Which patient is at the highest risk of developing postpartum depression?

A mother who had a healthy pregnancy and delivery

A first-time mother with a supportive partner

A mother with a history of depression and minimal social support

A mother with no family history of mental illness

Answer and Explanation

The Correct Answer is C

A. A mother with a healthy pregnancy and delivery has a lower risk, though postpartum depression can still occur, it is not as likely as in cases with more risk factors.

B. A first-time mother with a supportive partner has protective factors such as a strong support system, reducing the risk of postpartum depression.

C. A history of depression and minimal social support are significant risk factors for postpartum depression. Previous mental health issues increase the likelihood of postpartum mood disorders, and lack of support makes coping more difficult.

D. A lack of a family history of mental illness does not eliminate the risk of postpartum depression, especially if other risk factors, such as previous depression or limited support, are present.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. While gastrointestinal side effects are common with fluoxetine, they are not the priority concern in the context of bipolar disorder.

B. Fluoxetine (Prozac) is an SSRI used to treat depression, but in patients with bipolar disorder, it can trigger a manic episode. Therefore, the nurse's priority is to monitor for signs of mania, such as increased energy, euphoria, or impulsivity.

C. Administering the medication as ordered is essential, but the nurse must be vigilant for signs of mania, especially with SSRIs in bipolar patients.

D. Educating about weight gain is important but does not address the immediate risk of precipitating mania with fluoxetine in a bipolar patient.

A. Nausea B. Tremors C. Skin rash D. Drowsiness

Correct Answer is C

Explanation

A. Nausea is a common side effect but is not as critical as a skin rash.

B. Tremors may occur with certain medications used in bipolar disorder but are not a specific concern with lamotrigine.

C. A skin rash is a serious adverse effect of lamotrigine, as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which require immediate medical intervention.

D. Drowsiness may occur with many medications but is not as urgent as a skin rash in this case.

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Which patient is at the highest risk of developing postpartum depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?

Correct Answer is B

Explanation

A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?

Correct Answer is C

Explanation

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder? (Select all that apply)

A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?