More questions on this topic
More questions on this topic ( 18 Questions)
A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations.
Which of the following interventions should the nurse include in the plan?
encouraging the client to verbalize their feelings and fears may increase their anxiety and confusion, especially if they are experiencing delusions or paranoia.
The nurse should focus on providing factual information and reassurance, rather than exploring the client’s emotions.
Provide a quiet and calm environment for the client. This intervention can help reduce the stimulation and agitation that may trigger or worsen hallucinations. A quiet and calm environment can also promote rest and sleep, which are essential for recovery.
validating the client’s perception of reality and offering reassurance may reinforce their hallucinations and delusions, rather than help them distinguish between reality and fantasy.
The nurse should acknowledge the client’s distress, but gently challenge their false beliefs and perceptions.
avoiding confronting or challenging the client’s hallucinations may imply that the nurse agrees with them or is afraid of them. The nurse should not collude with the client’s hallucinations, but rather help them cope with them and redirect their attention to reality-based activities.
Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women. It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.