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Nurse Practitioner:
doi: 10.1097/01.NPR.0000403259.24130.94
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Supportive approaches for Alzheimer Disease

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INSTRUCTIONS Supportive approaches for Alzheimer disease

TEST INSTRUCTIONS

* To take the test online, go to our secure website at http://www.nursingcenter.com/ce/NP.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 30. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

* Registration deadline is August 31, 2013.

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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of The Nurse Practitioner journal, will award 2.4 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.4 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454.

Your certificate is valid in all states. This activity has been assigned 2.0 pharmacology credits.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Supportive approaches for Alzheimer Disease

General Purpose: To familiarize the NP with interventions for patients with AD and their families. Learning Objectives: After reading this article and taking this test, the NP will be able to: 1. Describe the pathophysiology and diagnosis of AD. 2. Explain therapy for AD. 3. Identify side effects of AD treatment.

1. AD accounts for what percentage of all dementia diagnoses?

a. 20%

b. 45%

c. 60%

d. 80%

2. AD is associated with which pathophysiology?

a. alpha-amyloid plaques

b. neurofibrillary tangles

c. low glutamate levels

d. high acetylcholine levels

3. Which of the following should prompt the NP to screen or investigate for AD?

a. age over 65 years

b. sudden loss of cognitive function

c. episodic memory impairment

d. unintentional psychomotor activity

4. With acute neuropsychiatric symptoms, which of the following is a priority?

a. rule out reversible causes

b. start treatment for AD as soon as possible

c. assess caregivers coping strategies

d. monitor executive functioning

5. Which of the following are clinical features of vascular dementia?

a. visual hallucinations, delusions, extrapyramidal symptoms

b. tremor, rigidity, slowness of movement

c. facial distortions, lip smacking, protruding tongue

d. stepwise deterioration, executive dysfunction, gait changes

6. Which of the following lab tests is necessary before diagnosing AD?

a. creatinine clearance

b. liver function tests

c. serum vitamin B12

d. glucose tolerance test

7. Which medication most effectively aids cognition in moderate-to-severe AD?

a. memantine

b. haloperidol

c. citalopram

d. lorazepam

8. Which is considered the first-line drug for mild-to-moderate AD because of once daily dosing and a narrower adverse effect profile?

a. galantamine

b. rivastigmine

c. donepezil

d. tacrine

9. Which symptom is most likely to be a side effect of ACIs?

a. constipation

b. nausea

c. weight gain

d. photosensitivity

10. Which medication is least likely to cause bradycardia in patients also taking an antiarrhythmic drug?

a. rivastigmine

b. donepezil

c. galantamine

d. memantine

11. The risk of peptic ulcer is increased in patients taking NSAIDs and

a. rivastigmine.

b. memantine.

c. haloperidol.

d. lorazepam.

12. Which of the following statements is correct?

a. ACIs may decrease gastric secretion.

b. ACIs given with antipsychotics increases risk of renal failure.

c. Memantine should not be given in combination with ACI therapy.

d. Memantine may require a lower dose in patients with renal disease.

13. Which class of drug is considered first-line therapy for treatment of depression in patients with AD?

a. MAOIs

b. tricyclic antidepressants

c. benzodiazepines

d. SSRIs

14. Which statement about haloperidol use in AD is correct?

a. It can produce extrapyramidal symptoms at any time during therapy.

b. Studies have shown that it is most effective for the behavioral symptoms of AD.

c. It is more expensive than second-generation antipsychotics.

d. It is associated with more anticholinergic effects.

15. Which class of drug is generally contraindicated with AD therapy?

a. SSRIs

b. benzodiazepines

c. antipsychotics

d. tricyclic antidepressants

16. Which of the following is least likely to cause agitation in the patient with AD?

a. going to an art museum

b. having relatives from afar visit at home

c. eating breakfast with spouse at home

d. sitting alone in a quiet hospital room

17. Someone diagnosed with AD at age 62 may be expected to live to about age

a. 65.

b. 70.

c. 75.

d. 80.

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