A 42-year-old female client is admitted with a diagnosis of acute ...

[leilurhhh]

A 42-year-old female client is admitted with a diagnosis of acute mania. Her husband states that she has not slept, eaten, or drunk for 3 days. In addition, he says she is very agitated and has been fighting with the neighbors.
 
  He also states that she stopped taking her lithium last week. The priority nursing diagnosis for the client would be:
  1. Risk for injury
  2. Chronic low self-esteem
  3. Noncompliance
  4. Insomnia

Question 2

A client has been admitted with a diagnosis of atypical depression. In planning interventions, the nurse would expect to consider the characteristic symptom of:
 
  1. Seasonal episodes
  2. Leaden paralysis
  3. Psychomotor agitation
  4. Increased depression in the morning

[aburgess]

Answer to Question 1

ANS: 1
Risk for injury is the priority diagnosis. Possible injuries include dehydration, which may result from not drinking and trauma, which may result from bumping into objects or from physical al-tercations. The other options are valid diagnoses, but not of highest priority.

Answer to Question 2

ANS: 2
Behavioral characteristics of atypical depression include hypersomnia, weight gain, and the feel-ing that one's limbs are so heavy they cannot be lifted or moved. Option 1: Seasonal mood changes are characteristic of seasonal affective disorder. Options 2 and 4: Psychomotor agitation and depression that is greater in the morning than in the evening are characteristics more likely to be observed in clients with melancholic depression.