The home health nurse is visiting a new mother whose baby was delivered by emergency cesarean after a car accident. The mother seems dazed, irritable, and unaware of her surroundings. She tells the nurse she has had trouble sleeping
The nurse would suspect that the mother has: 1. Post-traumatic stress disorder.
2. Postpartum blues.
3. Postpartum psychosis.
4. Disenfranchised grief.
1
Rationale 1: Because of the traumatic nature of the birth and the patient's symptoms, this condition is most likely PTSD.
Rationale 2: Postpartum blues are typically self-limiting, and are characterized by rapid mood swings, often without an identifiable cause.
Rationale 3: Symptoms of postpartum psychosis include agitation, hyperactivity, mood lability, confusion, irrational thinking and behaviors, poor judgment, delusions, and hallucinations.
Rationale 4: What the patient is feeling is not a type of grief.
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A nurse is assessing a client with severe pain in his lower back. The client's breathing becomes shallow when he is in pain. Which of the following autonomic nervous system responses should the nurse look for in the client?
A) Headache B) Lethargy C) Dilated pupils D) Irritation
The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The nurse notes that the patient's urine output has increased tremendously over the past 18 hours. The nurse suspects that the patient may be developing:
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A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons for completing a cultural assessment include: (Select all that apply.)
a. culture guides decision-making about health, illness, and preventive care. b. culture provides direction for individuals on how to interact during health care en-counters. c. culture impacts attitudes toward aging. d. all members of a culture react in the same way in similar situations. e. knowledge of culture eliminates health care disparities.