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 sympathetic nervous system is responsible for the "fight or flight" response, which is triggered during times of anxiety, stress, or fear. It increases heart rate, blood pressure, and prepares the body to respond to perceived threats, which aligns with the client's severe anxiety going to work.
B. The limbic system plays a role in emotion and memory but is not directly responsible for the physiological changes associated with anxiety.
C. The parasympathetic nervous system is responsible for "rest and digest" functions, counteracting the sympathetic nervous system’s responses during relaxation, not during anxiety.
D. The vagus nerve is part of the parasympathetic system and is not primarily responsible for the acute anxiety response.
Correct Answer is B
Explanation
A. The behavior of picking up after others does not limit interaction time with others; it is driven by anxiety.
B. The compulsive behavior in OCD is often used as a coping mechanism to reduce anxiety. The client is attempting to neutralize or manage obsessive thoughts by performing these repetitive actions.
C. The behavior is not intended to focus attention on meaningful tasks but to alleviate distress.
D. While the behavior might seem to control the environment, the primary motivation is anxiety reduction, not manipulation of others.
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