What Is the Priority Nursing Diagnosis for a Patient Experiencing

question 3

Multiple Choice

What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?

• A) Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks
• B) Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
• 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 hiding from imagined ferocious dogs

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Definitions:

Archeology of Knowledge

A philosophical methodology proposed by Michel Foucault that aims to uncover the historical rules, systems, and processes that govern the creation of knowledge within specific times and places.

Discourse

A structured way of speaking or writing about a particular subject, encompassing specific vocabulary and ideas, that shapes how we understand and interact with the world.

Knowledge Production

The processes and methods through which new insights, theories, or data are generated, assessed, and communicated.

Madness and Civilization

A work by Michel Foucault analyzing the history of how madness has been perceived and treated in Western society.