A client is exhibiting signs of postpartum depression. Which of the following symptoms would indicate the client's condition has advanced to that of postpartum psychosis?
a. decreased concentration
b. insomnia
c. obsessive concerns about the infant's health
d. spontaneous crying
C
Postpartum psychosis is more severe and is characterized by delusions and thoughts of self-harm or infant harm. Symptoms, which usually begin within 2 to 3 weeks after birth, include fatigue, restlessness, insomnia, crying, labile emotions, inability to move, irrational statements, incoherence, confusion, and obsessive concerns about the infant's health. Postpartum psychosis is a psychiatric emergency.
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Police bring a patient to the emergency department after an automobile accident. The patient is ataxic and has slurred speech and mild confusion. The blood alcohol level is 0.4 mg%
Considering the relationship between the behavior and blood alcohol level, which conclusion is most probable? The patient: a. rarely drinks alcohol. b. has a high tolerance to alcohol. c. has been treated with disulfiram (Antabuse). d. has ingested both alcohol and sedative drugs recently.
The presence of protein in a urinalysis is indicative of:
a. hypertension or diabetes mellitus. b. urinary tract infections or pyelonephritis. c. renal calculi or use of anticoagulants. d. cirrhosis or hepatitis.
Which of the following families is at high risk for health problems?
a. A man agrees that he needs to eat better and exercise more but also expresses how busy he is at his job. b. A man knows that his grandfather, father, and older brother all died of cardiac disease. c. A man is currently unemployed and despairs about finding a position. d. A man expresses disappointment that, having been laid off as an executive, his new position pays only about two thirds of his original salary.
The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing with the client the effect of caffeine on sleep,
which of the following would the nurse incorporate into the discussion as a caffeine effect? A) Decreased sleep latency B) Increased total sleep time C) Decreased REM sleep D) Increased slow-wave sleep