Alzheimer’s Disease (AD) is a degenerative disorder of the central nervous system characterized primarily by progressive cognitive decline, behavioral abnormalities, and a decrease in daily living abilities. It is predominantly observed in the elderly population, with its incidence rising annually alongside the aging demographic, posing a significant public health threat to the physical and mental well-being and quality of life of older adults. Currently, clinical treatment primarily relies on pharmacological interventions to alleviate symptoms, whereas functional exercise nursing interventions, as a core non-pharmacological approach, can effectively delay cognitive decline, improve physical motor function, enhance self-care abilities in daily life, and reduce the caregiving burden on families and society. This article systematically reviews the main types, implementation methods, influencing factors, and intervention effects of functional exercise nursing interventions for elderly patients with AD, aiming to provide theoretical foundations and practical references for the clinical implementation of standardized and individualized functional exercise nursing interventions.