A pregnant client diagnosed with depression expresses concern about pharmacological treatments due to the potential risks. What is the nurse's priority action when addressing her concerns?
Encourage the client to decide Independently without providing any Information.
Consult the healthcare provider to discuss alternative therapies such as counseling or behavioral techniques.
Advise the client against using any medications during pregnancy.
Educate the client about the potential adverse effects of untreated depression during pregnancy.
The Correct Answer is D
A. Encouraging the client to decide independently without providing information is unsafe and does not support informed decision-making. Clients need evidence-based guidance to weigh risks and benefits.
B. Consulting the healthcare provider about alternatives is appropriate, but the priority is first to educate the client about risks of untreated depression, as this information frames any subsequent discussion about therapy options.
C. Advising against all medications during pregnancy is overly restrictive and may put both the mother and fetus at risk if depression remains untreated. Some antidepressants can be used safely under medical supervision.
D. Educating the client about the potential adverse effects of untreated depression during pregnancy is the priority action. Untreated maternal depression can lead to poor prenatal care, preterm birth, low birth weight, impaired maternal-infant bonding, and worsening maternal mental health. By providing this information, the nurse helps the client engage in informed decision-making, weighing the risks of both treatment and non-treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Physical restraints are sometimes used as a last-resort intervention to prevent immediate harm to the client or others, such as in cases of severe agitation or risk of falls. They are intended to be short-term and temporary, with continuous monitoring and frequent reassessment to minimize harm.
B. Restraints do not improve long-term behavior. In fact, overuse can increase agitation, anxiety, and aggression, and can negatively affect trust and the therapeutic relationship.
C. Physical restraints do not address the underlying causes of agitation and do not provide a permanent solution. They may temporarily control behavior but can worsen emotional distress and cognitive symptoms over time.
D. Restraints have no effect on the neurodegenerative process associated with neurocognitive disorders. Cognitive decline continues regardless of restraint use.
Correct Answer is B
Explanation
A. While massage provides sensory stimulation, there is limited evidence that it directly improves cognitive function or slows the progression of dementia. Cognitive therapies, structured memory exercises, or mentally stimulating activities are more effective for maintaining or improving cognition.
B. This is the primary purpose of massage therapy in dementia care. Touch and rhythmic movements can trigger the release of endorphins, improve mood, and provide a sense of comfort and safety. Regular massage sessions have been shown to reduce depressive symptoms, agitation, and emotional distress in older adults with dementia.
C. Massage therapy is typically a one-on-one, individualized intervention. Although it may create a calm state that could facilitate social interaction, its main goal is not to enhance social skills. Structured social activities, group therapy, or engagement in communal activities are better suited for improving socialization.
D. Techniques like reminiscence therapy, music therapy, or life-story work are designed to stimulate memory and recall past experiences. Massage therapy does not target memory recall, so it is not effective for evoking memories in clients with dementia.
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