Asked by Tristan Alfonso on Jul 02, 2024

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A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. Which nursing diagnosis has the highest priority?

A) Fear
B) Risk for injury
C) Self-care deficit
D) Disturbed thought processes

Disturbed Thought Processes

A condition where there is a disruption in the way a person thinks, often evident in disorders such as schizophrenia.

Verbal Interventions

Strategies involving the use of words and dialogue to manage or address a situation, often employed in therapeutic or conflict-resolution contexts.

Nursing Diagnosis

A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes, providing the basis for selecting nursing interventions.

  • Understand the importance of safety and communication in the care of patients experiencing severe anxiety or panic.
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LN
Lynette Niebla6 days ago
Final Answer :
B
Explanation :
A patient experiencing panic-level anxiety is at high risk for injury related to increased non-goal-directed motor activity, distorted perceptions, and disordered thoughts. Data are not present to support a nursing diagnosis of self-care deficit or disturbed thought processes. The patient may have fear, but the risk for injury has a higher priority.