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 A

Explanation

A. Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation.

B. Administering the next dose of lithium could worsen the toxicity, as these are early signs of lithium overdose.

C. Propranolol is used for controlling tremors or anxiety but does not address lithium toxicity.

D. Levothyroxine is used for thyroid dysfunction, which is not indicated by these symptoms.

A. Client demonstrates effective coping strategies B. Client reports reduced hallucinations C. Client demonstrates persistent avoidance behaviors D. Client reports feelings of tension and fatigue.

Correct Answer is A

Explanation

A. A key outcome criterion for clients with anxiety disorder is the ability to demonstrate effective coping strategies, such as relaxation techniques or problem-solving, to manage anxiety.

B. Reduced hallucinations would be a goal for a client with a psychotic disorder, not an anxiety disorder.

C. Persistent avoidance behaviors would indicate that the client’s anxiety is not being effectively managed.

D. Feelings of tension and fatigue are common symptoms of anxiety and would not be considered an appropriate outcome for treatment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

What is a possible outcome criterion for a client diagnosed with anxiety disorder?

Correct Answer is A

Explanation

A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?