Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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The nurse is caring for a postpartum client who is in the taking-hold phase. In this phase, which of the following interventions should the nurse incorporate in the plan of care?
  1. Praise the client every time she correctly breastfeeds her newborn
  2. Encourage the client to talk about her birthing experience
  3. Assist the client to make readjustments of her roles and relationships
  4. Assist the client with bed, bath, and cleaning her night gown
Explanation
Answer: A - During the taking-hold phase, although the client begins to initiate action and make her own decisions, she could still have some insecurities about her new role as a mother. Praising the client for her accomplishments can boost her confidence. Options B and D are appropriate during the taking-in phase and option C is appropriate during the letting go phase.
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