A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?

Bipolar disorder

Premenstrual dysphoric disorder

Psychotic depression

Postpartum depression

Answer and Explanation

The Correct Answer is D

A. Bipolar disorder: Bipolar disorder involves episodes of mania and depression but does not typically present with postpartum psychotic symptoms such as hallucinations.

B. Premenstrual dysphoric disorder: This is a severe form of premenstrual syndrome (PMS) that affects mood, but it is not associated with postpartum psychosis or auditory hallucinations.

C. Psychotic depression: Psychotic depression can include hallucinations, but in a postpartum context, postpartum psychosis is the more likely diagnosis.

D. Postpartum depression: Severe postpartum depression can lead to postpartum psychosis, which includes symptoms like hallucinations and delusions. This is a medical emergency requiring immediate intervention.

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Correct Answer is A

Explanation

A. "My fraternal grandfather was diagnosed with Depression.": Family history is a significant risk factor for major depressive disorder (MDD), supporting the genetic etiology.

B. "It makes me so sad when I think about the fact my grandmother died.": This statement describes a situational response to grief, not a genetic predisposition to depression.

C. “I feel like I just can't do anything right.”: This reflects a cognitive distortion associated with depression but does not indicate a genetic cause.

D. "My mood is 7 out of 10 today.": This provides information about current emotional state rather than genetic risk factors.

A. “I will use this device 20 times per hour while I am awake each day." B. “I should be in a sitting position when using this device." C. “I will hold my breath for 3 seconds after I feel like I cannot inhale any more breath." D. “I will exhale completely before placing my lips around the mouthpiece."

Correct Answer is A

Explanation

A. "I will use this device 20 times per hour while I am awake each day.": Correct. This statement requires correction. While frequent use is recommended, 10 times per hour is typically sufficient. Overuse may cause hyperventilation or dizziness.

B. "I should be in a sitting position when using this device.": Correct. A sitting or semi-Fowler’s position promotes lung expansion and is the proper position for using an incentive spirometer.

C. "I will hold my breath for 3 seconds after I feel like I cannot inhale any more breath.": Correct. Holding the breath allows for alveolar expansion and better lung recruitment.

D. "I will exhale completely before placing my lips around the mouthpiece.": Correct. Exhaling fully ensures that the next inhalation is deep and effective.

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A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client statement is evidence of the etiology of major depressive disorder from a genetic perspective?

Correct Answer is A

Explanation

The nurse is providing education to a patient regarding the use of an incentive spirometer. Which patient statement requires further education?

Correct Answer is A

Explanation

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