47. Which assessment findings are consistent with a diagnosis of Alzheimer's disease (AD)? Select all that apply.
47. Which assessment findings are consistent with a diagnosis of Alzheimer's disease (AD)? Select all that apply.
. Remote and recent memory impairment.
. No memory impairment but the client is unable to recognize familiar persons.
. Cognitive decline has been rapid.
. B12 deficiency or thyroid disease is often present.
. Impaired recall of words.
. Loss of ability to recognize objects.
Test-Taking Tip
AD is the leading cause of dementia—memory impairment as well as language disorders.
Content Area: Geriatrics, Neurological; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
. . .
Answer 1 is correct because there is recent and remote memory impairment, as well as anomia, agnosia, and aphasia. Answer 2 is incorrect because the client loses short-term memory and may not remember younger family members, like grandchildren. Answer 3 is incorrect because the cognitive decline is slow and gradual. Answer 4 is incorrect because these causes of cognitive impairment would have been ruled out before a diagnosis of AD was made. Answer 5 is correct because it describes anomia, which occurs with AD. Answer 6 is correct because it describes agnosia, which is consistent with AD.