RN CARE HOPE MENTAL HEALTH HESI
RN CARE HOPE MENTAL HEALTH HESI ( 49 Questions)
An adult client presents to the community mental health center accompanied by the client’s spouse who reports that the client has been acting impulsively. The client has spent a large amount of money lately, made several last-minute decisions to take trips, sleeps only 2 to 4 hours a night, and has lost 33 pounds (15 kg) in the last 2 months. Which nursing problem has the greatest nursing priority?
While sleep deprivation is a concern, the client's impulsive behavior poses a greater immediate risk, making "Risk for self-directed violence related to impulsive behavior" the priority.
Ineffective coping may be a contributing factor, but the risk of self-directed violence takes precedence as the primary concern.
The client's impulsive behavior increases the risk of self-directed violence, making it the most urgent nursing priority.
Imbalanced nutrition is a concern, but the immediate risk of self-directed violence requires more immediate attention.
A. While sleep deprivation is a concern, the client's impulsive behavior poses a greater immediate risk, making "Risk for self-directed violence related to impulsive behavior" the priority.
B. Ineffective coping may be a contributing factor, but the risk of self-directed violence takes precedence as the primary concern.
C. The client's impulsive behavior increases the risk of self-directed violence, making it the most urgent nursing priority.
D. Imbalanced nutrition is a concern, but the immediate risk of self-directed violence requires more immediate attention.