A hospitalized older adult client suddenly does not recognize an adult daughter and states, "Why hasn't my wife come to see me?" The client's spouse has been dead for 5 years. Prior to the hospitalization, the client was clear of mind and thought
Which nursing diagnoses would be appropriate for this client?
Select all that apply.
A) Risk for Autonomic Dysreflexia
B) Anxiety
C) Acute Confusion
D) Impaired Memory
E) Ineffective Coping
Answer: C, D
The client is experiencing acute confusion and impaired memory according to the scenario presented. The scenario does not indicate the client is experiencing anxiety or ineffective coping. Autonomic dysreflexia is a syndrome of clients with spinal cord damage, which is not indicated for this client.
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