Which outcome is realistic for a patient with stage 1 Alzheimer's disease?
a. Caregiver will assume role of decision maker for patient to reduce stress.
b. The patient will maintain the highest possible functional level to preserve auton-omy.
c. Arrangements will be made for appropriate long-term placement to minimize risk of injury.
d. The patient will retain full physical functioning through cognitive and occupa-tional therapies.
ANS: B
This outcome addresses health maintenance (i.e., maintaining an optimal functional level as determined by present capacity). Although long-term placement may be an option, it is not necessarily appropriate during this stage. Patients in stage 1 are often able to make simple de-cisions. Continuing to make decisions gives the patient a sense of control. Although a patient in stage 1 does not appear markedly deteriorated, some diminution of function may be pre-sent.
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