A high school student has learned that she cannot graduate. Her boyfriend will be attending a college out of state that she planned to also attend. She is admitted to a psychiatric unit after overdosing on Tylenol
Which is the correctly written priority nursing diagnosis for this client?
A. Ineffective coping R/T situational crisis AEB powerlessness
B. Anxiety R/T fear of failure
C. Risk for self-directed violence R/T hopelessness
D. Risk for low self-esteem R/T loss events AEB suicidal ideations
ANS: C
The priority nursing diagnosis for this client is "Risk for self-directed violence R/T hopelessness." Nurses should prioritize diagnoses and outcomes on the basis of potential safety risk to the client and/or others. Nursing diagnoses should be correctly written to include evidence if actual and no evidence if the diagnosis is determined to be potential.
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