When a client exhibits signs of PCP-induced psychosis, what should the nurse prioritize?

In the context of a client experiencing PCP-induced psychosis, prioritizing the physical safety of the client is crucial. PCP, or phencyclidine, is a dissociative drug that can lead to significant alterations in perception, mood, and cognition. During episodes of psychosis, clients may exhibit agitated or erratic behavior, which increases the risk of self-harm or harm to others.

Ensuring that the client is physically safe and free from injury is the primary responsibility of the nurse. This may involve monitoring the client in a controlled environment, implementing safety measures, and possibly utilizing restraints or seclusion if necessary to prevent harm. Once physical safety is assured, other therapeutic goals can be addressed, such as helping the client develop social skills, encouraging acceptance of responsibility for their behavior, and promoting a balanced approach to rest and activity.

Safety serves as the foundation for further therapeutic intervention, as clients who are in states of heightened arousal or confusion cannot effectively engage in addressing social skills or responsibility until they are out of immediate danger.