Author Question: The phenomenon of highest priority to a psychiatric nurse caring for a client with the following ... (Read 127 times)

rl · **on:** Jul 19, 2018

The phenomenon of highest priority to a psychiatric nurse caring for a client with the following
nursing diagnoses would be

a. risk for suicide.
b. disturbed thought processes.
c. situational low self-esteem.
d. self-care deficit: grooming.

Question 2

When a new client has been admitted to the unit, the nurse takes the client on a tour, tells the client
about the rules of the unit that guide behavior and activities of daily living, and discusses the daily
schedule.

In doing this the nurse is engaged in
a. counseling.
b. health teaching.
c. milieu management.
d. psychobiological intervention.

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

Answer to Question 1

ANS: A
Risk for suicide is the nursing diagnosis of highest priority. Safety needs transcend psychological
needs. Options B, C, and D do not provide an immediate threat to the client, whereas option 1 does.

Answer to Question 2

ANS: C
Milieu management provides a therapeutic environment in which the client can feel comfortable and
safe, while engaging in activities that meet the client's physical and mental health needs. Option A:
Counseling refers to activities designed to promote problem solving and enhanced coping and
includes interviewing, crisis intervention, stress management, and conflict resolution. Option B:
Health teaching involves identifying health education needs and giving information about these
needs. Option D: Psychobiological interventions involve medication administration and monitoring
response to medications.