Nursing Interventions in Postpartum Depression

Total Questions : 4

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Question 1:

A nurse is using the Edinburgh Postnatal Depression Scale (EPDS) to screen a woman for postpartum depression.

What is the maximum score on this scale?

Explanation

The correct answer is choiceD.

The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item questionnaire that is used to screen for postpartum depression.

Each item has four possible responses, scored from 0 to 3, with higher scores indicating more depressive symptoms.The maximum score on this scale is 30, but some items are reverse scored, so the maximum possible total is 40.

Choice A is wrong because 10 is not the maximum score on the scale, but rather a possible cut-off point for indicating depression.

Choice B is wrong because 20 is not the maximum score on the scale, but rather the sum of the scores of the non-reverse scored items.

Choice C is wrong because 30 is not the maximum score on the scale, but rather the sum of the scores of the reverse scored items.


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Question 2:

A nurse is educating a woman with postpartum depression about self-care activities.

Which of the following should the nurse include? (Select all that apply.)

Explanation

The correct answer is choices A, B, C and E. These are all self-care activities that can help a woman with postpartum depression cope with her condition and recover faster.

They include:

• Getting enough sleep and rest: This can help reduce fatigue, stress and mood swings.

• Eating a balanced diet and drinking plenty of fluids: This can help nourish the body and prevent dehydration, which can worsen depression.

• Engaging in physical activity and hobbies: This can help boost mood, energy and self-esteem, as well as provide a sense of enjoyment and accomplishment.

• Seeking help when feeling overwhelmed or hopeless: This can help the woman get professional support, counseling and treatment, as well as connect with other women who have experienced postpartum depression.

Choice D is wrong because isolating herself from others and avoiding social interactions can increase the feelings of loneliness, guilt and worthlessness that are common in postpartum depression.The woman should be encouraged to maintain contact with her family, friends and support groups who can offer emotional and practical help.


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Question 3:

A nurse is recommending cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) to a woman with postpartum depression.

What are the main goals of these therapies?

Explanation

The correct answer is choice D. All of the above.The main goals of cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) are to help the woman with postpartum depression identify and change negative thoughts and behaviors, improve her relationships and cope with life stressors, and express her emotions and resolve conflicts.

Choice A is wrong because it only describes one aspect of CBT, which is to help the woman eliminate avoidant and safety-seeking behaviors that prevent self-correction of faulty beliefs.

Choice B is wrong because it only describes one aspect of IPT, which is to help the woman enhance her social support and interpersonal skills.

Choice C is wrong because it only describes another aspect of IPT, which is to help the woman process her feelings and deal with unresolved issues.


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Question 4:

A nurse is assessing a woman with postpartum depression for suicidality or self-harm risk.

Which of the following questions should the nurse ask? (Select all that apply.)

Explanation

The correct answer is choice A, B, C and D.These are all important questions to ask a woman with postpartum depression for suicidality or self-harm risk, as they assess the presence and severity of suicidal thoughts, plans, means and history.

Asking about reasons to live or hope for the future (choice E) is not a specific question for suicidality or self-harm risk, but rather a general question for assessing protective factors and coping skills.

Therefore, choice E is wrong.

Choice A is correct because asking about thoughts of hurting oneself or one’s baby can reveal the level of distress and hopelessness that the woman is experiencing, as well as the potential risk of infanticide.

Women with postpartum mental disorders have a higher risk of self-harm than mothers without mental disorders


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