Question

A nurse is caring for a client who has a recent diagnosis of mild Alzheimer's disease. The client's partner asks the nurse about expected manifestations. The nurse should teach the partner to expect which of the following manifestations to occur first?

a. Memory loss.
b. Impaired judgment.
c. Personality changes.
d. Difficulty with language.

Answer 1

The nurse should inform the client's partner that the first manifestation of mild Alzheimer’s disease is often disruptive memory loss. This memory loss is more severe than normal aging, leading to confusion about time or place and repeating questions. As Alzheimer's progresses, symptoms evolve into more severe cognitive deficits.

Step-by-step explanation:

The nurse should inform the client's partner that one of the first manifestations of mild Alzheimer’s disease is typically disruptive memory loss. This symptom commonly appears as forgetfulness of recent events or important dates, confusion about time or place, and may include repeating the same questions. As the disease progresses, more severe symptoms such as impaired judgment, personality changes, and difficulty with language will often develop. Additionally, early warning signs can sometimes include problems with smelling certain scents.

It is important to note that while some memory loss can be a normal part of aging, in the case of Alzheimer’s disease, the memory loss is more profound and persistent, interfering with daily life. The progression from mild to moderate Alzheimer's disease involves an increase in memory and language deficits, leading to an eventual loss of independence in daily activities.

Understanding these symptoms can assist the partner in better preparing for the changes that they and the client may experience, ensuring compassionate and appropriate care as the disease progresses.