At a medication education meeting, a colleague asks the nurse how medications that increase acetylcholine are helpful to people with dementia. What nursing response is correct?
1. The cholinergic system is useful in helping to dull clients' awareness of their progressive losses.
2. Acetylcholine is involved in restoring serotonin and other chemicals that decrease anxiety.
3. Acetylcholine is helpful in censoring feelings that arise in the midbrain and cause distress.
4. The cholinergic system is involved in memory, problem solving, and other cognitive skills.
4
Rationale: The acetylcholinesterase inhibitors work by decreasing acetylcholinesterase, which reduces the amount of acetylcholine. The end result is that with more acetylcholine the functions of memory and other cognitive skills are improved. Acetylcholine does not have the actions listed in the other three choices.
You might also like to view...
A geriatrician and social worker are facilitating a family meeting for the children and wife of a 79-year-old man who has been diagnosed with Alzheimer disease
What goal of treatment will the clinicians most likely prioritize in their interactions with the family? A) Modest reversal of brain plaque formation and improved symptomatology through cholinesterase inhibitors B) Surgical treatment of the underlying ischemic changes that underlie the manifestations of the man's disease C) The use of medications such as donepezil and rivastigmine to slow the progression of the disease D) Cognitive and behavioral therapy to counteract the agitation, depression, and suspiciousness associated with Alzheimer disease
Congenital disorders refer to those conditions that are present at birth. These disorders may be inherited and caused by environmental factors or maternal malnutrition
Toxic exposures have the greatest effect on development between 15 and 60 days of gestation. For the nurse to be able to conduct a complete assessment of the newly pregnant client, she should be knowledgeable regarding known human teratogens, which include (select all that apply) a. Infections b. Radiation c. Maternal conditions d. Drugs e. Chemicals
Which nursing action will be most effective in ensuring daily medication compliance for a patient with mild dementia?
a. Setting the medications up monthly in a medication box b. Having the patient's family member administer the medication c. Posting reminders to take the medications in the patient's house d. Calling the patient weekly with a reminder to take the medication
Mahmood is a new nursing assistant at a post-acute rehabilitation facility. On his second day on the job, he is asked by a RN to perform a procedure that he is not yet trained to do. Which is the following is his best response to the nurse?
A. "I'm not yet trained in that procedure. Is there another way I can help until I learn?" B. "Sure. I don't know what I'm doing yet, but I'm willing to give it a try." C. "I can help you pass medications later if you help me do this procedure." D. "My scope of practice says that I cannot perform any procedures."