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    Mental Health Proctored Exam (examplify)

    Mr. Feisty has mild Alzheimer's disease (AD) diagnosed 2 years ago after progressive short-term memory decline. His wife reports that over the last three weeks he has shown irritable mood, anhedonia, early-morning awakening, low energy, reduced appetite with ~5 lb (2.3 kg) loss, and difficulty concentrating beyond his baseline cognitive impairment. He has skipped two community senior-center activities he previously enjoyed. No hallucinations or delusions. He denies active suicidal intent but says. "Sometimes I wonder if it would be easier if I didn't wake up." No recent illness, fever, or falls. No alcohol or illicit drug use. Which of the following nursing interventions would NOT be appropriate for this patient?

    Explanation & Rationale

    A. Provide education on medication adherence: Education on medication adherence supports effective management of depressive symptoms and underlying Alzheimer’s disease. Clear instruction helps prevent missed doses and reduces the risk of symptom exacerbation. Involving caregivers enhances understanding and follow-through with treatment plans. B. Monitor for suicidal ideation: Expressions of passive death wishes indicate increased risk for suicidal thinking. Ongoing monitoring allows early identification of escalating ideation or changes in intent. Regular assessment supports patient safety and timely intervention. C. Encourage participation in groups and cognitive stimulation activities: Structured social and cognitive activities can improve mood, reduce isolation, and support cognitive functioning. Engagement in familiar group settings may help maintain routine and provide emotional support. D. Provide low-stimulation environment at all times: A constantly low-stimulation environment may increase social withdrawal and worsen depressive symptoms. Individuals with depression benefit from appropriate sensory input and social engagement. Environmental modification should balance calmness with meaningful interaction.

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