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. The client’s physical symptoms (chest pain, headache, shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety, which is marked by intense physical and emotional distress.
B. Moderate anxiety involves increased nervousness or slight discomfort but does not cause the severe physical symptoms seen in panic anxiety.
C. Mild anxiety presents with slight restlessness or tension, without significant physical symptoms.
D. Severe anxiety would involve significant impairment in thinking or perception but is more focused on a sense of being overwhelmed or immobilized, rather than exhibiting full panic symptoms.
Correct Answer is C
Explanation
A. Hearing voices could indicate psychosis, which is not specifically linked to acute mania in bipolar disorder. Mania may involve delusions or grandiosity but not auditory hallucinations.
B. Dressing in all black is not specific to acute mania and could be related to personal style or another mood state.
C. Disorganized speech is a hallmark symptom of acute mania in bipolar disorder. The individual may exhibit flight of ideas, rapid speech, or incoherent thoughts.
D. Weight gain is more commonly associated with depression or medication side effects, not acute mania.
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