A 78 year old male sees an APRN in the outpatient mental hea…
A 78 year old male sees an APRN in the outpatient mental health clinic accompanied by his 44 year old son. Routine workup by the PCP was negative. The patient has had a progressive decline in health and memory loss and can no longer perform ADLs. He has a hand tremor, is anxious and forgets to take his medications. He does not sleep well and often wanders around the house at night; he has left the stove turned on multiple times after cooking. The father has been living with his son for the past several months and the son reports noticing the gradual memory problems several years ago, but it recently increased after the death of the patient’s wife. The patient denies suicidal or homicidal thoughts. There is no evidence of delusions or hallucinations. Which of the following best fits this scenario?