A male adult who is 60 years old and lives in the British Isles develops dementia. For which qualities of dementia does the nurse assess to prevent patient injury related to the type of dementia this man is most likely to have?
a. Visual hallucinations and delusions
b. Unilateral tremors and muscle rigidity
c. Good memory and visuospatial problems
d. Failing memory and clumsy movements
D
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A Incorrect. These qualities are characteristic of Lewy body dementia.
B Incorrect. These qualities are characteristic of Parkinson's disease dementia.
C Incorrect. These qualities are characteristic of frontotemporal lobe dementia.
D Correct. The nurse assesses the patient for failing memory and incoordination characteristic of Creutzfeldt-Jakob disease (CJD) or bovine spongiform ence-phalopathy (also known as mad cow disease). This type of dementia began ap-pearing in adults living in the British Isles who reported eating beef from local breeders. The nurse assesses for these qualities because the age of onset is usually 60 years. This form of dementia progresses rapidly to death, so the nurse anticipates that this man will deteriorate rapidly and must be prepared to antic-ipate changes in motor activities and memory to maintain his safety and prevent injury.
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