Which of the following is NOT a late-end sign of Alzheimer's dementia?

The correct answer is that poor decision-making is not considered a late-end sign of Alzheimer's dementia. In the earlier stages of Alzheimer's disease, individuals exhibit difficulties with decision-making and problem-solving, which are more characteristic of the mid-stage symptoms. As the disease progresses, individuals become less able to manage daily tasks, but poor decision-making tends not to be a hallmark of late-stage Alzheimer's as other signs become more prominent.

In contrast, total care with activities of daily living (ADLs) shows that as the disease advances, patients require complete assistance with tasks that they previously managed independently. Incontinence becomes more common as the individual loses the ability to control bladder and bowel functions. Additionally, cognitive decline can progress to severe states such as stupor or coma, representing the profound impairment seen in late-stage Alzheimer's, which may ultimately lead to death. These signs indicate the critically diminished function and health status of individuals as Alzheimer's progresses.