What Is the Priority Nursing Diagnosis for a Patient with Fluctuating

question 14

Multiple Choice

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

Self-Presentation

The process by which individuals attempt to control the impressions others form of them, especially in social interactions.

Self-Esteem

A person's overall subjective sense of personal worth or value.

Criticizing Others

The act of expressing disapproval or finding fault in others, often focusing on perceived mistakes or flaws.

Married Women

Adult females who are in a legally recognized union with a partner, sharing responsibilities, benefits, and potentially facing unique societal and personal dynamics.