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 deceased for 5 years. Prior to the hospitalization, the client was oriented to person, place, time, and reality. Which nursing diagnoses would be appropriate for this client? Select all that apply.
A)Risk for Autonomic Dysreflexia
B)Anxiety
C)Acute Confusion
D)Risk for Injury
E)Ineffective Coping

Question

Quizplus · Accepted Answer

A)The client is experiencing acute confusion and is also at risk for injury 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.
B)The client is experiencing acute confusion and is also at risk for injury 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.
C)The client is experiencing acute confusion and is also at risk for injury 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.
D)The client is experiencing acute confusion and is also at risk for injury 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.
E)The client is experiencing acute confusion and is also at risk for injury 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.

A Hospitalized Older Adult Client Suddenly Does Not Recognize an Adult