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new-york-er new-york-er
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8 years ago
An older adult with Lewy body dementia lives with family.  After observing multiple bruises, the home health nurse talked with the daughter, who became defensive and said, "My mother often wanders at night. Last night she fell down the stairs."  Which nursing diagnosis has priority?
a.   Risk for injury related to poor judgment, cognitive impairments, and inadequate supervision
b.   Wandering related to confusion and disorientation as evidenced by sleepwalking and falls
c.   Chronic confusion related to degenerative changes in brain tissue as evidenced by nighttime wandering
d.   Insomnia related to sleep disruptions associated with cognitive impairment as evidenced by wandering at night
Textbook 
Varcarolis' Foundations of Psychiatric Mental Health Nursing: A Clinical Approach

Varcarolis' Foundations of Psychiatric Mental Health Nursing: A Clinical Approach


Edition: 7th
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espresoespreso
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8 years ago
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new-york-er Author
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#2
8 years ago
This question was really troubling me.

I appreciate the explanation you provided, very well thought of. Answered my question.
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#3
8 years ago
No worries! Super happy to help Wink Face
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