A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations.

Which of the following interventions should the nurse include in the plan?

Encourage the client to verbalize their feelings and fears

Provide a quiet and calm environment for the client

. Validate the client’s perception of reality and offer reassurance

Avoid confronting or challenging the client’s hallucinations.

Answer and Explanation

The Correct Answer is A

Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women. It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.

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Correct Answer is C

Explanation

The correct answer is choice C. You should drink plenty of fluids and eat high-fiber foods.This will help you prevent constipation and ease your bowel movements, which can be painful after an episiotomy.

Choice A is wrong because you should not avoid taking sitz baths until your stitches dissolve.Sitz baths can help reduce the pain, swelling, and bruising around the wound area.

However, you should consult your doctor before taking a sitz bath.

Choice B is wrong because you should not change your perineal pad from back to front.This can introduce bacteria into your wound and increase the risk of infection.You should change your perineal pad from front to back and use a squirt bottle filled with warm water to cleanse the area every time you use the bathroom.

Choice D is wrong because you should not resume sexual intercourse as soon as you feel comfortable.You should wait until your wound is fully healed and your bleeding has stopped, which may take several weeks.You should also use a lubricant and a condom to prevent irritation and infection.

A. Encourage her to sleep as much as possible B. Encourage her to avoid talking about her feelings C. Encourage her to spend time alone as much as possible D. Encourage her to participate in support groups

Correct Answer is D

Explanation

Encourage her to participate in support groups.This is because support groups can help the postpartum client to share her feelings, learn coping skills, and receive emotional and social support from other mothers who have experienced postpartum depression.Support groups can also reduce the sense of isolation and stigma that some women with postpartum depression may feel.

Encourage her to sleep as much as possible is wrong because sleeping too much can be a sign of depression and can interfere with the mother’s ability to bond with her baby and perform daily activities.Sleeping too little can also worsen symptoms or increase the likelihood of postpartum depression due to sleep deprivation. Therefore, the mother should be encouraged to follow a healthy sleep routine and get help from others if needed.

Encourage her to avoid talking about her feelings is wrong because talking about feelings is an important part of psychotherapy, which is a recommended treatment for postpartum depression.Talking about feelings can help the mother to express her emotions, identify negative thoughts, and receive feedback and guidance from a mental health professional. Avoiding talking about feelings can lead to further isolation and distress.

Encourage her to spend time alone as much as possible is wrong because spending time alone can also increase the sense of isolation and loneliness that some women with postpartum depression may experience. Spending time alone can also prevent the mother from receiving help and support from others, such as her partner, family, friends, or healthcare providers. The mother should be encouraged to seek social support and engage in enjoyable activities with others.

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A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations. Which of the following interventions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations.

Which of the following interventions should the nurse include in the plan?