Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

In a patient with mild Alzheimer's disease, which of the following difficulties is most indicative of their condition?

1. She suffers from agnosia.

2. She has problems following instructions.

3. She has problems managing personal finances and money.

4. She has lost the ability to read and write.

The correct answer is: She has problems managing personal finances and money.

In the context of mild Alzheimer's disease, difficulties managing personal finances and money are particularly indicative of the condition. This is primarily due to the cognitive changes that occur in Alzheimer's, including impairments in executive function, judgment, and problem-solving abilities. These skills are crucial for tasks such as budgeting, handling cash, and making financial decisions. As Alzheimer's progresses, individuals may find it challenging to plan intricate tasks, such as managing bills or understanding financial transactions, which are common activities that require a degree of cognitive complexity. The ability to manage finances often serves as an early indicator of cognitive decline in Alzheimer's patients, highlighting the disease's impact on daily functioning. In contrast, while agnosia (the inability to recognize objects or people) can occur in Alzheimer's, it is typically more prominent in moderate to severe stages. Problems following instructions may indicate cognitive impairment, but they might not be as specific to Alzheimer's compared to financial management issues. Loss of the ability to read and write usually reflects a more advanced decline in cognitive function and is not as characteristic of the early stages of the disease.