Doesn't/wouldn't know (one's) ass from (one's) elbow American vulgar slang
"Ass" can be replaced by "arse" and "not know (one's) arse from (one's) elbow" is primarily heard in the UK.
Is extremely stupid
She is always getting lost on the way back home. She wouldn't know her ass from her elbow.
He constantly lost the key, so we can not enter the house. He doesn't know his ass from his elbow.
Extremely stupid
Very stupid, or silly
Stupid or crazy
(n): a fool person,
(adj): stupid, foolish, silly
people often do irrational or foolish things when they are in love.
I and my boyfriend have decided to get married in the summer. I don't think that's wise, since we won't have enough money saved by then to set up house. But then, one cannot love and be wise.