As the nurse admits an older woman to a long-term care facility ...

[mikaylakyoung]

As the nurse admits an older woman to a long-term care facility from her home of 50 years, she mistakes the nurse for her daughter. Which diagnosis does the nurse use to plan care for this woman?
 
  a. Hypoxia as a result of chronic disease
  b. Relocation stress syndrome
  c. Alzheimer disease (AD)
  d. Attention-seeking behavior

Question 2

The children of an older man believe he is too old to drive a car. Which assessment information about the man warrants further investigation by the nurse to determine his fitness to drive a car safely? (Select all that apply.)
 
  a. Increased rate of tripping on curbs
  b. Increased frequency of getting lost
  c. Multiple bruises on lower extremities
  d. Restricts reading to a well-lit sunroom
  e. Socializes with a partner's bridge group
  f. Cooks gourmet meals for entertainment

[Jane]

Answer to Question 1

B
Relocation, especially if sudden, causes stress that may lead to altered mental status. Many con-ditions other than hypoxia can cause altered mental status, including relocation stress. Many conditions other than AD can cause altered mental status, including relocation stress. The nurse has no confirmatory evidence to regard the older woman's error as something other than a mis-take; in addition, it can be understood as relocation stress syndrome.

Answer to Question 2

A, B, C, D
Tripping on curbs can potentially indicate a vision impairment, but it can also be caused by other problems. Getting lost frequently can potentially indicate a vision impairment, but it can also be caused by other problems. Bruising from bumping into objects can potentially indicate a vision impairment, but it can also be caused by other problems. Reading in a well-lit sunroom exclu-sively can potentially indicate vision impairment, especially if the patient requires additional lighting for reading. Socializing with a bridge group is likely to indicate adequate visual acuity for reading the cards and keeping score. Gourmet cooking is likely to indicate adequate visual acuity to measure and prepare food.