A depressed patient repeatedly tells staff that he's evil and that his "insides are rotting" because God is punishing him.What would the priority nursing diagnosis for this patient be?

Question

Quizplus · Accepted Answer

The patient is demonstrating delusional thinking suggestive of worthlessness and guilt.The delusional thinking indicates significant cognitive disorganization,potentially placing the patient at risk due to impaired judgment.The cognitive disorganization also interferes with patient learning and understanding and would make it more difficult for the patient to respond to interpersonal therapies.If the issue of impaired thought process is not addressed,the patient will have more difficulty responding to other forms of treatment and may experience harm.Therefore,disturbed thought process is the priority concern in this situation.The other diagnoses do not involve issues of risk and thus are lower priorities.

A Depressed Patient Repeatedly Tells Staff That He's Evil and That