A patient who is diagnosed with Alzheimer's disease experiences visual hallucinations. The primary care NP should initially prescribe:
a. donepezil (Aricept).
b. rivastigmine (Exelon).
c. memantine (Namenda).
d. galantamine (Razadyne).
B
Patients with dementia with Lewy bodies may show benefit with rivastigmine. Visual hallucinations are a hallmark feature of Lewy body dementia.
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A short-term goal that can be identified for a client completing his fourth alcohol detoxification program in one year is that the client will:
1. Develop a treatment relationship with another client. 2. Identify constructive outlets for stress. 3. State that he sees the need for ongoing treatment. 4. Use denial and rationalization in a healthier way.
During a discussion about factors affecting the health of population groups the nurse discusses the shorter life spans of Native Americans as compared to the rest of the population. Which determinant is the nurse explaining?
1. Sociocultural determinant. 2. Behavioral determinant. 3. Biological determinant. 4. Health system determinant.
A client who has colostomy cancer is preparing to be discharged home. The client wishes to talk with someone with a similar experience. What would be the nurse's best response?
A. "I will make an appropriate referral for you." B. "I do not think there is anyone like that here." C. "You can talk to your physician about your colostomy." D. "Most people who have had a colostomy are reluctant to discuss it."
The nurse is preparing to provide care to a group of assigned patients. Which patient should the nurse realize is at the highest risk for developing cancer?
A. A Hispanic woman B. A Native American woman C. An African American man D. A Hispanic man