B and J Both Have Alzheimer's Disease

question 33

Multiple Choice

B and J both have Alzheimer's disease.B walks up behind J in the hall and shouts,"Move along,you're blocking the road.I'll take a stick to you." J turns around,shakes his fist,and shouts,"I know what you're up to;you're trying to steal my car." The best action for the nurse to take would be to:

• A) Reinforce reality by telling B that J can walk in the hall,and telling J that B is not trying to steal his car.
• B) Ask the medication nurse to give both patients an as-needed dose of neuroleptic medication.
• C) Separate and distract them by directing one to go to the day room and taking the other to the activities area.
• D) Step between them,saying "Gentlemen,please quiet down.We do not permit violence here."

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Definitions:

Schizophrenia

A mental disorder characterized by distorted thinking, perceptions, emotions, and behaviors, often resulting in delusions and hallucinations.

Meninges

Layers of protective tissue that cover the brain and spinal cord, including the dura mater, arachnoid mater, and pia mater.

Brain Stem

The Brain Stem is a fundamental part of the brain, connecting the brain to the spinal cord, and controls many basic life functions such as breathing, heart rate, and blood pressure.

Parasympathetic Nervous System

Part of the autonomic nervous system that conserves energy as it slows the heart rate, increases intestinal and gland activity, and relaxes sphincter muscles.