An individual is brought to the emergency room after family reports that the patient awoke confused and began "rambling and talking crazy" about 3 hours ago
The patient strikes out at the staff and shouts, "You're not going to kill me!" The most likely analysis of this behavior is: a. disturbed self-esteem related to catastrophic reaction.
b. disturbed sensory perception related to altered brain function.
c. other-directed violence related to fear associated with hospitalization.
d. impaired environmental interpretational syndrome related to metabolic disturbance.
B
Defining characteristics of sensory-perceptual alteration are present. For impaired environmental interpretational syndrome to be diagnosed, the confused state must have been present for 3 to 6 months. There is no reported history of a catastrophic event while the presence of the other assessment data makes fear associated with hospitalization a less likely reason for striking out at staff.
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