A 26-year-old woman who gave birth to a normal newborn 1 month ago reports she "simply cannot
cope" with her situation. She is unable to sleep, eats little, and says she feels like a failure because
she can't take care of her baby.
She has been thinking her baby is "the devil's spawn" and the root of
her problems. She sits and stares into space, her face a worried, perplexed mask. The priority nursing
diagnosis for the client is
a. disturbed sleep pattern.
b. disturbed thought processes.
c. situational low self-esteem.
d. risk for other-directed violence.
D
When the mother with depression of postpartum onset has ruminations or delusional thoughts about
the infant, the risk for harming the infant is increased; thus it becomes the priority diagnosis. The
other diagnoses are relevant but are of lower priority.
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