A nurse who provides care on a psychiatricmental health unit of a ...

[kellyjaisingh]

A nurse who provides care on a psychiatricmental health unit of a hospital is planning the care of a client with SPMI who was admitted after being picked up by police while walking between the lanes of a freeway.
 
  Which of the following outcomes should the nurse prioritize in the organization of this client's care?
 
  A) The client will utilize referrals for services necessary to maintain health.
  B) The client will accept necessary assistance to function in expected roles.
  C) The client will maintain the safety of self and others.
  D) The client will identify positive aspects of self-functioning in several areas of life.

Question 2

The medical and legal records of a 33-year-old prison inmate document a long history of intermittent explosive impulse control disorder. In the care of this inmate, which of the following nursing diagnoses is most likely?
 
  A) Chronic Low Self-Esteem
  B) Ineffective Health Maintenance
  C) Hopelessness
  D) Risk for Violence: Other Directed

[BUTTHOL369]

Answer to Question 1

Ans: C
The need for the safety of both the client and those around the client is a priority. Finding and using help as well as fostering self-care are important, but the importance of safety exceeds these.

Answer to Question 2

Ans: D
A client with an intermittent explosive impulse control disorder is likely to pose a significant risk of harming others. Hopelessness, low self-esteem, and ineffective health maintenance are all plausible diagnoses, but the risk for violence is inherent in this individual's history.

[kellyjaisingh]

Gracias!

[nyrave]

Thanks for the timely response, appreciate it