An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors' homes. Alzheimer's disease was subsequently diagnosed.
Which stage of Alzheimer's disease is evident?
a. 1 (mild)
b. 2 (moderate)
c. 3 (moderate to severe)
d. 4 (late)
Question 2
What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
a. Bathing/hygiene self-care deficit, related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks
b. Risk for injury, related to altered cerebral function, misperception of the environment, and unsteady gait
c. Disturbed thought processes, related to medication intoxication, as evidenced by confusion, disorientation, and hallucinations
d. Fear, related to sensory perceptual alterations, as evidenced by hiding from imagined ferocious dogs