A nurse discusses recent changes with a 74-year-old client. The client is distraught stating, "I forgot an important appointment; and I lost my wallet!" The older adult has always cherished being intelligent, alert, and informed,
so even minor lapses in cognition are a source of stress. How should the nurse best interpret these recent deficits in memory?
A) The older adult is likely experiencing the early stages of Alzheimer disease.
B) The older adult is likely experiencing a temporary state of delirium that will self-resolve.
C) The older adult may be experiencing age-related changes in personality.
D) The older adult may be experiencing mild cognitive impairment.
Ans: D
Healthy older adults will not experience any significant cognitive impairment that interferes with daily life, but they will notice minor deficits in some aspects of cognitive function and improvements in other aspects. Longitudinal studies have identified patterns of cognitive change that are likely to occur even in the absence of any pathologic processes. This does not rule out the possibility of dementia or delirium, but a fundamental change in personality is unlikely.
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In mixing regular and NPH insulin, the nurse completes the following actions. Place these actions in the correct order. (Separate letters by a comma and space as follows: a, b, c, d.)
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Parents bring their 15 year-old son to the mental health clinic for evaluation on referral from the school nurse
They say he has been fluctuating from acting "jittery and overly talkative" to being completely depressed and unable to "get out of bed or get dressed." The pediatric nurse suspects that the patient might be experiencing the symptoms of: A) schizophrenia. B) bipolar disorder. C) major depressive disorder. D) autism spectrum disorder.
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