A 42-year-old female client is admitted with a diagnosis of acute mania. Her husband states that she has not slept, eaten, or drunk for 3 days. In addition, he says she is very agitated and has been fighting with the neighbors
He also states that she stopped taking her lithium last week. The priority nursing diagnosis for the client would be:
1. Risk for injury
2. Chronic low self-esteem
3. Noncompliance
4. Insomnia
ANS: 1
Risk for injury is the priority diagnosis. Possible injuries include dehydration, which may result from not drinking and trauma, which may result from bumping into objects or from physical al-tercations. The other options are valid diagnoses, but not of highest priority.
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