Author Question: An individual brought to the emergency room fights against the restraints and shouts incoherently. ... (Read 46 times)

ereecah · **on:** Jul 19, 2018

An individual brought to the emergency room fights against the restraints and shouts incoherently. The history reveals that the patient was weak and confused on awakening this morning and soon began rambling and talking crazy..

A nurse notes that the patient's skin is flushed and dry. The priority nursing action is to: a. assess vital signs.
b. insert an intravenous catheter.
c. request a sedative prescription.
d. perform a mental status examination.

Question 2

Which criterion of mental health is a nurse assessing when exploring a patient's sense of self-determination, balance between dependence and independence, and acceptance of the consequences of behavior?

a. Autonomy
b. Integration
c. Reality perception
d. Environmental mastery

momo1250 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
The patient's history suggests a physiological basis for the cognitive disturbance. Vital signs will tell the nurse more about the patient's physical condition.

Answer to Question 2

A
These factors relate directly to autonomy, the condition that allows for definition and control over a domain.