Author Question: A hospitalized older adult client suddenly does not recognize an adult daughter and states, Why ... (Read 60 times)

cagreen833 · **on:** Jun 25, 2018

A hospitalized older adult client suddenly does not recognize an adult daughter and states, Why hasn't my wife come to see me? The client's spouse has been dead for 5 years. Prior to the hospitalization, the client was clear of mind and thought.

Which nursing diagnoses would be appropriate for this client?
Select all that apply.
A) Risk for Autonomic Dysreflexia
B) Anxiety
C) Acute Confusion
D) Impaired Memory
E) Ineffective Coping

Question 2

A nurse is caring for a client with Alzheimer disease (AD) who has receptive aphasia. Which area of the brain is likely damaged from AD?

A) Temporal lobe
B) Limbic system
C) Frontal lobe
D) Occipital lobe

spencer.martell · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D

The client is experiencing acute confusion and impaired memory according to the scenario presented. The scenario does not indicate the client is experiencing anxiety or ineffective coping. Autonomic dysreflexia is a syndrome of clients with spinal cord damage, which is not indicated for this client.

Answer to Question 2

Answer: A

Damage to the client's temporal lobe causes receptive aphasia. Damage to the limbic system manifests as loss of memory, fluctuating emotions, depression, and difficulty learning new things. Damage to the frontal lobe manifests as problems with intentional movement, fluctuating emotions, and loss of the ability to walk. Frontal lobe damage causes loss of the ability to talk and the ability to swallow. Damage to the occipital lobe results in loss of reading comprehension and hallucinations.