Author Question: The daughter of an 84-year-old client with dementia tearfully tells the nurse that she doesn't know ... (Read 134 times)

serike · **on:** Jul 19, 2018

The daughter of an 84-year-old client with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother, who has begun accusing the family of stealing her lingerie and holding her prisoner.

The nurse identifies which of the following nursing diagnosis for the client?
1. Disturbed thought processes
2. Powerlessness
3. Ineffective coping
4. Defensive coping

Question 2

The daughter of an 84-year-old client with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother, who has begun accusing the family of stealing her lingerie and holding her prisoner.

The nurse assesses the client's stage of Alzheimer's disease as stage:
1. 1
2. 2
3. 3
4. 4

akemokai · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 1
Paranoid thinking is common in clients with dementia. Inability to correctly interpret environ-mental clues and to think logically leads to delusional thinking as the client tries to make sense of a confusing world. Options 2, 3, and 4 do not provide sufficient are not supported by the data in the scenario.

Answer to Question 2

ANS: 2
In stage 2, memory and cognitive deficits are worsening. The client is less able to make sense of a confusing world and makes faulty interpretations resulting in paranoid delusional thinking. The client in stage 1 does not usually have delusions. The client in stage 3 often is unable to com-municate meaningfully. There is no stage 4 of Alzheimer's disease.