Author Question: A 29-year-old first-time mother has been diagnosed with postpartum psychosis after disconcerting ... (Read 132 times)

Mr3Hunna · **on:** Jul 19, 2018

A 29-year-old first-time mother has been diagnosed with postpartum psychosis after disconcerting changes in behavior that were reported by her partner. In the planning of this client's care, which of the following outcomes should the nurse prioritize?

A) The client will describe the causes of her fatigue.
B) The client will demonstrate an improved ability to express herself.
C) The client will consume at least 1,500 calories each day.
D) The client will demonstrate the ability to differentiate between fantasy and reality.

Question 2

A client's physician has prescribed paroxetine (Paxil) for the treatment of her depression. Which of the following teaching points should the nurse include in the client education related to this treatment?

A) If you don't feel noticeably better within three weeks, increase your dose by 50 .
B) Make sure that you don't change the quantity or timing of your medication without first consulting your doctor.
C) If you forget to take a dose one day, take a double dose the next day and be sure to let your doctor know.
D) The advantage of Paxil is that it will normally relieve depression in a few weeks and it has no side effects.

Ddddd · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
An inability to differentiate fantasy from reality is a hallmark of psychosis, and the ability to do so should be a priority goal in the care of a client with postpartum psychosis. Fatigue, nutrition, and self-expression are less likely to be central issues.

Answer to Question 2

Ans: B
During client education, it is necessary to stress the importance of consulting the prescriber before discontinuing or changing the dosing of any medication. Paxil, like all drugs, carries the potential of adverse side effects.