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An Older Adult, Diagnosed with Alzheimer Disease, Lives with Family

Question 12

Multiple Choice
An older adult, diagnosed with Alzheimer disease, lives with family and has multiple bruises. The home health nurse talks with the older adult's daughter, who becomes defensive and says, "My mother often wanders at night. Last night she fell down the stairs." Which nursing diagnosis has priority?

An older adult, diagnosed with Alzheimer disease, lives with family and has multiple bruises. The home health nurse talks with the older adult's daughter, who becomes defensive and says, "My mother often wanders at night. Last night she fell down the stairs." Which nursing diagnosis has priority?


A) Risk for injury, related to cognitive impairment and lack of caregiver supervision
B) Noncompliance, related to confusion and disorientation as evidenced by lack of cooperation
C) Impaired verbal communication, related to brain impairment as evidenced by the confusion
D) Insomnia, related to cognitive impairment as evidenced by wandering at night

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