Asked by Tiffany Wisham on Jun 12, 2024
Verified
A patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
A) Self-esteem-building activities
B) Anxiety self-control measures
C) Sleep enhancement activities
D) Suicide precautions
Negative Thoughts
Patterns of thinking that are pessimistic or detrimental to one’s self-esteem and overall outlook, which can affect mental health and behavior.
Suicide Precautions
are measures taken to prevent someone who is at risk of self-harm or suicide from carrying out such actions, often involving supervision, environmental adjustments, and support.
Self-esteem-building Activities
Exercises or practices designed to improve one's sense of worth or value.
- Rank the needs for patient care according to the seriousness of their conditions, paying special attention to significant dangers such as the possibility of suicide.
Verified Answer
GN
Gianny NieblaJun 15, 2024
Final Answer :
D
Explanation :
The nurse would place a priority on monitoring and reinforcing suicide self-restraint because it relates directly and immediately to patient safety. Patient safety is always a priority concern. The nurse should monitor and reinforce all patient attempts to control anxiety, improve sleep patterns, and develop self-esteem, while giving priority attention to suicide self-restraint.
Learning Objectives
- Rank the needs for patient care according to the seriousness of their conditions, paying special attention to significant dangers such as the possibility of suicide.