问题 单项选择题

The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophreni

a. Which nursing diagnosis should receive the highest priorityA. Risk for self- or other-directed violence.B. Imbalanced nutrition.C. Ineffective coping.D. Impaired verbal communication.

答案

参考答案:A

解析:Because of such factors as suspiciousness, anxiety, and hallucinations, the client with paranoid schizophrenia is at risk for violence toward himself or others. The other options are also appropriate nursing diagnoses but should be addressed after the safety of the client and those around him is established.

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