A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations.
Which of the following interventions should the nurse include in the plan?
Encourage the client to verbalize their feelings and fears
Provide a quiet and calm environment for the client
. Validate the client’s perception of reality and offer reassurance
Avoid confronting or challenging the client’s hallucinations.
The Correct Answer is A
Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women. It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Encourage the client to talk about her feelings and listen empathetically.
This action shows respect for the client’s emotions and helps her process her experience.
It also allows the nurse to provide support and reassurance.
Choice A is wrong because it dismisses the client’s feelings and implies that she should not be upset.
This can make the client feel guilty or invalidated.
Choice C is wrong because it blames the client for having unrealistic and unachievable expectations.
This can make the client feel ashamed or defensive.
Choice D is wrong because it suggests that the client needs professional counselling to cope with her emotions.
This can make the client feel stigmatized or abnormal.
Normal ranges for postpartum emotions vary depending on the individual and the circumstances.
However, some signs of postpartum depression or post-traumatic stress disorder include persistent sadness, anxiety, anger, guilt, flashbacks, nightmares, insomnia, loss of interest, difficulty bonding with the baby, or thoughts of harming oneself or the baby.
These symptoms should be reported to a healthcare provider as soon as possible.
Correct Answer is C
Explanation
The correct answer is choice C. You should drink plenty of fluids and eat high-fiber foods.This will help you prevent constipation and ease your bowel movements, which can be painful after an episiotomy.
Choice A is wrong because you should not avoid taking sitz baths until your stitches dissolve.Sitz baths can help reduce the pain, swelling, and bruising around the wound area.
However, you should consult your doctor before taking a sitz bath.
Choice B is wrong because you should not change your perineal pad from back to front.This can introduce bacteria into your wound and increase the risk of infection.You should change your perineal pad from front to back and use a squirt bottle filled with warm water to cleanse the area every time you use the bathroom.
Choice D is wrong because you should not resume sexual intercourse as soon as you feel comfortable.You should wait until your wound is fully healed and your bleeding has stopped, which may take several weeks.You should also use a lubricant and a condom to prevent irritation and infection.
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