A patient is admitted with sudden confusion, visual hallucinations, sweating, and tremors. Which assessment should the nurse perform first?
Correct answer: A. Check vital signs and blood glucose level
- A. Check vital signs and blood glucose level
- B. Ask about childhood relationships and conflicts
- C. Encourage the patient to join a group activity
- D. Begin detailed discharge teaching about medicines
Explanation
Sudden confusion with autonomic signs may indicate a medical emergency such as hypoglycaemia or withdrawal. Airway, breathing, circulation, and immediate physical causes are assessed before psychological history or teaching.
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About Foundations of Mental Health Nursing
Mental health nursing covers concepts of normal and abnormal behavior, major psychological theories, psychiatric assessment, the nurse’s therapeutic role, and the use of a safe therapeutic milieu. It also includes confidentiality, informed consent, patient rights, ethical decision-making, legal responsibilities, and individualized nursing care planning.
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