A client displays isolation, bizarre behaviors, self-mutilation, ...

[Yolanda]

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]

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.

[Yolanda]

Excellent

[cdmart10]

TYSM