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Review the Following Computerized Charting Record and Identify the Stage

question 36

Multiple Choice

Review the following computerized charting record and identify the stage of Alzheimer's disease (AD) of the patient described. $\begin{array}{|l|l|l|}\hline \text { Time } & \text { Body Systems } & \text { Charting } \\\hline 0800 & \text { Cognition } & \begin{array}{l}\text { Oriented to person, states he is "in the } \\\text { clinic" but does not know the name or } \\\text { location;; looks at clock and states the } \\\text { correct time; unable to repeat serial 7s or } \\\text { add 2 numbers }\end{array} \\\hline 0900 & \text { Visuospatial } & \begin{array}{l}\text { Puts on shirt and pants but unable to fasten } \\\text { them; puts on his slippers; reaches for } \\\text { utensils on the breakfast tray but cannot } \\\text { accurately locate them }\end{array} \\\hline 1000 & \text { Gross motor } & \begin{array}{l}\text { Pacing in room: appears restless }\end{array} \\\hline 1400 & \text { Personality } & \begin{array}{l}\text { Agitation has gradually increased since } \\\text { midmorning; describes seeing his daughter } \\\text { walking on the sidewalk in front of the } \\\text { building }\end{array} \\\hline 1600 & \text { Decision-making } & \begin{array}{l}\text { Unable to make choices of afternoon }\end{array} \\\hline & & \begin{array}{l}\text { recreational therapy activities; wanders in } \\\text { hall }\end{array} \\\hline\end{array}$

Definitions:

Pineal Gland

A small endocrine gland in the vertebrate brain that produces the hormone melatonin, involved in regulating sleep patterns.

Melatonin

A hormone produced by the pineal gland that regulates sleep and wakefulness cycles.

Hypnagogic Sensations

Experiences occurring at the onset of sleep, often involving visual, auditory, or tactile hallucinations.

Sleep Spindles

Brief bursts of brain activity visible on an EEG that occur during stage 2 of sleep, associated with memory consolidation and synaptic plasticity.