Cognitive Reflection Test (CRT) Practice

For which symptom should the nurse closely monitor a client recently diagnosed with Alzheimer's disease?

1. Sudden weight gain

2. Consistent logical reasoning

3. Frequent disorientation

4. Improved memory recall

The correct answer is: Frequent disorientation

The symptom that requires close monitoring for a client recently diagnosed with Alzheimer's disease is frequent disorientation. Disorientation can manifest in various ways, such as confusion about time, place, or identity, and is a common symptom associated with Alzheimer's. Monitoring for disorientation is crucial because it can lead to safety risks, such as wandering or becoming lost, as well as affecting the individual's ability to perform daily activities and maintain their independence. Additionally, frequent disorientation can indicate the progression of the disease, which may necessitate adjustments in care strategies and support systems. In contrast, the presence of consistent logical reasoning would be less typical for someone with Alzheimer's disease as the condition generally impacts cognitive abilities. Improvements in memory recall could be misleading, as they may not reflect the true cognitive state of a person with Alzheimer's. Sudden weight gain, while concerning, is not specific to the cognitive aspects of the condition and might relate more to other health issues or dietary changes. Thus, the focus on frequent disorientation aligns with the cognitive challenges observed in Alzheimer's patients, making it a critical area for monitoring.