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Hard to say, have you taken her to a neurologist to have a brain scan done? You don't mention her age, if she is not in her 70's or 80's I would suggest a complete mental workup be done.
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I would have your wife checked first by her family doctor. Make a list of her unusual behaviors and give it to the nurse (on the sly) I before your wife is examined. He will probably refer her to a gerontologist or neurologist for further testing.
Much of what you describe could be related to dementia but could be a host of other problems also. She really needs to be evaluated.

Make sure she gets a urine test in the doctors office. Many times a U.T.I. (urinary tract infection) can cause strange mental symptoms.
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It could be dementia.. my dad at one point went out to his car 30 times in several hours to ask if it was "his car", and where were the keys? My hubs and I actually counted... I am sorry you are going through this.
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