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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Correct Answer is D

Explanation

A. Isolating the client is not appropriate, as it can increase anxiety and exacerbate the compulsive behaviors.

B. Setting strict limits can lead to increased anxiety and resistance, making it harder to manage the compulsive behaviors.

C. Confronting the client about the senselessness of their compulsions can increase anxiety and worsen the behavior. It is more helpful to provide a supportive environment that allows for the rituals, gradually decreasing their frequency and intensity.

D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals helps to manage the behavior while maintaining the therapeutic structure and routine on the unit.

A. Potassium B. Sodium C. Vitamin C D. Vitamin K

Correct Answer is B

Explanation

A. Potassium intake is not specifically important for the management of lithium therapy, though potassium levels should be monitored in some situations for general health.

B. Lithium is a mood stabilizer used to treat bipolar disorder, and it is important to maintain a consistent sodium intake. Lithium levels can be affected by changes in sodium levels, as low sodium levels can increase lithium toxicity.

C. Vitamin C is not directly related to lithium therapy and is not necessary for managing its effects.

D. Vitamin K does not have a significant role in lithium therapy and does not impact its effectiveness or toxicity.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

Correct Answer is D

Explanation

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

Correct Answer is B

Explanation

A patient with bipolar II disorder is most likely to experience:

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?

A client with Premenstrual dysphoric disorder (PMDD) asks how her condition differs from premenstrual syndrome (PMS). What is the nurse's best response?

Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

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

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?