A nursing home resident, aged 78 years, who is being treated for hypertension and cardiac disease is
usually alert and well oriented.
This morning she tells the nurse that her granddaughter came to visit
her during the night and stood at the foot of the bed talking to her. In reality, the client's
granddaughter is a nurse who lives 50 miles away. The client does consider this night visit a bit
strange but shrugs the strangeness off. The nurse should suspect that the resident may
a. have cognitive impairment because of a high blood level of a medication.
b. have had a ministroke and developed sensory perceptual alteration.
c. be developing Alzheimer's disease associated with advanced age.
d. have alcohol-related cognitive impairment.
A
A resident taking medications is at high risk for becoming confused because of medication side
effects, drug interactions, and delayed excretion. The nurse should report the event and continue to
assess for cognitive impairment. Option B: Residual impairment would probably continue to be
present in the event of a vascular event. Option C: Symptoms of dementia tend to develop slowly but
persist over time. Option D: The history would alert the nurse to alcohol-related cognitive
impairment.
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