The nurse is calling patients at 4 weeks postpartum. The patient who should be seen immediately is the patient who:
1. Describes feeling sad all the time.
2. Reports hearing voices talking about the baby.
3. States she has no appetite and wants to sleep all day.
4. Says she needs a refill on her sertraline (Zoloft) next week.
2
Rationale 1: This is an indication the patient is experiencing postpartum blues, and is not the highest priority.
Rationale 2: This is an indication the patient is experiencing postpartum psychosis, and is the highest priority, because the voices might tell her to harm her baby.
Rationale 3: This is an indication the patient is experiencing postpartum depression, but is not the highest priority.
Rationale 4: A patient on medications needs refills on time, but right now she has medication, and therefore is not a high priority.
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