The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Refer the client to a psychiatrist since it is important to get treatment for postpartum depression quickly.

Inform the client that these symptoms will go away and to seek support from friends and family.

Discuss with the client the potential for involuntary admission to prevent harm to self and newborn.

Prepare for the administration of an IV neuroactive steroid over a 60-hour period of time.

Answer and Explanation

The Correct Answer is A

Choice A reason: Referring the client to a psychiatrist is important for a quick evaluation and treatment of postpartum depression, which can be serious if left untreated.

Choice B reason: Informing the client that symptoms will go away may not be therapeutic if the client is experiencing postpartum depression, which requires professional treatment.

Choice C reason: Discussing involuntary admission may be necessary if there is an immediate risk of harm, but it is not the first therapeutic action to take.

Choice D reason: Preparing for the administration of an IV neuroactive steroid could be part of a treatment plan, but it would typically follow a psychiatric evaluation and diagnosis.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: This statement is an example of rationalizing the spouse's behavior, which can perpetuate the cycle of substance abuse.

Choice B reason: Providing money for drugs, even under the guise of preventing theft, is enabling because it facilitates the continuation of the substance abuse.

Choice C reason: Suggesting rehab as a condition for coming home is not enabling; it is a step towards addressing the substance use disorder.

Choice D reason: Calling in sick on behalf of the spouse to cover for their potential job loss due to substance abuse is an enabling behavior that prevents the spouse from facing the natural consequences of their actions.

Choice E reason: Securing valuables to prevent theft due to the spouse's substance abuse is also enabling because it adjusts normal routines to accommodate the substance use, rather than confronting or addressing the issue.

A. Prior physical health followed by the need for two surgeries within the last three months. B. Constant worry about the undiagnosed presence of an illness. C. Sudden unexplained loss of peripheral sensation. D. Obsession over a fictitious defect in physical appearance.

Correct Answer is B

Explanation

Choice A reason: This choice does not typically relate to illness anxiety disorder, as the concern is usually about having an illness, not the aftermath of confirmed physical health issues.

Choice B reason: Constant worry about the undiagnosed presence of an illness is a hallmark of illness anxiety disorder, where individuals are preoccupied with having or acquiring a serious illness despite medical evaluation and reassurance.

Choice C reason: Sudden loss of peripheral sensation is more indicative of a neurological condition rather than illness anxiety disorder.

Choice D reason: An obsession over a fictitious defect in physical appearance is characteristic of body dysmorphic disorder, not illness anxiety disorder.

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The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply)

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client asks the nurse why all of these questions are being asked. Which techniques will the nurse most likely avoid using to foster more therapeutic responses? Select all that apply.

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?