A patient with a longstanding diagnosis of schizophrenia has been admitted to a psychiatric-mental health facility. The patient's symptoms have escalated and he is angry, defensive, and paranoid. Which of the following is the nurse's highest priority?
A) Ensuring client and personal safety
B) Determining the source of the client's anger and paranoia
C) Ensuring the client that medication will correct his problems
D) Determining the client's willingness to be admitted
Ans: A
Feedback:
When clients are admitted to inpatient psychiatric settings, nurses often are the first health care providers whom they meet. Clients may be frightened, angry, defensive, paranoid, anxious, or despondent. Giving reminders to clients that they are safe is a nursing priority. Another priority is ensuring the safety of other clients and staff.
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