Author Question: A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline ... (Read 56 times)

jeatrice · **on:** Jul 19, 2018

A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and recent job loss.

What should be the priority nursing diagnosis for this client?

A. Risk for suicide R/T hopelessness
B. Anxiety: severe R/T hyperactivity
C. Imbalanced nutrition: less than body requirements R/T refusal to eat
D. Dysfunctional grieving R/T loss of employment

Question 2

A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this client's priority nursing diagnosis?

A. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
B. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
C. Risk for suicide R/T powerlessness AEB insomnia and anorexia
D. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights

Jossy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
The priority nursing diagnosis for this client should be risk for suicide R/T hopelessness. The nurse should prioritize diagnoses on the basis of physical and safety needs. This client continues to be at risk for suicide related to an intentional Zoloft overdose.

Answer to Question 2

ANS: B
The nurse should identify that the priority nursing diagnosis for this client is altered nutrition: less than body requirements R/T hyperactivity AEB weight loss. Due to the client's rapid weight loss, the nurse should prioritize interventions to ensure proper nutrition and health.