The nurse cares for an agitated patient who was admitted to the emergency department after taking a hallucinogenic drug and attempting to jump from a third-story window. Which nursing diagnosis should the nurse assign as the highest priority?
A) Risk for injury related to altered perception
B) Ineffective coping related to situational issues
C) Ineffective health maintenance related to drug use
D) Powerlessness related to loss of behavioral control
Correct Answer:
Verified
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