After assessing a client, a nurse noted the following: "He was tearful, he tried to kill himself before coming into the hospital, he had no immediate plan for another suicide attempt, he was unable to concentrate,
and he reported having trouble sleeping and having little or no appetite." The nurse also noted that the client's appearance was unkempt, that he spoke in a low monotone, and that he was unable to establish and maintain eye contact. Based on this information, which nursing diagnosis would be the most appropriate?
A) Ineffective Role Performance
B) Risk for Infection
C) Risk for Suicide
D) Risk for Self-Mutilation
Ans: C
The client's history of a recent suicide attempt in conjunction with his signs of depression, such as difficulty sleeping, lack of appetite, and inability to concentrate, put him at risk for suicide. The information described in the nurse's observations does not support ineffective role performance, infection, or self-mutilation.
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