After 1 week of continuous mental confusion, an elderly African American client is admitted with a preliminary diagnosis of major neurocognitive disorder due to Alzheimer's disease. What should cause the nurse to question this diagnosis?
A. Neurocognitive disorder does not typically occur in African American clients.
B. The symptoms presented are more indicative of Parkinsonism.
C. Neurocognitive disorder does not develop suddenly.
D. There has been no T3 or T4 level evaluation ordered.
ANS: C
The nurse should know that neurocognitive disorder (NCD) does not develop suddenly and should question this diagnosis. The onset of NCD symptoms is slow and insidious and is unrelated to race, culture, or creed. The disease is generally progressive and debilitating.
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