The daughter of an 84-year-old client with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother, who has begun accusing the family of stealing her lingerie and holding her prisoner
The nurse identifies which of the following nursing diagnosis for the client?
1. Disturbed thought processes
2. Powerlessness
3. Ineffective coping
4. Defensive coping
ANS: 1
Paranoid thinking is common in clients with dementia. Inability to correctly interpret environ-mental clues and to think logically leads to delusional thinking as the client tries to make sense of a confusing world. Options 2, 3, and 4 do not provide sufficient are not supported by the data in the scenario.
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