The Nurse Cares for an Agitated Patient Who Was Admitted

question 4

Multiple Choice

The nurse cares for an agitated patient who was admitted to the emergency department after taking a hallucinogenic drug and attempting to jump from a third-story window.Which nursing diagnosis should the nurse assign as the highest priority?

• A) Risk for injury related to altered perception
• B) Ineffective health maintenance related to drug use
• C) Powerlessness related to loss of behavioral control
• D) Ineffective denial related to lack of control of life situation

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Definitions:

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Ensuring that people, no matter their ethnicity, color, country of origin, or financial situation, are treated fairly and play a meaningful role in the formulation, enforcement, and carrying out of policies, laws, and regulations related to the environment.

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