A nurse is planning care for a postpartum client who has postpartum depression.
Which of the following interventions should the nurse include in the plan? (Select all that apply.)
Encourage the client to perform self-care activities independently.
Advise the client to limit visitors and phone calls until she feels better.
Provide positive feedback and reassurance to the client.
Refer the client for counseling or therapy as needed.
Educate the client and her family about the condition and available resources.
Correct Answer : C,E
The normal ranges for postpartum depression are: • Edinburgh Postnatal Depression Scale (EPDS): a score of 10 or higher indicates possible PPD. • Patient Health Questioaire-9 (PHQ-9): a score of 5 or higher indicates mild depression, 10 or higher indicates moderate depression, 15 or higher indicates moderately severe depression, and 20 or higher indicates severe depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
The correct answer is choice C. Choice C is wrong because it shows a lack of understanding and empathy for the woman with postpartum depression.
Postpartum depression is not a sign of weakness and it is not something that can be easily overcome by willpower.It is a serious mental health condition that affects up to 15% of new parentsand requires professional treatment.
Choice A is correct because it shows support and compassion for the woman with postpartum depression.It also acknowledges that postpartum depression is not her fault and she needs help to recover.
Choice B is correct because it shows awareness of the common symptoms of postpartum depression, such as mood swings, low energy and appetite changes.
These symptoms can affect the woman’s ability to care for herself and her baby.
Choice D is correct because it shows encouragement for the woman to seek help from a support group or a therapist.Psychotherapy, also called talk therapy or counseling, is an effective treatment for postpartum depression.
It can help the woman cope with her feelings, thoughts and challenges.
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