The nurse is caring for a client who is experiencing auditory hallucinations.Which is the priority nursing diagnosis for this client?
A) Disturbed Thought Processes
B) Individual Ineffective Coping
C) Impaired Verbal Communication
D) Risk for Violence, Self-Directed or Other-Directed

Question

Quizplus · Accepted Answer

A) Maintaining a safe environment is the priority diagnosis. Although the client has impaired thought processes, this is not the priority diagnosis at this time. Individual Ineffective Coping and Impaired Verbal Communication are also correct diagnoses, but the key word here is "priority," and this client has a potential or risk for harm to self or others.
B) Maintaining a safe environment is the priority diagnosis. Although the client has impaired thought processes, this is not the priority diagnosis at this time. Individual Ineffective Coping and Impaired Verbal Communication are also correct diagnoses, but the key word here is "priority," and this client has a potential or risk for harm to self or others.
C) Maintaining a safe environment is the priority diagnosis. Although the client has impaired thought processes, this is not the priority diagnosis at this time. Individual Ineffective Coping and Impaired Verbal Communication are also correct diagnoses, but the key word here is "priority," and this client has a potential or risk for harm to self or others.
D) Maintaining a safe environment is the priority diagnosis. Although the client has impaired thought processes, this is not the priority diagnosis at this time. Individual Ineffective Coping and Impaired Verbal Communication are also correct diagnoses, but the key word here is "priority," and this client has a potential or risk for harm to self or others.

The Nurse Is Caring for a Client Who Is Experiencing