A client being treated for depression tells the nurse that he has been feeling better and has started to make plans. The nurse should further assess this client to support the nursing diagnosis of:
1. Situational Low Self-Esteem
2. Risk for Self-Directed Violence
3. Hopelessness
4. Social Isolation
2. Risk for Self-Directed Violence
Rationale:
The one risk that occurs with successful treatment of a client with depression is that once the depression begins to resolve, the underlying thought of suicide could prevail. With treatment, the client may begin to have more energy to make a plan regarding suicide. The nurse should further assess this client's statement about making plans. The client is not demonstrating low self-esteem, hopelessness, or social isolation.
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