Title: Alzheimer Disease Scenario: Joe, an 86-year-old
Title: Alzheimer Disease Scenario: Joe, an 86-year-old male presents to the elder clinic today accompanied by his daughter, Lucy. Lucy is concerned because her Dad has been forgetting things lately which is very out of his character. Joe admits he also became a bit concerned about his memory when he forgot a pot on the stove last week that set off the smoke detector in his apartment. Lucy explains that she has noticed Joe increasingly struggles with word selection and was having difficulty remembering his grandchildren’s name at a recent family gathering. Joe lives alone in a first-floor apartment close to the local grocery store and pharmacy. He is a retired English professor and enjoyed finishing the daily crossword puzzle in the newspaper before the puzzles became too challenging for him to complete. He keeps active by gardening and walking his dog, Duke around the neighborhood. His only reported past medical history is benign prostate hyperplasia (BPH) which is managed with tamsulosin 0.4 mg daily. He also takes a daily multivitamin when he remembers. Item Type: Extended Drag and Drop The nurse proceeds with an assessment of Joe’s mental health status. In the table below, match the verbal cue/client instruction to the assessment technique. Nurse’s Verbal Cue/Client Instruction Assessment Technique Appropriate Verbal Cue for Each Assessment Technique Please repeat, “No ifs, ands, or buts.” Immediate recall “I’m going to say three words and then I would like you to repeat them back to me. Dog, plant, apple.” “Joe, can you tell me where you are?” Recent memory “I’m going to show you four objects and then we’ll discuss them again later in our visit.” “Joe, what would you do if a car was speeding toward you?” Remote memory “Joe, can you tell me what high school you attended?” “What is the meaning of: A bird in the hand is worth two birds in the bush?” Judgment and reasoning “Joe, what would you do if a car was speeding toward you?” “I’m going to say three words and then I would like you to repeat them back to me. Dog, plant, apple.” Abstract reasoning “What is the meaning of: A bird in the hand is worth two birds in the bush?” “Joe, can you tell me what high school you attended?” Repetition Please repeat, “No ifs, ands, or buts.” “I’m going to show you four objects and then we’ll discuss them again later in our visit.” Orientation “Joe, can you tell me where you are?” “Can you please follow my finger using only your eyes?” “What is the sum of 2+2?” Answer(s): Assessment Technique Appropriate Verbal Cue for Each Assessment Technique Rationale
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