47. A long-term care client, diagnosed with Alzheimer's disease, is having difficulties with changes in daily routine and attempts to call family members at all hours and is no longer able to walk unassisted. Which problem should a nurse document as priority?
. Relocation stress syndrome.
. Altered attention and memory.
. Sensory/perceptual alterations.
. Risk for trauma.
Test-Taking Tip
When all are correct, choose the answer that includes the other options too, although at a later time.
Content Area: Mental Health, Older Adult; Integrated Process: Communication and Documentation; Cognitive Level: Analysis; Client Need/Subneed: Psychosocial Integrity/Sensory/Perceptual Alterations
.
Answer 1 is correct because the client is having difficulties with separation from the usual support system, is experiencing physical problems, and cannot cope with changes in routine. Answer 2 is incorrect because the client is experiencing more than just memory or attention problems. Answer 3 is incorrect because the client is not experiencing sensory/perceptual alterations (e.g., hearing or visual changes) at this time. Answer 4 is incorrect because the client is having mobility problems (e.g., weakness) but is not a risk for trauma at this time.