An elderly man drove from his home to a nearby convenience store ...

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An elderly man drove from his home to a nearby convenience store and was unable to remember
  how to get home. He was unable to tell a police officer his address and demonstrated labile mood,
  seeming pleasant one minute and angry the next.
 
  The officer took the individual to his home to
  discuss his condition with the family. The wife related that her husband often wanders around the
  neighborhood, sometimes taking tools from people's garages. She reluctantly agreed that he should
  go to the emergency department for evaluation. He was diagnosed with Alzheimer's disease. On the
  basis of the client's history, the nurse can make the assessment that the client's Alzheimer's disease
  has progressed to
  a. Stage 1 (mild).
  b. Stage 2 (moderate).
  c. Stage 3 (moderate to severe).
  d. Stage 4 (late).

Question 2

A nursing diagnosis that should be considered for individuals who are severely mentally ill and
  homeless is
 
  a. substance abuse.
  b. chronic low self-esteem.
  c. disturbed sleep pattern.
  d. impaired environmental interpretation syndrome.

[juicepod]

Answer to Question 1

B
In stage 2, deterioration is evident. Memory loss may include the inability to remember addresses or
the date. Mood is labile. Activities such as driving may become hazardous, and frustration by the
increasing difficulty of performing ordinary tasks may be experienced. Hygiene may begin to
deteriorate. Option C: Stage 3 finds the individual unable to identify familiar objects or people and
needing direction for the simplest of tasks. Option D: In stage 4 the ability to talk and walk are
eventually lost and stupor evolves.

Answer to Question 2

B
Of the 40 to 70 of individuals with severe mental illness who do not live with their families,
many become homeless. Life on the street or in a shelter has a negative influence on the individual's
self-esteem, making this nursing diagnosis one that should be considered. Option A: Substance
abuse is not an approved North American Nursing Diagnosis Association diagnosis. Option C:
Disturbed sleep pattern may be noted in some clients but is not a universal problem. Option D refers
to persistent disorientation, which is not seen in a majority of the homeless.

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Thank you

[juicepod]

No problemo