The client with bulimia complains of feeling helpless and having a black future and says, "What's the use?" As the nurse plans the client's care, the most important priority diagnosis based on these data is what?
A) Ineffective individual coping
B) Anxiety
C) Nutrition that is less than body requirements
D) Risk for self-directed violence
Ans: D
Ineffective individual coping is a very likely diagnosis, but this is not the priority diagnosis. Although anxiety is a factor in this illness, the data do not support this diagnosis. The diagnosis of altered nutrition does not directly address the patient's current status. The verbalized helpless feelings, the use of the term black future, and the hopeless comment of "What's the use?" may very likely support risk for suicide. Depression is often present in the client with bulimia; therefore, suicide potential should be addressed.
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Fill in the blank(s) with the appropriate word(s).