NCLEX-PN

Category - Psychosocial Integrity

The nurse is caring for an elderly female client with moderate Alzheimer’s disease. The client’s daughter asks the nurse what signs should she watch out for as the disease continues to progress. Which of the following should the daughter expect as the disease advances?
  1. Agitation, paranoia
  2. Anger leading to cursing, hitting or biting, paranoia
  3. Inability to recognize family members, subtle changes of personality
  4. Inability to walk without assistance, urinary incontinence
Explanation
Answer: D - Inability to walk or sit without assistance, urinary incontinence, and inability to recognize family members are signs that the Alzheimer’s disease is progressing from moderate to severe . Agitation, paranoia, and anger, which may lead to cursing, hitting, or biting, characterize the moderate stage of the disease.
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