Question

A newly admitted client diagnosed with bipolar I disorder is experiencing a manic episode. Which nursing diagnosis is a priority at the time?

A. Risk for violence: Other-directed R/T poor impulse control

B. Altered Thought process R/T hallucinations.

C. Social isolation R/T manic excitement.

D. Low self-esteem R/T guilt about promiscuity

Answer 1

The priority nursing diagnosis for a newly admitted client with bipolar I disorder in a manic phase is 'Risk for violence: Other-directed R/T poor impulse control' due to the high risk of impulsive or aggressive behaviors.

Step-by-step explanation:

In the case of a newly admitted client diagnosed with bipolar I disorder who is experiencing a manic episode, the priority nursing diagnosis would be A. Risk for violence: Other-directed R/T poor impulse control.

This is because during a manic episode, the individual may exhibit increased energy, irritability, and significantly decreased judgment, which can lead to an increased risk of harm to others due to impulsive or aggressive behaviors. Immediate focus on preventing harm is essential for patient and staff safety in a clinical setting. Other diagnoses like altered thought processes, social isolation, and low self-esteem, while important, are not as immediately dangerous as the potential for violence.