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 clients priority nursing diagnosis?
A.
Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
B.
Altered sleep patterns R/T mania AEB insomnia for the past 3 nights
C.
Knowledge deficit R/T bipolar disorder AEB concern about symptoms
D.
Risk for suicide R/T powerlessness AEB insomnia and anorexia
The correct answer and Explanation is :
In this scenario, the priority nursing diagnosis should be:
D. Risk for suicide R/T powerlessness AEB insomnia and anorexia
Explanation:
When prioritizing nursing diagnoses, it is crucial to consider the client’s immediate safety and well-being. In this case, the client is experiencing significant insomnia and weight loss, which are indicative of a potential escalation in their condition.
1. Risk for Suicide:
The client’s recent insomnia and weight loss are concerning symptoms that can significantly impact their mental health and overall stability. Insomnia can exacerbate mood disorders and lead to increased emotional distress, while weight loss may indicate severe anxiety or a lack of self-care. Both symptoms can heighten the risk of suicidal ideation or attempts. Given these factors, assessing and addressing the risk for suicide is paramount. This diagnosis involves evaluating the client’s feelings of hopelessness, powerlessness, or any thoughts of self-harm. The nursing focus should be on ensuring the client’s safety, providing psychological support, and implementing strategies to stabilize their condition.
2. Altered Nutrition and Sleep Patterns:
While “Altered nutrition: less than body requirements” and “Altered sleep patterns” are valid diagnoses, they are more specific to the symptoms observed rather than addressing the overarching risk of harm to the client. Addressing the risk for suicide is more comprehensive, as it encompasses the potential consequences of these symptoms.
3. Knowledge Deficit:
The diagnosis of “Knowledge deficit” may be relevant, but it is less urgent compared to the immediate need to address the client’s risk of suicide. Education about bipolar disorder can be crucial, but ensuring the client’s safety and addressing immediate risks should take precedence.
In summary, prioritizing “Risk for suicide R/T powerlessness AEB insomnia and anorexia” addresses the most critical concern—ensuring the client’s safety and preventing potential self-harm, which is the primary focus in acute care settings.