Asked by Sergen Bayraktar on Apr 25, 2024
Verified
A patient admitted yesterday for injuries sustained while intoxicated believes insects are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
A) Disturbed sensory perception
B) Ineffective coping
C) Ineffective denial
D) Risk for injury
Disturbed Sensory Perception
A clinical condition where an individual's perception of sensory input is altered, potentially leading to misinterpretations or hallucinations.
Ineffective Coping
The inability to use strategies or mechanisms that manage or mitigate personal stress, leading to impaired functioning.
- Carry out proper nursing interventions for patients with substance-induced hallucinations or delusions.
Verified Answer
JH
Jenny Hackett7 days ago
Final Answer :
D
Explanation :
The patient's clouded sensorium, sensory perceptual distortions, and poor judgment predispose a risk for injury. Safety is the nurse's priority. The other diagnoses may apply but are not the priorities of care.
Learning Objectives
- Carry out proper nursing interventions for patients with substance-induced hallucinations or delusions.
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