The nurse is caring for a client in the emergency department (ED) who complains of chest pain and reports that people were following her. She states, "I can't see them but they are talking about grabbing me." While the woman is explaining the event, she alternates between wringing her hands and manipulating the items in her purse over and over. Which is the priority when continuing the assessment for this client?

Question

Quizplus · Accepted Answer

Given the client's complaints and behaviors, it is important to conduct a focused psychosocial interview to assess for any possible psychiatric issues, such as paranoia or delusions. A review of systems may also be necessary to assess for any physical causes of chest pain, but this is not the priority at this time. Spiritual affiliations and dietary preferences are not relevant to the current situation.

The Nurse Is Caring for a Client in the Emergency