A Confused Patient Is Restless and Continues to Try to Remove

question 33

Multiple Choice

A confused patient is restless and continues to try to remove his oxygen and urinary catheter.What is the priority nursing diagnosis and intervention to implement for this patient?

• A) Risk for injury: Prevent harm to patient, use restraints if alternatives fail.
• B) Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter.
• C) Disturbed body image: Encourage patient to express concerns about body.
• D) Caregiver role strain: Identify resources to assist with care.

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Definitions:

Marginalization And Discrimination

The process and consequences of a group or individual being systematically treated as less important or discriminated against based on certain attributes.

Treatment Tasks

Specific activities or assignments given to clients as part of their therapy or intervention process.

Initial Phase

The beginning stage of a process, such as a therapeutic relationship or project, where initial assessments or plans are made.

Working-Phase

A stage in the therapeutic process where the therapist and client collaboratively address the client's issues and work towards achieving therapeutic goals.