A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and recent job loss
What should be the priority nursing diagnosis for this client?
A. Risk for suicide R/T hopelessness
B. Anxiety: severe R/T hyperactivity
C. Imbalanced nutrition: less than body requirements R/T refusal to eat
D. Dysfunctional grieving R/T loss of employment
ANS: A
The priority nursing diagnosis for this client should be risk for suicide R/T hopelessness. The nurse should prioritize diagnoses on the basis of physical and safety needs. This client continues to be at risk for suicide related to an intentional Zoloft overdose.
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