Difficulty: Medium
Average Score: 80%
Simulated
A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?
Correct answer
A
Rationale
Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.