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.
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.
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