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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Providing a structured activity schedule can be beneficial but comes after understanding the triggers of the behaviors.
B. Relaxation techniques are helpful but would be more effective after understanding the client's specific rituals and triggers.
C. The first step in managing obsessive-compulsive disorder (OCD) is understanding the triggers or precipitating factors for the client's ritualistic behaviors. This helps the nurse identify patterns and understand the client's anxiety, which is essential for planning further interventions.
D. Discussing alternative coping strategies is important but should follow an assessment of the factors that drive the compulsive behaviors.
Correct Answer is C
Explanation
A. While support groups may be helpful, the immediate intervention for a client experiencing heightened anxiety and hypervigilance is to provide structure and safety.
B. Mindfulness meditation may be beneficial in the long term, but it is not the first intervention in an acute phase where anxiety and hypervigilance are prominent.
C. A structured environment with predictable routines and consistent staff can help clients with PTSD feel more secure and reduce feelings of anxiety, hypervigilance, and paranoia. Predictability and structure are key interventions for clients with PTSD.
D. Administering a PRN sedative medication should be a secondary intervention after providing a supportive and safe environment. Medications may be used as part of treatment, but they do not address the underlying anxiety and hypervigilance as effectively as a structured environment.
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