A patient is admitted for treatment for persistent, severe anxiety. Which nursing diagno-sis would help effectively direct patient care?
a. Disturbed sensory perception related to narrowed perceptual field
b. Risk for injury related to closed perception
c. Hopelessness related to total loss of control
d. Risk for other-directed violence related to combative behavior
ANS: A
A narrowed perceptual field occurs with severe anxiety; therefore this diagnosis should be considered. Data are not present to support the other diagnoses.
You might also like to view...
A student nurse is helping with the initial assessment of an 85-year-old patient. What can the student do to ensure that shearing forces are avoided? (Mark all that apply.)
A) Puts on foam boots three or more times a day. B) Inspect and provide skin care q shift. C) Palpate the area of the traction tapes daily. D) Provides back care at least q 2 hours. E) Give massage q shift.
When the nurse answers the call light after a delay of 5 minutes, the angry patient says, "You made me wait an hour. I'm in pain and no one's willing to help me." What is the best response by the nurse?
a. "It's only been 5 minutes. What do you want?" b. "Well, I'm here now. What is your problem?" c. "I know it must have seemed like an hour. I'll bring your medication." d. "I was attending to another patient who's really ill. I'll help you now."
Which causes the greatest percentage of mammalian bites?
a. Dogs b. Cats c. Humans d. Rodents
A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?
A) Committed patient B) Schizophrenic C) Schizophrenic patient D) Person with schizophrenia