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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
A patient’s spouse states “I’ve noticed that my spouse doesn’t sleep well anymore and sometimes can’t find the right words when we’re visiting.” Which is the most appropriate response by the nurse?
1. “How long have you noticed these changes?”
2. “Does anyone in your family have Alzheimer’s disease?”
3. “These are common changes associated with age.”
4. “Do you think your spouse is depressed?”
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1 -- Although depression is underdiagnosed in the elderly patient, and delirium closely resembles signs and characteristics of dementia, every effort must be made to get a clear history before an accurate diagnosis can be made. Family history is important to note, but a diagnosis of Alzheimer’s disease is made by eliminating all physiological factors first. Assuming these are age-related changes is inappropriate.
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