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 B

Explanation

A. Resting in bed may be helpful later, but it does not provide the immediate reassurance and support needed during a panic attack.

B. Remaining with the client provides reassurance, safety, and emotional support during a panic attack, which is essential for de-escalation.

C. Having the client join a therapy group during a panic attack would be overwhelming and inappropriate.

D. Administering a sedative may be considered later but should not be the first intervention, as verbal support and reassurance are the priority during a panic attack.

A. Isolate the client for a period of time. B. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules C. Confront the client about the senseless nature of the repetitive behaviors. D. Plan the client's schedule to allow time for rituals.

Correct Answer is D

Explanation

A. Isolating the client is not helpful and may increase anxiety, potentially worsening the compulsive behaviors.

B. Setting strict limits can lead to resistance and increased anxiety, making compulsive behaviors more difficult to manage.

C. Confronting the client about the senseless nature of their compulsions is not effective and may increase anxiety, making the behaviors more intense. Instead, it is important to provide support and understanding while working with the client to reduce the impact of OCD on daily functioning.

D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

Correct Answer is B

Explanation

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

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