The phenomenon of highest priority to a psychiatric nurse caring for a client with the following
nursing diagnoses would be
a. risk for suicide.
b. disturbed thought processes.
c. situational low self-esteem.
d. self-care deficit: grooming.
ANS: A
Risk for suicide is the nursing diagnosis of highest priority. Safety needs transcend psychological
needs. Options B, C, and D do not provide an immediate threat to the client, whereas option 1 does.
You might also like to view...
A role of the nurse in relation to complementary or alternative products is to:
a. Lobby for legislation to outlaw complementary or alternative therapies. b. Encourage patients to consider alternative therapies rather than conventional treatment. c. Teach patients that complementary or alternative therapies are generally dangerous and should not be used. d. Advise patients to tell their health care providers about complementary or alternative therapies they use because they may affect the actions of prescription drugs.
The nurse wants to assess for disturbances in circadian rhythms in a patient admitted for depression. Which question best implements this assessment?
a. "Do you ever see or hear things that others do not?" b. "Do you have problems with short-term memory?" c. "What are your worst and best times of day?" d. "How would you describe your thinking?"
Which suggestions would be included when educating a patient concerning the manage-ment of a circadian rhythm sleep disorder? Select all that apply
a. Darken the bedroom. b. Go to sleep at the same time each night. c. Keep the bedroom environment calm and serene. d. Initially, retire 30 minutes earlier than usual. e. Take a low-dose over-the-counter sleep aid.
The nurse observes the neonate for signs of pain. Of the following, which is the best action the nurse can take to manage pain in a neonate? The nurse can:
A) teach the infant's caregivers ways to soothe and comfort the child during any episode of pain. B) adhere carefully to the plan for administration of any analgesics to the child. C) advocate to the physician to use effective treatment methods that cause no pain or less pain. D) provide a soothing environment, swaddling, and holding to the newborn experiencing pain.