Which of the options below would be a priority nursing diagnosis?
Anxiety
Ineffective coping
Chronic low self-esteem
Self-harm
The Correct Answer is D
Choice A Reason:
Anxiety is incorrect. While anxiety is a valid concern, it may not be an immediate threat to the individual's safety.
Choice B Reason:
Ineffective coping is incorrect. This is relevant, but it doesn't address the urgency associated with potential self-harm.
Choice C Reason:
Chronic low self-esteem is incorrect. Low self-esteem is a significant issue, but it may not require immediate intervention compared to the risk of self-harm.
Choice D Reason:
Self-harm is correct. Assessing and addressing the risk of self-harm takes precedence, as it involves ensuring the immediate safety and well-being of the individual. Once the risk of self-harm is addressed, the nurse can then explore and address other related concerns, such as anxiety, coping mechanisms, and self-esteem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Requiring the patient to be on time and dressed for daily breakfast is inappropriate. While punctuality and self-care are important, requiring these behaviors doesn't necessarily encourage the patient to take responsibility for their overall treatment plan.
Choice B Reason:
Insisting each patient take a turn in the community as a leader is inappropriate. While leadership roles can be beneficial, insisting may feel coercive. Autonomy is better promoted when patients have a choice in taking on leadership roles.
Choice C Reason:
Including the patient's input in the treatment plan is appropriate. Including the patient's input in the treatment plan is a strategy that promotes autonomy and self-responsibility. It recognizes the patient as an active participant in their own care and empowers them to be involved in decisions about their treatment.
Choice D Reason:
Making the treatment plan decisions for the patient is inappropriate. Making decisions for the patient contradicts the goal of autonomy and self-responsibility. It disempowers the patient and may hinder their engagement in the treatment process.
Correct Answer is C
Explanation
Choice A Reason:
"Your provider is very knowledgeable, if he prescribes chemotherapy, it's the best treatment for you.” This response may be perceived as dismissive of the client's concerns and preferences. It is important to acknowledge and explore the client's perspective rather than making assumptions.
Choice B Reason:
"Using nontraditional treatments is not a good deal, rather you avoid that route.” This response is directive and may be seen as judgmental. It does not invite the client to share their concerns openly and may hinder effective communication.
Choice C Reason:
"Tell me more about your concerns about taking chemotherapy.” This response encourages open communication and demonstrates active listening. It allows the nurse to understand the client's concerns and preferences regarding chemotherapy. This approach supports a collaborative decision-making process, respects the client's autonomy, and helps build trust in the nurse-client relationship.
Choice D Reason:
"A lot of people think nontraditional treatments will work, they end up regretting that choice. “This response introduces a potentially guilt-inducing statement and may create a negative atmosphere. It does not encourage the client to express their thoughts and concerns openly.
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