Author Question: The nurse is caring for recovering alcoholics in a treatment center. Which of the following nursing ... (Read 40 times)

meagbuch · **on:** Jul 17, 2018

The nurse is caring for recovering alcoholics in a treatment center. Which of the following nursing diagnoses would be considered highest priority?

A) High Risk for Violence: Self-Directed or Directed at Others
B) Self-Care Deficit
C) Self-Esteem Disturbance
D) Altered Nutrition: Less Than Body Requirements

Question 2

The nurse is in the process of admitting a client to the healthcare facility. When does the nurse need to begin the nursing data collection and assessment of the client?

A) Before admission to the facility
B) Before completing the admitting papers
C) Immediately at the nurse's first contact
D) After the primary care provider has entered orders into the electronic medical record

smrerig · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
The risk of violence needs to be addressed before proceeding with the other diagnoses. In this case, safety has the highest priority.

Answer to Question 2

C
Feedback:
Nursing data collection and assessment begins immediately at the nurse's first contact with the client, not before admission to the facility, before completing the admitting papers, or after the primary care provider has entered orders into the electronic medical record.