You are working with a hospitalized client whose primary diagnosis is a medical diagnosis. This client also has a diagnosis of bulimia nervosa. Which of the following nursing actions would be your top priority?
a. Secure all the laxatives the client brought with her.
b. Assess for any self-harm ideation and means for suicide.
c. Orient the client to the unit rules and regulation.
d. Obtain a baseline set of vital signs and the client's weight.
B
When working with a hospitalized client who also has a diagnosis for bulimia nervosa, the top priority would be to assess for any self-harm ideation and means for suicide. Both major depressive disorder and borderline personality disorder are often diagnosed with people who have bulimia nervosa. Major depressive disorder and borderline personality disorder are both illnesses with a high risk of attempted and completed suicide.
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