A young man is brought to the emergency department by the police,who found him running through traffic and yelling that he could fly over the cars.He is very agitated and restless.On questioning,he admits to the nurse that he took some drugs at a party a few hours before.What is an appropriate nursing diagnosis for the nurse to document for this patient?

Question

Quizplus · Accepted Answer

The patient's altered perception and belief that he can fly pose a risk for him to injure himself or others. This is the priority nursing diagnosis that should be addressed immediately. While anxiety, guilt, and powerlessness may also be relevant, they are secondary to the potential harm that the patient may cause to himself or others.

A Young Man Is Brought to the Emergency Department by the Police,who