Question

A client is noted to have a high level of non-goal-directed motor activity, running from chair to chair in the solarium. He is wide-eyed and seems terror-stricken. He cries, "They're coming! They're coming!" He neither follows staff direction nor responds to verbal efforts to calm him. A nursing diagnosis of high priority is

a. Risk for injury
b. Self-care deficit
c. Disturbed energy field
d. Impaired verbal communication

Answer 1

The nursing diagnosis of high priority in this case would be a) Risk for injury due to the client's high level of non-goal-directed motor activity and lack of response to staff direction.

Step-by-step explanation:

The nursing diagnosis of high priority in this case would be Risk for injury.

The client's high level of non-goal-directed motor activity, running from chair to chair in the solarium while being terror-stricken and wide-eyed, increases the risk of injury.

Additionally, the client's lack of response to staff direction and verbal efforts to calm him further emphasizes the need to prioritize the prevention of injury.