The husband of a patient with Alzheimer disease (AD) asks the nurse to explain sundowning. How should the nurse respond to this question?
1. "Your wife can become more agitated, disoriented to time, and wander during the afternoon or early evening."
2. "Your wife's eyes will appear more downcast and the lids will droop."
3. "Repetition of words or phrases occurs more frequently."
4. "The ability to perform simple tasks is lost."
Correct Answer: 1
Sundowning can be decreased by providing quiet activities, such as listening to favorite music in the afternoon or early evening. Downcast eyes and drooping eyelids is not a description of sundowning. Echolalia is the term for frequent repetition of words or phrases. Loss of the ability to perform simple tasks is common to stage 2 of AD.
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