Asked by Kinnary Vasoya on Apr 25, 2024
What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
A) Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks
B) Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
C) Disturbed thought processes related to medication intoxication as evidenced by confusion, disorientation, and hallucinations
D) Fear related to sensory perceptual alterations as evidenced by hiding from imagined ferocious dogs
Tactile Hallucinations
The perception of touch or sensation on the skin that has no physical cause, often experienced in certain psychiatric and neurological disorders.
Bathing/Hygiene
The practice of maintaining cleanliness of the body for health and well-being.
Cerebral Function
The array of activities carried out by the brain, encompassing both cognitive functions such as thinking and emotional responses.
- Discern the symptoms and differentiate between delirium and dementia.
- Execute preventive measures for those experiencing inconsistent awareness levels and altered perceptual experiences.
Learning Objectives
- Discern the symptoms and differentiate between delirium and dementia.
- Execute preventive measures for those experiencing inconsistent awareness levels and altered perceptual experiences.
Related questions
A Hospitalized Patient Experiencing Delirium Misinterprets Reality and a Patient ...
Goals and Desired Outcomes for an Older Adult Patient Experiencing ...
What Is the Priority Nursing Intervention for a Patient Diagnosed ...
Which Environmental Adjustment Should the Nurse Make for a Patient ...
A Patient Diagnosed with Alzheimer Disease Wanders at Night ...