HESI Registered Nurse EXIT Practice Exam

What nursing diagnosis best applies to a patient with alcohol and drug abuse due to impaired judgment?

1. Risk for injury

2. Risk for knowledge deficit

3. Altered thought process

4. Disturbance in self-esteem

The correct answer is: Risk for injury

The nursing diagnosis that best applies to a patient with alcohol and drug abuse due to impaired judgment is associated with a heightened vulnerability to physical harm or danger. Patients experiencing impaired judgment as a result of substance abuse may engage in reckless or dangerous behaviors, increasing their risk for accidents, injuries, or self-harm. This nursing diagnosis emphasizes the necessity for monitoring and implementing safety measures to protect the patient from potential harm as their impaired decision-making can lead to inadequate risk assessment. While other diagnoses may seem relevant, such as knowledge deficit or altered thought processes, they do not directly address the immediate concern for patient safety in the context of substance abuse. Disturbance in self-esteem may also be a consideration, but it does not reflect the acute risks associated with impaired judgment from substance use. Prioritizing safety with the diagnosis of risk for injury allows for prompt interventions to mitigate these dangers effectively.