A client diagnosed with a personality disorder tells the nurse, ...

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A client diagnosed with a personality disorder tells the nurse, Sometimes I daydream that I go home and kill my family. Which is the priority nursing diagnosis for this client?
 
  A) Ineffective Coping
  B) Deficient Knowledge
  C) Risk for Other-Directed Violence
  D) Interrupted Family Processes

Question 2

Which nursing diagnoses would be applicable for a client who is experiencing a situational crisis? Select all that apply.
 
  A) Ineffective Coping
  B) Risk for Self-Directed Violence
  C) Spiritual Distress
  D) Risk for Loneliness

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Answer to Question 1

Answer: C

The client diagnosed with a personality disorder who admits to daydreaming about killing his family is at risk for violence towards others. The priority nursing diagnosis for this client is Risk for Other-Directed Violence. Interrupted Family Processes, Deficient Knowledge, and Ineffective Coping are also appropriate nursing diagnoses but the priority is to address the client's risk for violence towards others.

Answer to Question 2

Answer: A, B, C

Loneliness may result from an individual's actions following a crisis, but it is not an appropriate nursing diagnosis for situational crisis. The other three answers are among the most common nursing diagnoses for people in crisis.