enough to be effective.
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