Asked by Regina Linder on Oct 01, 2024
What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
A) Risk for injury related to altered cerebral function, fluctuating levels of consciousness, disturbed orientation, and misperception of the environment
B) Bathing/hygiene self-care deficit related to cerebral dysfunction, as evidenced by confusion and inability to perform personal hygiene tasks
C) Disturbed thought processes related to medication intoxication, as evidenced by confusion, disorientation, and hallucinations
D) Fear related to sensory perceptual alterations as evidenced by visual and tactile hallucinations
Cerebral Function
The various activities and capacities of the brain, encompassing cognitive abilities, sensory processing, and control over motor functions.
Visual Hallucinations
The perception of seeing something that is not present in reality, often associated with psychiatric or neurological conditions.
Tactile Hallucinations
Perceptions of touch or sensation on the skin without a physical cause, often experienced in certain psychological or neurobiological disorders.
- Master and execute the application of nursing diagnoses associated with cognitive abnormalities such as delirium, dementia, and Alzheimer’s disease.
Learning Objectives
- Master and execute the application of nursing diagnoses associated with cognitive abnormalities such as delirium, dementia, and Alzheimer’s disease.
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