Question 1

The nurse is instructing a new mother on the strategies to prevent the development of postpartum depression.Which instructions will the nurse include in the teaching session with the client? Select all that apply.
A)Restrict fluids and eat a low-fat diet help to avoid the onset of postpartum depression.
B)Realize that feeling depressed after delivering a baby is normal and can last for months.
C)The only way to avoid postpartum depression is to not have children.
D)Encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood.
E)Instruct the client to recognize the signs and symptoms of postpartum depression and phone the healthcare provider if these occur.

Accepted Answer

A) Restricting fluids and eating a low-fat diet have no known impact on preventing postpartum depression.
B) While it is common to experience some levels of mood changes after childbirth, postpartum depression is a clinical condition that requires treatment.
C) Avoiding having children altogether is not a viable solution for preventing postpartum depression.
D) Encouraging the client to plan how to manage the baby's care needs at home will help her feel more prepared and confident in her new role as a mother, which may reduce the risk of developing postpartum depression.
E) Recognizing the signs and symptoms of postpartum depression and seeking prompt medical attention if these occur is crucial in preventing the condition from worsening.

Question 2

A client states that he often wonders if everyone would be better off if he were dead.What does the nurse identify this as?
A)A suicide attempt
B)Suicide planning
C)A suicide threat
D)Suicidal ideation

Accepted Answer

The client's statement reflects having suicidal ideation, which is the presence of thoughts or ideas about suicide without a specific plan or intent to act upon them. This statement is not an attempt or planning yet, nor is it necessarily a direct threat, but it should be taken seriously and addressed by the nurse.

Question 3

Which neurotransmitter change is frequently associated with suicide?
A)Increase in serotonin
B)Decrease in serotonin
C)Increase in dopamine
D)Decrease in dopamine

Accepted Answer

Research has consistently found decreased levels of serotonin in individuals who have died by suicide. Serotonin is a neurotransmitter that plays a role in mood regulation and low levels of it have been linked to depression and suicidal behavior.

Question 4

The nurse is caring for a client recovering from a suicide attempt.Which client statement indicates to the nurse that the risk of suicide has diminished?
A)"I am not looking forward to going home with my parents."
B)"I now know that threatening suicide will help me get what I want from my parents."
C)"Even though I failed this time,I lived to think about it again."
D)"I am looking forward to going to school and seeing my friends."

Accepted Answer

The client's statement about looking forward to going to school and seeing friends indicates a renewed sense of hope and interest in life, which can be a positive sign that suicidal ideation has diminished. Choices A, B, and C suggest continued struggles with emotional distress and suicidal thoughts.

Question 5

A nurse working in labor and delivery is assessing a client's risk for developing postpartum depression.Which is a risk factor for this disorder?
A)Multiparity (multiple pregnancies)
B)Overwhelming family support
C)History of bipolar disorder
D)Supportive relationship with spouse

Accepted Answer

A history of bipolar disorder is a risk factor for postpartum depression. Multiparity and supportive relationships can actually be protective factors against developing postpartum depression. Overwhelming family support is not necessarily a risk factor on its own, but the lack of boundaries and pressure from family members can contribute to the development of postpartum depression.

Question 6

Which assessment findings indicate that a client is at increased risk for suicide? Select all that apply.
A)Substance abuse
B)Age 59
C)Plays golf twice a week
D)Widowed for 6 months
E)Recently started a new job

Accepted Answer

A)Of the assessment findings, the ones that would increase the client's risk for suicide are the recent loss of a spouse and substance abuse. For the risk of age, elderly male clients have the highest risk followed by adolescents and college students. Active employment and engagement in activities do not increase the risk for suicidal ideation or behavior.
B)Of the assessment findings, the ones that would increase the client's risk for suicide are the recent loss of a spouse and substance abuse. For the risk of age, elderly male clients have the highest risk followed by adolescents and college students. Active employment and engagement in activities do not increase the risk for suicidal ideation or behavior.
C)Of the assessment findings, the ones that would increase the client's risk for suicide are the recent loss of a spouse and substance abuse. For the risk of age, elderly male clients have the highest risk followed by adolescents and college students. Active employment and engagement in activities do not increase the risk for suicidal ideation or behavior.
D)Of the assessment findings, the ones that would increase the client's risk for suicide are the recent loss of a spouse and substance abuse. For the risk of age, elderly male clients have the highest risk followed by adolescents and college students. Active employment and engagement in activities do not increase the risk for suicidal ideation or behavior.
E)Of the assessment findings, the ones that would increase the client's risk for suicide are the recent loss of a spouse and substance abuse. For the risk of age, elderly male clients have the highest risk followed by adolescents and college students. Active employment and engagement in activities do not increase the risk for suicidal ideation or behavior.

Question 7

A nursing instructor is evaluating a nursing student's knowledge regarding a client with suicidal thoughts.Which statement made by the student demonstrates an understanding regarding assessing a client with suicidal thoughts?
A)"I should attempt to make light of the circumstances."
B)"I should be indirect and respectful."
C)"I should not talk about suicide directly."
D)"I should directly acknowledge the situation."

Accepted Answer

The best answer is D because acknowledging the situation directly is important when assessing a client with suicidal thoughts. This can help the client feel heard and understood, and also give the nurse the opportunity to gather more information about the client's thoughts and feelings. Making light of the situation (choice A) is inappropriate and disrespectful, being indirect and respectful (choice B) may not effectively address the issue at hand and not talking about suicide directly (choice C) can result in missed opportunities for intervention.

Question 8

A 76-year-old man was recently diagnosed with Alzheimer disease.His wife passed away 6 months ago due to metastatic breast cancer.The client states that he doesn't sleep well,often forgets to eat because he doesn't feel hungry,and he just doesn't get involved in social functions anymore because his kids don't want him to drive.He states that he feels isolated and lonely.What diagnosis should the nurse include as the highest priority in this client's plan of care?
A)Ineffective Activity Planning
B)Grieving
C)Risk for Loneliness
D)Risk for Suicide

Accepted Answer

The client's statement about feeling isolated and lonely, combined with recent grief, diagnosis of Alzheimer's, and sleep and appetite disturbances, puts him at risk for suicidal ideation. It is important to prioritize his safety and address any potential suicidal thoughts or behaviors.

Question 9

What is the greatest risk for a woman diagnosed with postpartum psychosis?
A)Infanticide
B)Hallucinations
C)Insomnia
D)Poor judgment

Accepted Answer

Infanticide is the greatest risk for a woman diagnosed with postpartum psychosis. Women experiencing postpartum psychosis may have delusions, hallucinations, and poor judgment, which could lead them to harm themselves or their newborn. It is important to seek immediate medical attention if a woman is experiencing symptoms of postpartum psychosis to ensure the safety of both the mother and child.

Question 10

The nurse is caring for several clients who have plans to commit suicide.Which plan does the nurse identify as being most lethal?
A)The individual who plans to use a mild overdose of pharmaceuticals
B)The individual who plans to jump off a tall building
C)The individual who plans to jump off a bridge into a river
D)The individual who plans to slit across one wrist

Accepted Answer

Jumping off a tall building has a high likelihood of causing death, while the other options may not be as lethal. Slitting one wrist can be survived, and jumping off a bridge into a river may not cause death due to the water breaking the impact.

Question 11

A client who has attempted to commit suicide in the past tells the nurse about feeling better since being prescribed an antidepressant medication.Which conclusion by the nurse is appropriate based on the assessment data?
A)Improved mood
B)Improved sleep
C)Improved feelings of guilt
D)Improved appetite

Accepted Answer

The fact that the client reports feeling better since being prescribed an antidepressant medication suggests an improvement in mood, which is a positive outcome for someone who has attempted suicide in the past. Improved sleep, feelings of guilt, and appetite may also be beneficial, but the assessment data only mentions improvement in mood.

Question 12

Which data should suggest to the home health nurse that the client experiencing postpartum depression is improving?
A)Client wearing clean clothes,holding baby while rocking in a chair
B)Spouse making dinner,client in bed asleep,baby in rocker in the kitchen
C)Dirty dishes in the sink,beds unmade,and client wearing clothing for sleep
D)Client watching television in the living room while the baby is in the crib crying

Accepted Answer

The client wearing clean clothes and holding the baby while rocking suggest that she is engaging in self-care and actively caring for her child. This indicates an improvement in her condition.

Question 13

Which nursing intervention would the nurse anticipate carrying out to meet the needs of the family of a client experiencing postpartum depression?
A)Emotional support for the newborn
B)Emotional support for the father
C)Temporary placement of the newborn in foster care
D)Child care for the newborn

Accepted Answer

A)The father may have a difficult time adjusting to both a newborn and the mother's postpartum depression. The father may feel hurt or worried about the mother and overwhelmed by additional responsibilities. Although newborns need security and safety, nursing interventions of emotional support are not age appropriate. The child should not be placed in foster care unless the mother threatens harm to the newborn and no one else is available to care for the child. The nurse is not responsible for providing child care for the newborn.
B)The father may have a difficult time adjusting to both a newborn and the mother's postpartum depression. The father may feel hurt or worried about the mother and overwhelmed by additional responsibilities. Although newborns need security and safety, nursing interventions of emotional support are not age appropriate. The child should not be placed in foster care unless the mother threatens harm to the newborn and no one else is available to care for the child. The nurse is not responsible for providing child care for the newborn.
C)The father may have a difficult time adjusting to both a newborn and the mother's postpartum depression. The father may feel hurt or worried about the mother and overwhelmed by additional responsibilities. Although newborns need security and safety, nursing interventions of emotional support are not age appropriate. The child should not be placed in foster care unless the mother threatens harm to the newborn and no one else is available to care for the child. The nurse is not responsible for providing child care for the newborn.
D)The father may have a difficult time adjusting to both a newborn and the mother's postpartum depression. The father may feel hurt or worried about the mother and overwhelmed by additional responsibilities. Although newborns need security and safety, nursing interventions of emotional support are not age appropriate. The child should not be placed in foster care unless the mother threatens harm to the newborn and no one else is available to care for the child. The nurse is not responsible for providing child care for the newborn.

Question 14

An adolescent client hospitalized with asphyxiation following a suicide attempt tells the nurse,"I know other kids have the same problems I do,but I just wanted to make it stop." Which action by the nurse is the most appropriate?
A)Discuss the client's attendance at school and what activities are enjoyed.
B)Suggest the client listen to music and read a light novel to reduce stress.
C)Ask if the client would like to talk about stressors and problems.
D)Ask what is so devastating that the client needed to commit suicide.

Accepted Answer

Asking if the client would like to talk about stressors and problems is a therapeutic response that acknowledges the client's feelings and offers an opportunity to discuss issues that may have contributed to the suicide attempt. It also shows the nurse's willingness to listen and provide support. The other options do not address the client's statement and do not facilitate further discussion.

Question 15

A client who is breastfeeding has been diagnosed with postpartum depression after delivering her first child.Which medications does the nurse anticipate being prescribed for this client? Select all that apply.
A)Diazepam
B)Phenytoin
C)Paroxetine
D)Fluoxetine
E)Sertraline

Accepted Answer

A)Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Diazepam and phenytoin are not used to treat postpartum depression.
B)Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Diazepam and phenytoin are not used to treat postpartum depression.
C)Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Diazepam and phenytoin are not used to treat postpartum depression.
D)Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Diazepam and phenytoin are not used to treat postpartum depression.
E)Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Diazepam and phenytoin are not used to treat postpartum depression.

Question 16

A nurse is conducting an admission assessment on a client admitted for thoughts of suicide.Which assessment findings would indicate that the client is at a high level risk of suicide? Select all that apply.
A)Displays mild depression.
B)Shows curiosity about death.
C)Has access to a gun at home.
D)Admits planning to end his or her life.
E)Discusses a plan to end his or her life in detail.

Accepted Answer

A)A client who has access to a gun at home, admits planning to end his or her life, and discusses a plan to end his or her life in detail is at high risk for suicide. Displaying mild depression and showing curiosity about death indicate low-level risk for suicide.
B)A client who has access to a gun at home, admits planning to end his or her life, and discusses a plan to end his or her life in detail is at high risk for suicide. Displaying mild depression and showing curiosity about death indicate low-level risk for suicide.
C)A client who has access to a gun at home, admits planning to end his or her life, and discusses a plan to end his or her life in detail is at high risk for suicide. Displaying mild depression and showing curiosity about death indicate low-level risk for suicide.
D)A client who has access to a gun at home, admits planning to end his or her life, and discusses a plan to end his or her life in detail is at high risk for suicide. Displaying mild depression and showing curiosity about death indicate low-level risk for suicide.
E)A client who has access to a gun at home, admits planning to end his or her life, and discusses a plan to end his or her life in detail is at high risk for suicide. Displaying mild depression and showing curiosity about death indicate low-level risk for suicide.

Question 17

A nurse is interviewing a client who recently attempted suicide.Which question is appropriate for the nurse to ask the client?
A)"Do you currently have a plan for killing yourself?"
B)"Why would you think about harming yourself?"
C)"Did you feel unsafe?"
D)"Do you ever think about hurting yourself?"

Accepted Answer

Asking if the client has a current plan for suicide is appropriate as it helps the nurse assess the client's level of risk and develop a safety plan to prevent future attempts. It also helps the nurse identify any immediate interventions that may need to be taken. The other options are more general and may not provide enough specific information for the nurse to adequately assess and intervene with the client's risk for suicide.

Quiz 28: Mood and Affect Updated for Dsm-5

The nurse is instructing a new mother on the strategies to prevent the development of postpartum depression.Which instructions will the nurse include in the teaching session with the client? Select all that apply.

A client states that he often wonders if everyone would be better off if he were dead.What does the nurse identify this as?

Which neurotransmitter change is frequently associated with suicide?

The nurse is caring for a client recovering from a suicide attempt.Which client statement indicates to the nurse that the risk of suicide has diminished?

A nurse working in labor and delivery is assessing a client's risk for developing postpartum depression.Which is a risk factor for this disorder?

Which assessment findings indicate that a client is at increased risk for suicide? Select all that apply.

A nursing instructor is evaluating a nursing student's knowledge regarding a client with suicidal thoughts.Which statement made by the student demonstrates an understanding regarding assessing a client with suicidal thoughts?

What is the greatest risk for a woman diagnosed with postpartum psychosis?

The nurse is caring for several clients who have plans to commit suicide.Which plan does the nurse identify as being most lethal?

A client who has attempted to commit suicide in the past tells the nurse about feeling better since being prescribed an antidepressant medication.Which conclusion by the nurse is appropriate based on the assessment data?

Which data should suggest to the home health nurse that the client experiencing postpartum depression is improving?

Which nursing intervention would the nurse anticipate carrying out to meet the needs of the family of a client experiencing postpartum depression?

An adolescent client hospitalized with asphyxiation following a suicide attempt tells the nurse,"I know other kids have the same problems I do,but I just wanted to make it stop." Which action by the nurse is the most appropriate?

A client who is breastfeeding has been diagnosed with postpartum depression after delivering her first child.Which medications does the nurse anticipate being prescribed for this client? Select all that apply.

A nurse is conducting an admission assessment on a client admitted for thoughts of suicide.Which assessment findings would indicate that the client is at a high level risk of suicide? Select all that apply.

A nurse is interviewing a client who recently attempted suicide.Which question is appropriate for the nurse to ask the client?