IGNOU PB Bsc Entrance-2022
Mental Health Nursing
Medium
A patient who requires nurse's immediate attention is the one:
Appeared in: IGNOU PB Bsc Entrance-2022
Explanation
- In any clinical setting, patient safety is the absolute highest priority, superseding all other concerns.
- A patient expressing suicidal ideations is considered a psychiatric emergency because there is an immediate and direct risk to their life.
- This situation requires the nurse to intervene immediately to prevent self-harm, conduct a risk assessment, and implement safety protocols.
- Frameworks like Maslow's Hierarchy of Needs place safety and security as a fundamental need, just after physiological needs. Suicidal ideation is a direct threat to this level of need.
Why Other Options Were Wrong
- Option A: Refusing to attend meetings is a behavioral issue related to motivation or social withdrawal. While it needs to be addressed in the care plan, it does not pose an immediate threat to the patient's life.
- Option B: Rapid and irrelevant speech (flight of ideas) is a classic symptom of mania. It indicates a high level of psychic energy and disorganization but is not in itself an immediate life threat.
- Option C: Failure to maintain activities of daily living (ADLs) is a common sign of depression and other chronic mental illnesses. It reflects a decline in functioning but is a longer-term problem, not an acute, life-threatening emergency.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Prioritization of Nursing Care in Psychiatric Emergencies to guide bedside assessment, documentation, and the next nursing action.
- A nurse's ability to correctly prioritize care is a critical skill that directly impacts patient outcomes and prevents adverse events.
- In psychiatric nursing, the assessment for suicide risk is a continuous process, not a one-time event. Any change in a patient's mood or behavior warrants a re-assessment of safety.
- What if? If the patient expressing suicidal ideations also had a specific, lethal plan and the means to carry it out, the priority level would escalate even further, requiring immediate one-to-one continuous observation and possible initiation of involuntary commitment procedures to ensure their safety.
How to Approach the Question
- First, identify the core question: It asks for the 'immediate attention' of the nurse, which signals a prioritization question.
- Analyze each option through the lens of patient safety. Ask yourself, 'Which of these situations poses the most immediate and severe threat to a patient's life or physical well-being?'
- Recall fundamental nursing principles like Maslow's Hierarchy of Needs or the ABCs (Airway, Breathing, Circulation). In psychiatric nursing, 'Safety' often functions as the primary concern, equivalent to the ABCs.
- Compare the options: Refusing meetings, disorganized speech, and poor self-care are all clinical concerns, but they are related to behavior, thought process, and functional decline, respectively.
- Recognize that expressing suicidal ideations is a direct statement of intent to self-harm, making it a direct threat to life and therefore the highest priority.
- Select the option that represents the most immediate life-threatening condition.
Concept Tested & Keywords
- Concept Tested: Prioritization of Nursing Care in Psychiatric Emergencies
- Stem keywords: patient, nurse's immediate attention
- Lead-in keywords: immediate attention
- Negative lead-in flag: false
Question ID
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Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 224-226
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 2 (pp 290-564 of 579) p. 108-110
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8820-8822
Practise the full IGNOU PB Bsc Entrance-2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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