Mental Health Nursing Exam 2 Blueprint

Alzheimer’s:  Short-term goals for a pt dx with Alzheimer’s Disease o Nutritional intake  Alzheimer’s Stages 6 and 7 o Physiological changes Stage 6 - Moderate to severe cognitive decline o Disorientation to surroundings is common and may not know the day, season, or year. The person is also unable to manage AOLs without assistance. Urinary and fecal incontinence are common. o Psychomotor symptoms include wandering, agitation, and aggression. Symptoms seem to worsen in late afternoon and evening (a phenomenon termed sundowning). Stage 7 - Severe cognitive decline o In the end stages, the individual is unable to recognize family members. He/she most commonly is bedfast and aphasic. Decubiti and contractions may occur.  Early signs of dementia = memory impairment (forgetfulness) Stage 1 - No apparent symptoms Stage 2 - Forgetfulness o Losses in short term memory are frequent. The individual begins to lose things or forget names of people. Stage 3 - Mild cognitive decline