A hospitalized patient with delirium misinterprets reality and a patient with dementia wanders about the home. Which outcome is the priority in both scenarios? Each patient will:
a. remain safe in the present environment.
b. participate actively in self-care.
c. communicate verbally.
d. acknowledge reality.
ANS: A
Risk for injury is the nurse's priority concern in both scenarios. Safety maintenance is the desired outcome. The other outcomes are priorities and may not be realistic.
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