Question

Mrs. Albert has a priority nursing diagnosis of chronic confusion.

1. what is the priority small goal/outcome for the patient?

2. what interventions will the nurse initiate based on the nursing priority(#2); A, subjective/objective data & Nursing Interventions.

3. what should be the patient outcome for the goal?

Answer 1

Outcome- Mrs Albert remains free from harm

Objective data- Patients response to the stimuli is not appropriate

Interventions

- Determine patients cognitive level using a mini mental state exam.

-Ensure that Mrs albert is in a safe environment by removing potential hazards such as sharp objects and harmful liquids (she may lose the ability to make good judgement and can easilyharm self or others)

- Place an identification bracelet on Patient (patient may wander and can become lost)

- Keep environment quiet and non stimulating(sensory overload can lead to agitated behaviour)

- Provide boundaries by placing red or yellow tape on the floor or using a stop sign (boundaries can help patient identify safe areas)

Patient outcome- Mrs albert remains content and free from harm.