The nurse is reviewing the medical record of a patient with Alzheimer disease. Which stage should the nurse realize this patient is experiencing? \[\begin{array} { | l | l | l | }
\hline\text { Time }&\text {Body Systems }&\text { Charting } \
\hline 0800 & \text { Cognition } & \begin{array} { l }
\text { Cliented to person, states he is "in the } \
\text { linic" but does not know the name or } \
\text { location;; looks at clock and states the } \
\text { correct time; unable to repeat serial 7s or } \
\text { add 2 numbers }
\end{array} \
\hline 0900 & \text { Visuospatial } & \begin{array} { l }
\text { Puts on shirt and pants but unable to fasten } \
\text { them; puts on his slippers; reaches for } \
\text { utensils on the breakfast tray but cannot } \
\text { accurately locate them }
\end{array} \
\hline 1000 & \text { Gross motor } & \text { Pacing in room; appears restless } \
\hline 1400&\text { Personality }&\begin{array} { l }
\text { Agitation has gradually increased since } \
\text { midmorning; describes seeing his daughter } \
\text { walking on the sidewalk in front of the } \
\text { building }
\end{array} \
\hline 1600 & \text {Decision-making } &\text { Unable to make choices of aftemoon } \
\hline&& \begin{array} { l }
\text { recreational therapy activities }
\end{array} \
\hline
\end{array}\]

Question

The nurse is reviewing the medical record of a patient with Alzheimer disease. Which stage should the nurse realize this patient is experiencing? \[\begin{array} { | l | l | l | } 
\hline\text { Time }&\text {Body Systems  }&\text { Charting } \
\hline 0800 & \text { Cognition } & \begin{array} { l } 
\text { Cliented to person, states he is "in the } \
\text { linic" but does not know the name or } \
\text { location;; looks at clock and states the } \
\text { correct time; unable to repeat serial 7s or } \
\text { add 2 numbers }
\end{array} \
\hline 0900 & \text { Visuospatial } & \begin{array} { l } 
\text { Puts on shirt and pants but unable to fasten } \
\text { them; puts on his slippers; reaches for } \
\text { utensils on the breakfast tray but cannot } \
\text { accurately locate them }
\end{array} \
\hline 1000 & \text { Gross motor } & \text { Pacing in room; appears restless } \
\hline 1400&\text { Personality }&\begin{array} { l } 
\text { Agitation has gradually increased since } \
\text { midmorning; describes seeing his daughter } \
\text { walking on the sidewalk in front of the } \
\text { building }
\end{array} \
\hline 1600 & \text {Decision-making } &\text { Unable to make choices of aftemoon } \
\hline&& \begin{array} { l } 
\text { recreational therapy activities }
\end{array} \
\hline
\end{array}\]

Quizplus · Accepted Answer

Based on the patient's symptoms and behaviors, the nurse should realize that the patient is experiencing stage 5 of Alzheimer's disease. This stage is characterized by significant cognitive decline, including difficulty with basic activities of daily living, wandering and getting lost, and increasing confusion and disorientation. The patient's inability to make choices and increasing agitation also suggest a later stage of the disease.

The Nurse Is Reviewing the Medical Record of a Patient