What Is the Priority Nursing Diagnosis for a Patient with Fluctuating

question 15

Multiple Choice

What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness, disturbed orientation, and 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

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Definitions:

Projected Benefit Obligation

A measurement of the present value of future pension liabilities, based on expected future salary increases.

Prior Service Cost

A pension expense that arises when a company grants retroactive benefits to employees, recognized over the service period of the employees.

Pension Expense

The cost recognized by an employer for maintaining a defined benefit pension plan for its employees, encompassing various components such as service cost and interest cost.

Actuarially Determined

Calculations made based on actuarial methods and assumptions, often used in determining pension liabilities and insurance premiums.