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학습 자료 둘러보기 →When a client with major depressive disorder and suicidal ideation is admitted, the nurse's immediate priority is to identify and manage any co-occurring, potentially fatal physiological condition. Alcohol withdrawal syndrome is a common and life-threatening comorbidity that can mimic or exacerbate psychiatric symptoms.
The priority intervention is to monitor for delirium tremens and seizure activity. Unrecognized and untreated, these can rapidly lead to death. A thorough assessment for autonomic instability, hallucinations, and tremors is critical within the first 24 to 72 hours of admission.
Do not assume that agitation, confusion, or increased depression are solely psychiatric in origin. Always screen for substance use and initiate the CIWA-Ar protocol if withdrawal is suspected. Safety and physiological stabilization always precede psychosocial interventions like group therapy.
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