*NURSING > EXAM > George Palo VSIM Pre & Post Q&A | Questions with 100% Correct Answers | Updated & Verified (All)

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George Palo VSIM Pre & Post Q&A | Questions with 100% Correct Answers | Updated & Verified

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Pretest What is the therapeutic value of a cholinesterase inhibitor for a patient diagnosed with Alzheimer disease? - ✔✔Temporarily slows the progress of the dementia. Rationale: Donepezil (Ari ... cept), rivastigmine (Exelon), and galantamine (Reminyl, Razadyne, Nivalin) are cholinesterase inhibitors that have shown modest therapeutic effects and that temporarily slow the progress of dementia-related cognitive decline. They have no effect, however, on the overall course of the disease or on life expectancy. Pretest What is the fundamental characteristic of anhedonia? - ✔✔Lack of pleasure and enjoyment. Rationale: Patients experiencing depression may describe themselves as hopeless, helpless, down, or anxious and often experience anhedonia, defined as the loss of any sense of pleasure from activities they formerly enjoyed. Although the other options identify possible characteristics of depression, none is associated with anhedonia. Pretest An older adult diagnosed with dementia has presented with behaviors that suggest a disturbance in executive functioning. Which assessment finding supports this finding? - ✔✔Needs to be reminded to use toothpaste when brushing teeth. Rationale: A disturbance in executive functioning, which is the ability to think abstractly and to plan, initiate, sequence, monitor, and stop complex behavior, would include the need to be reminded to use toothpaste when brushing one's teeth. Having fallen three times in the last month is likely a result of apraxia, or impaired ability to execute motor activities despite intact motor functioning. Referring to a cup as "that blue thing" is an example of agnosia, which is failure to recognize or identify objects despite intact sensory function. Speaking in only short phrases of no more than three or four words is an example of aphasia, or alterations in language ability. Pretest [Show More]

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