Security was contacted to remove a handgun that a client, admitted with wounds sustained in a fight, had in a pants pocket. The nurse should include which of the following nursing diagnoses for this client's plan of care?
1. Risk for Situational Low Self-Esteem
2. Risk for Other-Directed Violence
3. Fear
4. Risk for Loneliness
2. Risk for Other-Directed Violence
Rationale:
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 other-directed violence 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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