When the family of a client who has been diagnosed with a dementia secondary to normal pres-sure hydrocephalus asks the nurse about prognosis, the nurse should reply:
1. "Unfortunately the prognosis is for a downhill course ending in death."
2. "There will be good days and bad days for the rest of the client's life."
3. "The symptoms usually remit after a shunt is inserted to drain fluid."
4. "We'll try our very best, but only time will tell how successful we are."
ANS: 3
By relieving the cause, the symptoms of secondary dementias are largely reversible. The state-ments reflected in the other options do not reflect this fact.
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