The nurse is reviewing information regarding a female client that was obtained with the psychiatric assessment tool. The client's ability to provide food and shelter for herself is included in which area of the assessment?
a. Appraisal of health and illness
b. Coping responses, discharge planning needs
c. Knowledge deficits
d. Previous psychiatric treatment
B
The client's ability to care for herself outside of the facility would be considered when her discharge planning needs are assessed, to determine whether other resources will be necessary. The other options are included in the psychiatric assessment tool but do not focus on discharge planning. Appraisal of health and illness focuses on the client's perception of health care and identification of problems and goals; knowledge deficits focus on areas such as medications and coping skills; and previous psychiatric treatment focuses on the client's psychiatric history, including family history.
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The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis ineffective individual coping. What nursing action is the priority?
1. Revise the nursing diagnosis. 2. Reassess the patient, looking for previously unknown stressors. 3. Rewrite the interventions used to address the problem. 4. Explore reasons why the outcome was not achieved.