Security was contacted to remove a handgun from the pants pocket of a client who had been admitted with wounds sustained in a fight. Which nursing diagnosis should the nurse include in this client's care plan?
A) Risk for Violence to Others
B) Risk for Loneliness
C) Risk for Situational Low Self-Esteem
D) Fear
Answer: A
The client had a handgun in a pants pocket that could have been used on others in the client's environment. The diagnosis of Risk for Violence to Others is appropriate for this client. There is not enough information to determine whether or not the client has a self-esteem disturbance, is afraid, or is at risk for loneliness.
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