A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment.The patient tells the nurse,"I feel happier,but my sex drive is gone." Which nursing diagnosis has the highest priority?

A) Sexual dysfunction.
B) Ineffective coping.
C) Deficient knowledge about contraception.
D) Risk for self-directed violence.

Antidepressants have adverse effects on sexual desire and response.The nurse should be sure to educate the patient on the potential for these side effects and how to correct for them (e.g. ,using lubricant to ease discomfort).The patient has taken steps toward effective coping by seeking therapy.The patient has not expressed a reason for the nurse to be concerned about contraceptives.The nurse should always assess for concerns about violence in a patient's life.Although some antidepressants have been related to self-directed violence,this patient states that she is feeling happy.