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.

Answer and Explanation

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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Correct Answer is D

Explanation

The correct answer is choice D. All of the above.

The nurse should consider the woman’s preferences and needs, the availability and accessibility of services, and the cost and insurance coverage of services when making referrals for postpartum depression.

Choice A is wrong because it is not enough to consider only the woman’s preferences and needs.

The nurse should also take into account the practical aspects of accessing and affording the services.

Choice B is wrong because it is not enough to consider only the availability and accessibility of services.

The nurse should also respect the woman’s wishes and needs and help her find services that are suitable for her.

Choice C is wrong because it is not enough to consider only the cost and insurance coverage of services.

The nurse should also ensure that the services are available and accessible, and that they meet the woman’s preferences and needs.

A. The client reports increased self-esteem and confidence. B. . The client demonstrates increased interest in social activities. C. The client verbalizes positive thoughts and beliefs about herself. D. All of the above.

Correct Answer is D

Explanation

The correct answer is choice D. All of the above outcomes indicate that CBT is effective for postpartum depression.CBT is a psychological treatment that helps women identify and change unhelpful thoughts, feelings, and behaviors that contribute to depression.CBT can improve self-esteem, confidence, social interest, and positive thoughts and beliefs about oneself.

Choice A is wrong because it only covers one aspect of CBT effectiveness.

Self-esteem and confidence are important outcomes, but they are not the only ones.

Choice B is wrong because it only covers one aspect of CBT effectiveness.

Social interest is an indicator of reduced isolation and increased support, but it is not the only one.

Choice C is wrong because it only covers one aspect of CBT effectiveness.

Positive thoughts and beliefs are a key component of CBT, but they are not the only one.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is referring a woman with postpartum depression to specialized services as needed, such as social workers, psychologists, or psychiatrists. Which of the following factors should the nurse consider when making referrals?

Correct Answer is D

Explanation

A nurse is evaluating a client who has postpartum depression after 4 weeks of treatment with cognitive behavioral therapy (CBT). Which of the following outcomes indicates that CBT is effective?

Correct Answer is D

Explanation

A nurse is educating a group of pregnant women about postpartum depression. Which of the following statements by one of the participants indicates a need for further teaching?

A nurse is caring for a postpartum client who delivered her third infant 2 days ago. The nurse recognizes that which of the following findings are suggestive of postpartum depression? (Select all that apply.).

A nurse is providing education and support to a woman with postpartum depression and her family members. Which of the following statements by the family members indicates a need for further teaching?

A nurse is providing discharge teaching to a client who has postpartum depression and a prescription for sertraline (Zoloft). Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of.

A nurse is monitoring medication adherence and potential side effects for a woman with postpartum depression who is taking sertraline (Zoloft). Which of the following side effects should the nurse report to the healthcare provider immediately?

A nurse is conducting a home visit for a client who has postpartum depression and is taking paroxetine. Which of the following statements by the client indicates an understanding of the medication?

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite and a feeling of let down. Which of the following conditions are associated with these manifestations?

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.)