Question

74. After an upsetting divorce, a client who threatens to commit suicide with a handgun is voluntarily admitted to the psychiatric until with major depression. Which nursing diagnosis takes highest priority for this client? A. Hopelessness related to recent divorce B. Ineffective coping related to inadequate stress management C. Spiritual distress related to conflicting thought about suicide and sin D. Risk for self directed violence related to planning to commit suicide with a handgun

Answer 1

ANSWER: D)

The classic symptoms of depression are:

• hopelessness
• helplessness
• worthlessness

Due to the upsetting divorce the client is in the severe depression and threaten to suicide with a hand gun.The client is in severe depression.The highest priority in this is risk for self directed violence related to planning to commit suicide with a hand gun.

The major nursing intervention is to identify his/her suicidal ideas.Then resolving the clients suicidal ideas by providing appropriate treatment.