The Nurse Is Interviewing an Older Adult Client in the Clinic

question 6

Multiple Choice

The nurse is interviewing an older adult client in the clinic who reports incontinence. Numerous attempts in the recent past have been unsuccessful in helping to control the problem. Which is the priority diagnosis for this client?

• A) Skin integrity impairment.
• B) Self-care deficit.
• C) Self-esteem, situational-low.
• D) Infection.

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Definitions:

Hallucinations

Perceptions in the absence of external stimulus that have qualities of real perception; they are vivid, substantial, and located in external objective space.

Delusions

False belief held with strong conviction despite superior evidence to the contrary, often found in psychiatric disorders.

Mental Confusion

A state characterized by disorientation regarding time, place, or person, affecting cognitive processes and decision-making.

Antianxiety Drugs

Medications designed to relieve anxiety by altering the chemical balance in the brain, often used as part of a treatment plan for anxiety disorders.