Author Question: A client displays isolation, bizarre behaviors, self-mutilation, and poor hygiene. Which of the ... (Read 52 times)

Yolanda · **on:** Jul 19, 2018

A client displays isolation, bizarre behaviors, self-mutilation, and poor hygiene. Which of the following will be the highest priority in the nursing care plan?

1. Safety
2. Hygiene
3. Isolation
4. Bizarre behaviors

Question 2

When assessing a client, the nurse incorporates an understanding of the definitions of mental health and would describe an individual as healthy:

1. If the client's beliefs are consistent with the nurse's beliefs
2. When behavior conforms to DSM-IV-TR criteria
3. If precise physiologic signs are absent
4. As measured by psychiatric and psychologic standards

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

Answer to Question 1

ANS: 1
The safety needs associated with self-mutilation are of highest priority. Poor hygiene, isolation, and bizarre behaviors are not as likely to be life threatening.

Answer to Question 2

ANS: 4
An individual would be considered healthy based on established standards. 1. The nurse's beliefs are not the benchmark. 2. DSM-IV-TR criteria define mental disorders. 3. Few mental disorders have easily measured physiologic signs.