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NUR 304 Exam big mac Questions with correct Answers 100% and detailed solutions
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STUVIA 2024/2025NUR 304 Exam big mac
Which statement below is INCORRECT about Alzheimer's disease?
A. It's the 5th leading cause of death for adults over 65.
B. Alzheimer's disease is more likely to develop in men rather than women.
C. Most patients typically start showing signs and symptoms of this disease after the age of 60.
D. Hispanics and African Americans are at higher risk for developing Alzheimer's disease.
b
The exact cause of Alzheimer's disease is not fully understood. However, what two changes in the
brain are found in a patient with this disease? Select all that apply:
A. Destruction of the myelin sheath on the neuron
B. Development of beta-amyloid plaques in between neurons
C. Destruction of dopaminergic neurons
D. Creation of neurofibrillary tangles within the neuron
b,d
A neuron is made up of a cell body which contains the nucleus. In addition, it has dendrites. What is
the function of the dendrite?
A. Give structure to the cell body and help keep the neuron functioning
B. To receive information for other nerves cells and take that information to the cell body
C. Take information it receives away from the cell body and to other dendrites of neurons
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D. Release neurotransmitters at the synaptic junctions to relay messages
b
True or False: The axon of a neuron takes information it receives away from the cell body and to
other dendrites of neurons.
true
In early stages of Alzheimer's disease, the hippocampus is affected. This part of the brain is
responsible for what function(s)? Select all that apply:
A. Learning
B. Navigation
C. Memory
D. Language
E. Planning
a,b,c
Alzheimer's disease also affects the neurons found in the outside layer that surrounds the top of the
cerebrum. This area is made up of different lobes such as the frontal, parietal, temporal, and occipital
lobes. What is this area of the brain called?
A. Corpus callosum
B. Cerebral cortex
C. Amygdala
D. Cerebellum
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b
A patient with Alzheimer's disease is having trouble performing the movements needed to brush their
teeth. The inability to perform this task can be described with which term below?
A. Aphasia
B. Apraxia
C. Anomia
D. Agnosia
b
. Which finding in a patient with Alzheimer's disease best describes the term agnosia?
A. The patient uses a fork to eat a bowl of soup.
B. The patient makes up a word to recall the name of an object.
C. The patient can't recall their address.
D. The patient is unable to perform the movements needed to use their hair brush.
a
You're helping a patient with hygiene. The patient is having trouble asking you for a particular bathing
item. The patient wants the soap bar but makes up a name for the item. This is known as what?
A. Amnesia
B. Agnosia
C. Anomia
D. Aphasia
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c
A patient was recently diagnosed with Mild Alzheimer's (Early-stage Alzheimer's disease). What
important educational topics should the nurse provide to this patient at this time? Select all that apply:
A. Progression of the disease
B. Future planning
C. Surgical options
D. Medications
a,b,d
A patient is starting to experience memory changes that are subtle but doesn't affect their ability to
function. For example, they are forgetting recent commitments and new people they've met or recent
conversations. The patient reports feeling like "something just isn't right". This describes what stage
of Alzheimer's disease?
A. Preclinical Alzheimer's Disease
B. Mild Alzheimer's Disease (early-stage)
C. Mild Cognitive Impairment
D. Moderate Alzheimer's Disease (Middle Stage)
c
Select all the correct options below that best describe the Moderate Alzheimer's Disease (Middle
Stage) of AD?
A. Longest stage
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B. Patient is able to function (move around, talk etc.)
C. Patient is confused to the point they need supervision
D. Experiences mood swings
E. May wander
F. Stage last a couple of years
G. When most patients are diagnosed
H. Communication is minimal
I. Caregiver fatigue is experienced
a,b,c,d,e,i
The nurse is providing routine care for a patient with Severe Alzheimer's disease (late stage). The
patient has no motor activities or language communication abilities. What are some nursing
interventions the nurse can implement to promote patient interaction and communication? Select all
that apply.
A. Limit interaction to verbal communication
B. Use touch when appropriate
C. Incorporate nonverbal communication
D. Have music and imagery available during the day
E. Identify yourself to the side of the patient rather than directly in front
b,c,d
During the evening hours you notice your patient with Moderate Alzheimer's Disease (Middle Stage)
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begins to experience an increase in confusion, agitations, and hallucinations. What intervention below
could the nurse implement to help decrease this occurrence?
A. Provide the patient with coffee at bedtime
B. Provide a relaxing and low noise environment in the evening
C. Use stimulating distractions at night D. Limit patient's contact with sunlight during the day
b
You're providing education about testing for Alzheimer's disease. Which tests below can a patient
have to check for beta-amyloid proteins in the brain? Select all that apply:
A. X-ray
B. Spinal tap
C. PET scan
D. MRI scan
b,c
A patient is concerned about developing Alzheimer's disease because their mother had the disease.
What statement below could the nurse provide to the patient about genetic testing for Alzheimer's
disease? Select all that apply:
A. Genetic testing is readily available at most doctor offices for this disease and should be discussed
with the physician.
B. A genetic test is available that assesses for ApoE-4 (Apolipoprotein)
C. Genetic testing is not routinely ordered but for research purposes.
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D. A positive genetic testing result means you will develop the disease.
b,c
The nurse is helping a patient with Moderate Alzheimer's disease (Middle Stage) participate in a task.
When selecting a task for the patient, the nurse would want to make sure the task has?
A. Multiple steps
B. Clear simple directions
C. Critical thinking
D. Usage of multiple tools
b
You're providing education to a group of caregivers about wandering in Alzheimer's disease. You ask
the participants to verbalize signs a family member with this disease may be experiencing wandering.
Which sign verbalized by a participant requires re-education?
A. The family member takes longer than expected to return from a place. B. The family member
repeatedly requests to visit an old acquaintance. C. The family member refuses to leave their
bedroom.
D. The family member has trouble finding rooms within the house.
c
A family member who is the caregiver for a patient with Moderate Alzheimer's disease (Middle Stage)
asks for advice on safety measures that can be taken to keep the patient safe due to wandering.
Which option below is NOT an appropriate safety measure for the caregiver to take?
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A. Display signs throughout the house to identify the rooms
B. Consider a GPS tracking device system for the patient
C. Encourage social interaction by taking the patient to a shopping mall D. Obscure assess to exit
doors and windows
c
The nurse is speaking to a patient with Moderate Alzheimer's disease (Middle Stage). The patient is
sitting in the bedside chair and is about to eat breakfast. Which action by the nurse demonstrates the
nurse knows how to communicate with this patient correctly?
A. The nurse approaches the patient from behind to initiate conversation.
B. The nurse asks "Do you want orange juice with breakfast?"
C. The nurse leaves the TV on while talking with the patient.
D. The nurse stands over the patient while conversing with the patient.
b
A caregiver reports that their family member with Alzheimer's disease does not have interest in
eating. They request some advice on how to help their family member eat better. What intervention
below would be incorrect for the nurse to give?
A. Eat with the family member for meals
B. Keep the eating environment free from outside noise and well lit
C. Serve the family member a variety of food items on their plate
D. Select healthy but tasty soft finger foods
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