What should a nurse assess as a priority when managing a patient experiencing symptoms of psychosis?

Assessing the risk of harm to self or others is the priority when managing a patient experiencing symptoms of psychosis. This is critical because individuals with psychosis may have distorted perceptions of reality, which can lead to impaired judgment and possibly dangerous behaviors. Determining the level of risk allows the nurse to implement appropriate interventions to ensure the safety of the patient and those around them. Safety is the foremost concern in any psychiatric setting, especially when dealing with acute episodes of psychosis.

While understanding family history of mental illness, current medication adherence, and level of insight into the condition are all important aspects of a comprehensive assessment, they do not take precedence over immediate safety considerations. By focusing on the potential for harm first, the healthcare provider can act effectively to manage the situation and provide the necessary support or interventions, such as increased supervision or crisis intervention, to minimize risk.