A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?
Ineffective coping
Risk for impaired parenting
Anxiety
Risk for self-harm
The Correct Answer is D
A. Ineffective coping is important but secondary to addressing the immediate safety of the client.
B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.
C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.
D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Naloxone is an opioid antagonist used to reverse opioid overdoses, not benzodiazepines.
B. Diphenhydramine is an antihistamine, not an antagonist for benzodiazepines.
C. Protamine is used to reverse the effects of heparin (an anticoagulant), not benzodiazepines.
D. Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine overdose or sedation.
Correct Answer is D
Explanation
A. Isolating the client is not helpful and may increase anxiety, potentially worsening the compulsive behaviors.
B. Setting strict limits can lead to resistance and increased anxiety, making compulsive behaviors more difficult to manage.
C. Confronting the client about the senseless nature of their compulsions is not effective and may increase anxiety, making the behaviors more intense. Instead, it is important to provide support and understanding while working with the client to reduce the impact of OCD on daily functioning.
D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care.
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