A 76-year-old widow has recently moved from her home to a nursing home; her daughter has come to the primary care nurse who has taken care of her mother for years concerned that her mother seems to have "lost her memory."
She would like an appointment for her mother to be seen. The nurse is aware that:
A) The daughter is overreacting because she may feel guilty for putting her mother in the nursing home.
B) Cognitive changes are uncommon in the elderly people over a short period, and this may be serious.
C) Based on the daughter's report, the mother may be in an abusive situation at the nursing home.
D) Cognitive changes are common when elderly people have significant changes in their environment.
Ans: D
Feedback: Cognition can be affected by many variables, including sensory impairment, physiologic health, environment, and psychosocial influences. Older adults may experience temporary changes in cognitive function when hospitalized or admitted to skilled nursing facilities, rehabilitation centers, or long-term-care facilities. Option As and C are incorrect; the first step in the Nursing Process is assessment and the nurse has neither seen the daughter nor heard the patient's story. Option B is incorrect; cognitive changes are common when elderly people have significant changes in their environment.
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