R.M Failing Memory: Nursing Case Scenario

R.M. is an 81-year-old male who was evaluated at his own request because of his failing memory. He is an active older adult and has enjoyed a comfortable retirement lifestyle, but over the last year, he has become increasingly troubled by his forgetfulness. His wife agrees that it has extended beyond the occasional memory lapse; he forgets names of things he should know and has forgotten commitments to friends and family.

After a thorough evaluation, the PMHNP diagnoses mild cognitive impairment (MCI). R.M. asks if this is really Alzheimer’s disease if it is going to get worse, and what can he do about it? The most appropriate response would be to tell R.M. that:

His cognitive function will likely decrease 10-15% per year
The diagnosis is not stable and he may revert to normal function
Cholinesterase inhibitors, such as donepezil, will improve memory but not cure the condition
There is no identified link between mild cognitive impairment and Alzheimer’s dementia