PMHC 試験問題を無料オンラインアクセス

62. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: After assessing Aliya, you move to treatment planning You seek Aliya's participation in the process, help her explore the treatment options, and assess her values and preferences before reaching a decision together This process is called:

• A.patient-centered, collaborative treatment planning.
• B.active listening.
• C.strengths-based, stepped-care treatment planning.
• D.therapeutic communication.

31. When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

• A.vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
• B.express a strong need to review events and her behavior during the process of labor and birth.
• C.have reestablished her role as a spouse/partner.
• D.exhibit a reduced attention span, limiting readiness to learn.

5. The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?

• A.Cuddles her son close to her
• B.Talks and coos to her son
• C.Seldom makes eye contact with her son
• D.Tells visitors how well her son is feeding

21. Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.

• A.Dependent behaviors
• B.Sexual intimacy relationship continuing
• C.Being talkative and excited about becoming a mother
• D.Defining one's individual roles
• E.Emergence of family unit

10. When helping a woman cope with postpartum blues, the nurse should offer what appropriate suggestions?
(Select all that apply.)

• A.The father should take over care of the baby, because postpartum blues are exclusively a female problem.
• B.Get plenty of rest.
• C.Asking for help will not foster independence.
• D.Plan to get out of the house occasionally.
• E.Use La Leche League or community mental health centers.