A nurse is contributing to the plan of care for a client who has Alzheimer's disease and is in the terminal phase. Which of the following findings should the nurse expect?
Explanation & Rationale
Rationale: A. While physical decline occurs in advanced Alzheimer’s disease, the terminal phase typically involves profound cognitive and functional impairment before complete loss of gross motor abilities. Some clients may still maintain basic mobility early in the terminal phase. Complete inability to sit up is more characteristic of the very final stages but is not the hallmark finding expected in planning care for terminal Alzheimer’s. B. This is a key feature of the terminal phase of Alzheimer’s disease. Language abilities progressively deteriorate, and patients often lose the ability to communicate verbally, speaking only a few words or phrases. This cognitive decline reflects widespread cortical degeneration and is an expected finding in end-stage disease. C. Cueing and prompting to eat are typical in moderate to late-stage Alzheimer’s disease but occur before the terminal phase. In the terminal phase, patients may lose the ability to feed themselves entirely and may require total assistance rather than simple cueing. D. Difficulty managing finances occurs in early to moderate stages of Alzheimer’s disease and reflects executive dysfunction. In the terminal phase, the primary deficits are severe cognitive and physical decline, not financial decision-making.