The nurse is developing a care plan for a mentally ill patient. The nurses' first priority would be to assess:
Coping devices
Emotional status
Nutritional status
Medications taken
The Correct Answer is A
A. Coping devices
Understanding how the patient manages stress and what coping mechanisms they use helps the nurse determine risk, stability, and intervention needs. It sets the stage for individualized care planning.
B. Emotional status
Important, but emotional status is often reflected in coping ability. Coping mechanisms give more actionable insights for planning.
C. Nutritional status
This may be prioritized in some physical health settings but is secondary in a mental health crisis unless the patient is severely malnourished.
D. Medications taken
While medication reconciliation is important, it does not take precedence over assessing how the patient is handling their current crisis or stressors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Leaving the hospital
Although some patients may leave against medical advice (AMA), helplessness and hopelessness are more directly associated with suicide risk, not elopement.
B. Committing suicide
Hopelessness and helplessness are strong indicators of suicidal ideation. These feelings suggest the patient may see no escape from their emotional pain.
C. A decrease in activity
While this could occur in depression, it is a less urgent concern than the immediate risk of suicide.
D. Refusing to eat
This may occur in some psychiatric conditions but is not as directly tied to feelings of hopelessness as suicidal ideation is.
Correct Answer is B
Explanation
A. Superid
This is not a recognized term in Freud's theory. Likely a distractor or typo.
B. Id
According to Freud, the id is present at birth and is the primitive, instinctual part of personality focused on immediate gratification (pleasure principle).
C. Superego
The superego develops later in childhood and represents the internalized values and morals of caregivers and society.
D. Ego
The ego emerges after the id to help the child interact with reality using the reality principle, but it is not the dominant part at birth.
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