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 A
Explanation
A. Helping the client identify anxiety triggers is a crucial step in managing chronic anxiety. This allows the client to develop coping strategies and minimize stressors.
B. Repressing feelings of anxiety is not a healthy coping mechanism. Acknowledging and addressing anxiety through appropriate strategies is essential.
C. While contacting a counselor is beneficial, weekly contact is not typically needed for chronic anxiety management unless specified by the care plan.
D. It is unrealistic to eliminate all stress and anxiety. The goal is to manage and cope with these feelings, not to eliminate them completely.
Correct Answer is A
Explanation
A. A key outcome criterion for clients with anxiety disorder is the ability to demonstrate effective coping strategies, such as relaxation techniques or problem-solving, to manage anxiety.
B. Reduced hallucinations would be a goal for a client with a psychotic disorder, not an anxiety disorder.
C. Persistent avoidance behaviors would indicate that the client’s anxiety is not being effectively managed.
D. Feelings of tension and fatigue are common symptoms of anxiety and would not be considered an appropriate outcome for treatment.
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