Mrs. Anderson was eventually admitted to a care center after staying in her own home was unsuccessful due to failing memory, disorientation, and a lack of understanding about risks. She neglected her self-care, would leave the house, and often get lost, even in the middle of the night. She would even tell complete strangers her home address and would let them know she lived alone. After arriving at the care center she was frightened, angry, and suspicious. Mrs. Anderson likely has: