A client is being admitted to the inpatient unit for stabilization of psychoses. The client's mother found the client trying to drown a cat in the bathtub. The client believed it was possessed by the devil
The mother reports that the father also suffered from a mental illness and was physically abusive. Based on this information the priority nursing diagnosis is: 1. Post-Trauma Syndrome.
2. Disturbed Thought Processes.
3. Risk for Injury.
4. Risk for Violence: Other-Directed.
4
Rationale: Risk factors for violence directed at others include cognitive impairment or psychoses, history of being abused or witnessing abuse as a child, and cruelty to animals. No information is provided that would confirm the presence of post-trauma or risk for self-injury. Disturbed Thought Processes is an appropriate diagnosis but not the priority.
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Answer the following statement true (T) or false (F)