A Patient Admitted Yesterday for Injuries Sustained in a Fall

question 15

Multiple Choice

A patient admitted yesterday for injuries sustained in a fall while intoxicated believes snakes are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?

• A) Disturbed sensory perception
• B) Ineffective coping
• C) Ineffective denial
• D) Risk for injury

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Definitions:

Immediate Gratification

Describes the desire to experience pleasure or fulfillment without delay or deferment.

Self-Control

The skill to maintain control over one's emotions, thoughts, and actions amid temptations and impulsive reactions.

Learned Helplessness

The experience of feeling helpless, which is often a consequence of either going through a traumatic occurrence or consistently failing to succeed.

Internal Locus of Control

A psychological concept where an individual believes that they have control over the events in their life and their own behavior.