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 B
Explanation
A. A semi-private room may not provide enough structure or prevent overstimulation, which could exacerbate manic behavior.
B. A private room close to the nursing station is ideal for a client in the manic phase of bipolar disorder. The nurse can monitor the client's behavior more closely while providing a quiet, private space to prevent overstimulation from other clients.
C. A seclusion room should not be the first option unless the client is a danger to themselves or others, and the client's activity level can usually be managed with more supportive measures.
D. A private room in a quiet location is not ideal because the nurse needs to be able to monitor the client closely and intervene if necessary, which would be more difficult in a remote area.
Correct Answer is C
Explanation
A. Lorazepam is a benzodiazepine used for anxiety and agitation, but it is not typically used to treat mania.
B. Fluvastatin is a statin medication used to manage cholesterol, not a treatment for mania.
C. Carbamazepine is a mood stabilizer commonly used to treat mania in clients with bipolar disorder, helping to reduce the severity of manic episodes.
D. Propranolol is a beta-blocker used to manage symptoms of anxiety, but it is not used to treat the manic phase of bipolar disorder.
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