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)The nurse should instruct the client on the signs and symptoms of postpartum depression with the direction to phone her healthcare provider if this occurs. The nurse should also encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. It is not normal to feel depressed for months after delivering a baby. Not having children is not the only way to avoid postpartum depression. Restricting fluids and eating a low-fat diet will not prevent postpartum depression and could harm the new mother's physiologic status.
B)The nurse should instruct the client on the signs and symptoms of postpartum depression with the direction to phone her healthcare provider if this occurs. The nurse should also encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. It is not normal to feel depressed for months after delivering a baby. Not having children is not the only way to avoid postpartum depression. Restricting fluids and eating a low-fat diet will not prevent postpartum depression and could harm the new mother's physiologic status.
C)The nurse should instruct the client on the signs and symptoms of postpartum depression with the direction to phone her healthcare provider if this occurs. The nurse should also encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. It is not normal to feel depressed for months after delivering a baby. Not having children is not the only way to avoid postpartum depression. Restricting fluids and eating a low-fat diet will not prevent postpartum depression and could harm the new mother's physiologic status.
D)The nurse should instruct the client on the signs and symptoms of postpartum depression with the direction to phone her healthcare provider if this occurs. The nurse should also encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. It is not normal to feel depressed for months after delivering a baby. Not having children is not the only way to avoid postpartum depression. Restricting fluids and eating a low-fat diet will not prevent postpartum depression and could harm the new mother's physiologic status.
E)The nurse should instruct the client on the signs and symptoms of postpartum depression with the direction to phone her healthcare provider if this occurs. The nurse should also encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. It is not normal to feel depressed for months after delivering a baby. Not having children is not the only way to avoid postpartum depression. Restricting fluids and eating a low-fat diet will not prevent postpartum depression and could harm the new mother's physiologic status.

Question 2

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 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

A)The most commonly studied neurotransmitter thought to be connected to suicide is serotonin. Suicidal individuals have been found to have decreased levels of serotonin, which can cause increased impulsivity and suicidal behavior.
B)The most commonly studied neurotransmitter thought to be connected to suicide is serotonin. Suicidal individuals have been found to have decreased levels of serotonin, which can cause increased impulsivity and suicidal behavior.
C)The most commonly studied neurotransmitter thought to be connected to suicide is serotonin. Suicidal individuals have been found to have decreased levels of serotonin, which can cause increased impulsivity and suicidal behavior.
D)The most commonly studied neurotransmitter thought to be connected to suicide is serotonin. Suicidal individuals have been found to have decreased levels of serotonin, which can cause increased impulsivity and suicidal behavior.

Question 4

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)A history of bipolar disorder is a risk factor for the development of postpartum depression. Primiparity (first pregnancy)is a risk factor, not multiparity. Lack of family support and lack of spousal support are risk factors for the development of postpartum depression.
B)A history of bipolar disorder is a risk factor for the development of postpartum depression. Primiparity (first pregnancy)is a risk factor, not multiparity. Lack of family support and lack of spousal support are risk factors for the development of postpartum depression.
C)A history of bipolar disorder is a risk factor for the development of postpartum depression. Primiparity (first pregnancy)is a risk factor, not multiparity. Lack of family support and lack of spousal support are risk factors for the development of postpartum depression.
D)A history of bipolar disorder is a risk factor for the development of postpartum depression. Primiparity (first pregnancy)is a risk factor, not multiparity. Lack of family support and lack of spousal support are risk factors for the development of postpartum depression.

Question 5

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

A)The statement "I am looking forward to going to school and seeing my friends" indicates hope for the future, which is a desired outcome of care for a client who is at risk for suicide. The other statements indicate that the client may need further intervention either before discharge or once at home.
B)The statement "I am looking forward to going to school and seeing my friends" indicates hope for the future, which is a desired outcome of care for a client who is at risk for suicide. The other statements indicate that the client may need further intervention either before discharge or once at home.
C)The statement "I am looking forward to going to school and seeing my friends" indicates hope for the future, which is a desired outcome of care for a client who is at risk for suicide. The other statements indicate that the client may need further intervention either before discharge or once at home.
D)The statement "I am looking forward to going to school and seeing my friends" indicates hope for the future, which is a desired outcome of care for a client who is at risk for suicide. The other statements indicate that the client may need further intervention either before discharge or once at home.

Question 6

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 7

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

A)Although all of these diagnoses may be included in the client's plan of care, the diagnosis with the highest priority is risk for suicide. Risk factors for suicide that this client displays are age over 65 years, male client, symptoms of depression, death of a close loved one, and diagnosis of a terminal illness. Older adults have a higher rate of success when attempting suicide because they tend to use more lethal means. Therefore, risk for suicide should be a high-priority diagnosis for this client.
B)Although all of these diagnoses may be included in the client's plan of care, the diagnosis with the highest priority is risk for suicide. Risk factors for suicide that this client displays are age over 65 years, male client, symptoms of depression, death of a close loved one, and diagnosis of a terminal illness. Older adults have a higher rate of success when attempting suicide because they tend to use more lethal means. Therefore, risk for suicide should be a high-priority diagnosis for this client.
C)Although all of these diagnoses may be included in the client's plan of care, the diagnosis with the highest priority is risk for suicide. Risk factors for suicide that this client displays are age over 65 years, male client, symptoms of depression, death of a close loved one, and diagnosis of a terminal illness. Older adults have a higher rate of success when attempting suicide because they tend to use more lethal means. Therefore, risk for suicide should be a high-priority diagnosis for this client.
D)Although all of these diagnoses may be included in the client's plan of care, the diagnosis with the highest priority is risk for suicide. Risk factors for suicide that this client displays are age over 65 years, male client, symptoms of depression, death of a close loved one, and diagnosis of a terminal illness. Older adults have a higher rate of success when attempting suicide because they tend to use more lethal means. Therefore, risk for suicide should be a high-priority diagnosis for this client.

Question 8

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 9

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

A)Suicidal ideation is having thoughts of harming or killing oneself. A suicide threat is more serious than a casual statement of suicidal intent and is accompanied by other behavior changes. A suicide attempt is a nonfatal, self-inflicted destructive act with explicit or inferred intent to die. A suicide plan is a decision to commit suicide and an identified method.
B)Suicidal ideation is having thoughts of harming or killing oneself. A suicide threat is more serious than a casual statement of suicidal intent and is accompanied by other behavior changes. A suicide attempt is a nonfatal, self-inflicted destructive act with explicit or inferred intent to die. A suicide plan is a decision to commit suicide and an identified method.
C)Suicidal ideation is having thoughts of harming or killing oneself. A suicide threat is more serious than a casual statement of suicidal intent and is accompanied by other behavior changes. A suicide attempt is a nonfatal, self-inflicted destructive act with explicit or inferred intent to die. A suicide plan is a decision to commit suicide and an identified method.
D)Suicidal ideation is having thoughts of harming or killing oneself. A suicide threat is more serious than a casual statement of suicidal intent and is accompanied by other behavior changes. A suicide attempt is a nonfatal, self-inflicted destructive act with explicit or inferred intent to die. A suicide plan is a decision to commit suicide and an identified method.

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

A)Individuals who have only death in mind when attempting suicide will usually use a gun, hang themselves, or jump from a tall building, because these methods are more likely to case mortal injuries. Individuals who would like to die but really just want people to know how unhappy they are will often use less mortal means such as a mild overdose of pharmaceuticals or causing injuries that would be life threatening if no one found them in time.
B)Individuals who have only death in mind when attempting suicide will usually use a gun, hang themselves, or jump from a tall building, because these methods are more likely to case mortal injuries. Individuals who would like to die but really just want people to know how unhappy they are will often use less mortal means such as a mild overdose of pharmaceuticals or causing injuries that would be life threatening if no one found them in time.
C)Individuals who have only death in mind when attempting suicide will usually use a gun, hang themselves, or jump from a tall building, because these methods are more likely to case mortal injuries. Individuals who would like to die but really just want people to know how unhappy they are will often use less mortal means such as a mild overdose of pharmaceuticals or causing injuries that would be life threatening if no one found them in time.
D)Individuals who have only death in mind when attempting suicide will usually use a gun, hang themselves, or jump from a tall building, because these methods are more likely to case mortal injuries. Individuals who would like to die but really just want people to know how unhappy they are will often use less mortal means such as a mild overdose of pharmaceuticals or causing injuries that would be life threatening if no one found them in time.

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

A)Antidepressants treat major depression by enhancing mood. Antidepressants are also prescribed to treat anxiety disorders. Recent studies link depression and anxiety to similar neurotransmitter dysfunction, and both seem to respond to treatment with antidepressant medications. An improvement in appetite and sleep might occur with antidepressant medication; however, the medication does not directly stimulate the appetite or cause sleep. Antidepressant medication is not known to improve feelings of guilt.
B)Antidepressants treat major depression by enhancing mood. Antidepressants are also prescribed to treat anxiety disorders. Recent studies link depression and anxiety to similar neurotransmitter dysfunction, and both seem to respond to treatment with antidepressant medications. An improvement in appetite and sleep might occur with antidepressant medication; however, the medication does not directly stimulate the appetite or cause sleep. Antidepressant medication is not known to improve feelings of guilt.
C)Antidepressants treat major depression by enhancing mood. Antidepressants are also prescribed to treat anxiety disorders. Recent studies link depression and anxiety to similar neurotransmitter dysfunction, and both seem to respond to treatment with antidepressant medications. An improvement in appetite and sleep might occur with antidepressant medication; however, the medication does not directly stimulate the appetite or cause sleep. Antidepressant medication is not known to improve feelings of guilt.
D)Antidepressants treat major depression by enhancing mood. Antidepressants are also prescribed to treat anxiety disorders. Recent studies link depression and anxiety to similar neurotransmitter dysfunction, and both seem to respond to treatment with antidepressant medications. An improvement in appetite and sleep might occur with antidepressant medication; however, the medication does not directly stimulate the appetite or cause sleep. Antidepressant medication is not known to improve feelings of guilt.

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

A)The nurse who observes the client wearing clean clothes, holding the baby while rocking in a chair, should determine that treatment for postpartum depression has been effective because these are signs the client is improving. The other choices would indicate lack of interest in child care and care of the home. The client who is sleeping while the spouse is making dinner and watching the baby would indicate treatment has not been effective at all.
B)The nurse who observes the client wearing clean clothes, holding the baby while rocking in a chair, should determine that treatment for postpartum depression has been effective because these are signs the client is improving. The other choices would indicate lack of interest in child care and care of the home. The client who is sleeping while the spouse is making dinner and watching the baby would indicate treatment has not been effective at all.
C)The nurse who observes the client wearing clean clothes, holding the baby while rocking in a chair, should determine that treatment for postpartum depression has been effective because these are signs the client is improving. The other choices would indicate lack of interest in child care and care of the home. The client who is sleeping while the spouse is making dinner and watching the baby would indicate treatment has not been effective at all.
D)The nurse who observes the client wearing clean clothes, holding the baby while rocking in a chair, should determine that treatment for postpartum depression has been effective because these are signs the client is improving. The other choices would indicate lack of interest in child care and care of the home. The client who is sleeping while the spouse is making dinner and watching the baby would indicate treatment has not been effective at all.

Question 13

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

A)Individuals who are experiencing suicidal ideation will respect direct acknowledgment of the situation as opposed to a restrained approach. Nurses recognize the severity and finality of the client's decision and do not attempt to make light of the circumstances. Nurses working with clients who are considering suicide, or who have recently attempted suicide, should be direct but respectful when evaluating the client and asking questions. It is a common misconception that talking about suicide directly could cause the client to act in a suicidal manner, but this is not true.
B)Individuals who are experiencing suicidal ideation will respect direct acknowledgment of the situation as opposed to a restrained approach. Nurses recognize the severity and finality of the client's decision and do not attempt to make light of the circumstances. Nurses working with clients who are considering suicide, or who have recently attempted suicide, should be direct but respectful when evaluating the client and asking questions. It is a common misconception that talking about suicide directly could cause the client to act in a suicidal manner, but this is not true.
C)Individuals who are experiencing suicidal ideation will respect direct acknowledgment of the situation as opposed to a restrained approach. Nurses recognize the severity and finality of the client's decision and do not attempt to make light of the circumstances. Nurses working with clients who are considering suicide, or who have recently attempted suicide, should be direct but respectful when evaluating the client and asking questions. It is a common misconception that talking about suicide directly could cause the client to act in a suicidal manner, but this is not true.
D)Individuals who are experiencing suicidal ideation will respect direct acknowledgment of the situation as opposed to a restrained approach. Nurses recognize the severity and finality of the client's decision and do not attempt to make light of the circumstances. Nurses working with clients who are considering suicide, or who have recently attempted suicide, should be direct but respectful when evaluating the client and asking questions. It is a common misconception that talking about suicide directly could cause the client to act in a suicidal manner, but this is not true.

Question 14

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

A)It is helpful to recognize the client's current state, not a past state, by talking about depression and asking direct questions such as "Do you currently have a plan for killing yourself?" This is an effective type of questioning. The client has recently attempted suicide, so questions asking whether the client has thought about hurting himself deny the reality of the situation. Asking why the client would hurt himself could be interpreted as being judgmental and may damage the nurse-client relationship.
B)It is helpful to recognize the client's current state, not a past state, by talking about depression and asking direct questions such as "Do you currently have a plan for killing yourself?" This is an effective type of questioning. The client has recently attempted suicide, so questions asking whether the client has thought about hurting himself deny the reality of the situation. Asking why the client would hurt himself could be interpreted as being judgmental and may damage the nurse-client relationship.
C)It is helpful to recognize the client's current state, not a past state, by talking about depression and asking direct questions such as "Do you currently have a plan for killing yourself?" This is an effective type of questioning. The client has recently attempted suicide, so questions asking whether the client has thought about hurting himself deny the reality of the situation. Asking why the client would hurt himself could be interpreted as being judgmental and may damage the nurse-client relationship.
D)It is helpful to recognize the client's current state, not a past state, by talking about depression and asking direct questions such as "Do you currently have a plan for killing yourself?" This is an effective type of questioning. The client has recently attempted suicide, so questions asking whether the client has thought about hurting himself deny the reality of the situation. Asking why the client would hurt himself could be interpreted as being judgmental and may damage the nurse-client relationship.

Question 15

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

Accepted Answer

A)All of these are common symptoms of postpartum psychosis, but the greatest risk for a woman with postpartum psychosis is suicide and/or infanticide. The woman who is psychotic may experience delusions or hallucinations that support her perceptions that the infant should not be allowed to live.
B)All of these are common symptoms of postpartum psychosis, but the greatest risk for a woman with postpartum psychosis is suicide and/or infanticide. The woman who is psychotic may experience delusions or hallucinations that support her perceptions that the infant should not be allowed to live.
C)All of these are common symptoms of postpartum psychosis, but the greatest risk for a woman with postpartum psychosis is suicide and/or infanticide. The woman who is psychotic may experience delusions or hallucinations that support her perceptions that the infant should not be allowed to live.
D)All of these are common symptoms of postpartum psychosis, but the greatest risk for a woman with postpartum psychosis is suicide and/or infanticide. The woman who is psychotic may experience delusions or hallucinations that support her perceptions that the infant should not be allowed to live.

Question 16

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

A)Those who attempt suicide are overcome by and overwhelmed with stressors in their lives. The nurse should ask the client to talk about her stressors and problems. The nurse should not ask the client about what caused the attempt at suicide. The nurse should also not try to distract the client by asking about school and activities. Suggesting the client read and listen to music may not be sufficient to reduce the client's stress.
B)Those who attempt suicide are overcome by and overwhelmed with stressors in their lives. The nurse should ask the client to talk about her stressors and problems. The nurse should not ask the client about what caused the attempt at suicide. The nurse should also not try to distract the client by asking about school and activities. Suggesting the client read and listen to music may not be sufficient to reduce the client's stress.
C)Those who attempt suicide are overcome by and overwhelmed with stressors in their lives. The nurse should ask the client to talk about her stressors and problems. The nurse should not ask the client about what caused the attempt at suicide. The nurse should also not try to distract the client by asking about school and activities. Suggesting the client read and listen to music may not be sufficient to reduce the client's stress.
D)Those who attempt suicide are overcome by and overwhelmed with stressors in their lives. The nurse should ask the client to talk about her stressors and problems. The nurse should not ask the client about what caused the attempt at suicide. The nurse should also not try to distract the client by asking about school and activities. Suggesting the client read and listen to music may not be sufficient to reduce the client's stress.

Question 17

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.

Quiz 28: Mood and Effect

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.

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

Which neurotransmitter change is frequently associated with suicide?

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?

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 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.

Which assessment findings indicate that a client is at increased risk for suicide? 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?

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?

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

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

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.