Difficulty: Medium
Average Score: 90%
Simulated
A nurse is planning care for a newly admitted client diagnosed with major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority?
Correct answer
D
Rationale
The correct answer is D: The client makes a contract to avoid self-harm. This is the priority goal because individuals with major depressive disorder, especially following a significant loss, are at an increased risk of self-harm or suicide. By having the client make a contract to avoid self-harm, the nurse is addressing the immediate safety and well-being of the client. This goal helps ensure that the client remains safe during a vulnerable time.
A: While it is important for the client to be involved in the care planning process, ensuring safety takes precedence.
B: Identifying positive qualities is beneficial for self-esteem but may not address the immediate safety concerns.
C: Exhibiting expected grieving behaviors is important, but ensuring safety is the priority.
Summary: The priority goal is to address the client's safety by making a contract to avoid self-harm, as this directly addresses the heightened risk associated with major depressive disorder following a significant loss.
A: While it is important for the client to be involved in the care planning process, ensuring safety takes precedence.
B: Identifying positive qualities is beneficial for self-esteem but may not address the immediate safety concerns.
C: Exhibiting expected grieving behaviors is important, but ensuring safety is the priority.
Summary: The priority goal is to address the client's safety by making a contract to avoid self-harm, as this directly addresses the heightened risk associated with major depressive disorder following a significant loss.