A hospitalized elderly client suddenly does not recognize his daughter and complains that his wife has not visited him, even though she has been dead for 5 years. The client was clear of mind and thought prior to hospitalization
What NANDA nursing diagnosis problem statement would the nurse use for this client? 1. Acute Confusion
2. Anxiety
3. Risk for Autonomic dysreflexia
4. Ineffective Coping
1. Acute Confusion
Rationale:
The definition of acute confusion is "the abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, and/or sleep/wake cycle.". The client may have anxiety as a result of confusion. Autonomic dysreflexia is a syndrome of clients with spinal cord damage. Ineffective coping is also a result of the confusion.
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