Difficulty: Medium
Average Score: 83%
Simulated
A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?
Correct answer
D
Rationale
The correct answer is D: Psychomotor retardation. This finding is the priority to report as it can indicate severe depression and potential risk for self-harm or suicide. Psychomotor retardation can lead to decreased functioning and increased lethargy. Significant weight loss (A) can be concerning but may not pose an immediate risk. Markedly neglected hygiene (B) can be addressed later. Poor problem-solving skills (C) may be a symptom of depression but do not indicate immediate danger.