A nurse is planning care for a client who has postpartum depression with suicidal ideation.
Which of the following interventions should be included in the plan of care?
Encourage the client to express her feelings and concerns
Allow the client to have unlimited alone time with her infant
Instruct the client’s partner to remove all sharp objects from the home
Advise the client to limit naps during the day and rest only at night.
The Correct Answer is D
Answer and explanation
The correct answer is choice A. Encourage the client to express her feelings and concerns. This is an appropriate intervention for a client who has postpartum depression with suicidal ideation because it allows the client to vent their emotions and feel supported by the nurse.
It also helps the nurse assess the client’s risk of self-harm and provide appropriate referrals if needed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
The correct answer is choice B and D.Fatigue and flat affect are two symptoms of postpartum depression, which is a type of mood disorder that affects some people after giving birth.Postpartum depression can cause feelings of sadness, anxiety, guilt, irritability and difficulty bonding with the baby.
Choice A is wrong because fatigue is not a normal part of the postpartum period.It can indicate a lack of sleep, physical exhaustion or depression.
Choice C is wrong because euphoria is not a symptom of postpartum depression.It can be a sign of postpartum psychosis, which is a rare and severe condition that requires emergency medical attention.
Choice E is wrong because crying is not necessarily a symptom of postpartum depression.
It can be a normal reaction to the hormonal and emotional changes that occur after childbirth.However, if crying is excessive, prolonged or accompanied by other signs of depression, it may indicate a problem.
Correct Answer is D
Explanation
The correct answer is choice D. Paroxetine is an antidepressant that belongs to the class of selective serotonin reuptake inhibitors (SSRIs).
It can cause withdrawal symptoms if stopped abruptly, such as nausea, dizziness, headache, and anxiety.Therefore, it is recommended to taper off this medication gradually when feeling better, under the guidance of a doctor.
Choice A is wrong because paroxetine does not usually cause nausea and does not need to be taken with food.Choice B is wrong because paroxetine does not cause constipation, but rather diarrhea as a common side effect.Choice C is wrong because paroxetine does not interact with grapefruit juice, unlike some other medications that are metabolized by the same enzyme.Grapefruit juice can increase or decrease the blood levels of some drugs, causing adverse effects or reduced efficacy.
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