The patient presents at the health care provider's office at the urging of her spouse. Which statements by the spouse suggest to the nurse that the patient is in stage 2 of Alzheimer disease? Select all that apply
1. "She sometimes forgets to take her medicine."
2. "All she does is lie in bed and cry."
3. "She's always been good at math, but she has trouble sometimes with things like counting the correct change."
4. "She'll ask me the same question several times in a row."
5. "Yesterday she wandered away from the house and was lost for hours."
Answer: 1, 3
Explanation: Symptoms of stage 2, mild cognitive impairment, include deterioration of or impairment in one or more abilities including executive functioning (as evidenced by difficulty counting change), memory, and attention. Repeating the same question several times and wandering are indicative of stage 3, dementia. Lying in bed and crying for significant periods suggests depression, not mild cognitive impairment.
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