Sam, a 50-year-old veteran with a traumatic brain injury (TBI), was recently diagnosed with Alzheimer's disease. His sister asks the nurse, "How can this be an accurate diagnosis? There is no incidence of this in our family."

Which of these teaching points is accurate for the nurse to share with Sam's sister?

A. Alzheimer's disease doesn't tend to run in families.
B. Alzheimer's disease is often misdiagnosed in patients with PTSD.
C. Alzheimer's disease is more common in patients with TBI than in the general population.
D. Alzheimer's disease in patients with TBI is not like traditional Alzheimer's disease.


ANS: C
There is a 2.3 times greater incidence of Alzheimer's disease in patients with TBI than in the general population.

Nursing

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After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of "Family Coping, ineffective related to unanticipated pregnancy." Which of the following goals would be appropriate?

1. The teenager and family will participate in discussions regarding pregnancy. 2. The teenager and family will develop skills for parenting the infant. 3. The teenager and family will develop a trusting relationship with the health care providers. 4. The teenager and family will develop self-care skills for the pregnancy.

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A patient seeks a vigorous, strenuous massage with focused pressure applied to tightened muscle areas and trigger points. This type of massage is called

1. Shiatsu. 2. Swedish. 3. Reflexology. 4. Deep tissue.

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The nurse is providing an educational seminar at a high school on the abuse of anabolic steroids. The nurse explains that some dangerous complications can include:

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A patient who has been experiencing premenstrual syndrome (PMS) reports to the clinic with a diet diary she has kept over the past several weeks. The nurse should suggest the patient make a dietary modification based on which entry in her diary?

1. daily intake of caffeine-free soda 2. daily intake of low-fat yogurt 3. daily intake of foods rich in magnesium 4. daily intake of white bread

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