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

Ineffective coping

Risk for impaired parenting

Anxiety

Risk for self-harm

Answer and Explanation

The Correct Answer is D

A. Ineffective coping is important but secondary to addressing the immediate safety of the client.

B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.

C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.

D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.

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Correct Answer is A

Explanation

A. Helping the client identify anxiety triggers is a crucial step in managing chronic anxiety. This allows the client to develop coping strategies and minimize stressors.

B. Repressing feelings of anxiety is not a healthy coping mechanism. Acknowledging and addressing anxiety through appropriate strategies is essential.

C. While contacting a counselor is beneficial, weekly contact is not typically needed for chronic anxiety management unless specified by the care plan.

D. It is unrealistic to eliminate all stress and anxiety. The goal is to manage and cope with these feelings, not to eliminate them completely.

A. Binge eating and weight gain B. Nightmares, difficulty concentrating, and irritability C. Purging the last meal D. Decreased energy and fatigue

Correct Answer is B

Explanation

A. Binge eating and weight gain are more commonly associated with eating disorders or other psychological conditions, not PTSD.

B. Nightmares, difficulty concentrating, and irritability are key symptoms of PTSD, reflecting the psychological impact of trauma. These are consistent with the intrusive and arousal symptoms associated with PTSD.

C. Purging is associated with eating disorders, not PTSD.

D. Decreased energy and fatigue are common symptoms of depression, not specifically indicative of PTSD, although they can be seen in both conditions.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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