The nurse is planning care for a patient who was admitted to the hospital after threatening to harm himself when he was stopped by the police for speeding
He was intoxicated at the time of admission and was assessed as being depressed, anx-ious, and hostile. Which patient outcome is the priority?
a. Patient will remain free from self-harm although hospitalized.
b. Patient will report suicidal ideation or desire to harm self to the staff.
c. Patient will accept referral to the hospital-based substance abuse program.
d. Patient will recognize and interrupt unconscious intentions to harm self.
ANS: A
The primary outcome is for the patient to be free from self-harm because the primary issue for this patient is the high risk for self-harm. The remaining options are all actions that will sup-port this outcome.
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