A nurse is providing care to a resident with rapidly advancing Alzheimer's disease who receives a visit from a granddaughter who lives in another state. The granddaughter states,
She doesn't even know me, and she doesn't seem like Grandma at all. The best response by the nurse is:
1. Her thought process has changed quite a bit in the few weeks she's been here, so you shouldn't feel guilty that you can't visit often.
2. This is normal for someone with Alzheimer's. It is a tragic disease.
3. I'm sure that you're upset seeing your grandmother this way.
4. I imagine that this is very hard for you. What is your favorite memory of your grandmother?
Question 2
When assessing an elderly individual who was brought into the emergency department, a nurse would be most concerned that
1. The patient is wearing wet adult diapers.
2. The patient has a small skin tear across the left wrist.
3. The patient has multiple bruises in various stages of healing across the shoulders and back.
4. There are no family members who accompanied the client to the emergency department.
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