PMH-C Exam Questions With 100%Verified Answers(2024)

Military Stressors - correct answer...Recent/upcoming deployment Potential lack of emotional support from partner Fear for welfare or self or partner Living without partner Single parenting Concerns about childcare Inadequate support: Location away from friends and family Possibility of no established relationships with recent move Lack of providers who understand military culture Lack of providers for beneficiaries Lack of providers who accept insurance Lack of peer support due to "army strong" mentality Lack of disclosure to others due to "small town" Lack of ability to provide peer support due to own needs Focus often on active duty member's psychological issuesv Jane Honikman - correct answer...Founder of PSI What year was PSI established? - correct answer...1987 Louis Victor Marce - correct answer...French psychiatrist who wrote first treatise on puerperal (about six weeks after childbirth) mental illness James A. Hamilton - correct answer...Father of Postpartum Psychiatric Illness Wrote book: Postpartum Psychiatric Problems Founded the Marce Society Advocate of research, treatment and social support movement DAD - correct answer...Depression After Delivery (USA) APNI - correct answer...Association for Post Natal Illness (England) PANDA - correct answer...Post and Ante Natal Depression Association (Australia) Postpartum Education for Parents - correct answer...Postpartum Education for Parents (USA) Most important part of mental health for women, children, and families - correct answer...Social support How many countries does PSI have members in? - correct answer...Over 40 countries What percentage of women will experience postpartum depression? - correct answer...21% What percentage of pregnant woman will experience moderate to severe symptoms of depression and/or anxiety? - correct answer...20% What percentage of pregnant women with psychiatric diagnosis were treated? - correct answer...Less than 86% What percentage of women on antidepressants were symptomatic due to suboptimal treatment? - correct answer...Over 50% The perinatal period - correct answer...The entire time frame from pregnancy through the first year after giving birth PMAD - correct answer...Perinatal Mood (depression and bipolar) Anxiety (GAD, panic, OCD, PTSD) Disorders What percentage of pregnancies are unplanned? - correct answer...50% PMDD - correct answer...Premenstrual dysphoric disorder Sensitive to hormonal changes Risk factor for PMAD What disorders classify as a PMAD? - correct answer...Depression Anxiety and Panic disorder OCD PTSD Perinatal Bipolar Psychosis Perinatal depression - correct answer...Most under diagnosed obstetric complication in America Increased costs of medical care Inappropriate medical care Child abuse and neglect Discontinuation of breastfeeding Family dysfunction Adversely affects early brain development 40% of cases are detected and diagnosed 60% receive treatment Prevalence for Prenatal anxiety - correct answer...15.8% Prevalence for postpartum anxiety - correct answer...8% - 20% PMADs in Fathers - correct answer...1 in 10 men will get anxiety/depression Fathers with higher ACE scores reported more pregnancy-related anxiety than did fathers with lower scores at all time points Reported more depressive feelings during pregnancy 9.2% had depression prenatally Maternal depression increased the risk of paternal depression - Initial high after birth may give way to depression - Masked male depression (substance use, irritable, aggressive) - Distancing - Distractions and habits Medication - correct answer...50-75% relapse (depression and anxiety) after discontinuing medication while pregnant Over 40% resume medication during pregnancy The benefit out weights the risk when on medication during pregnancy Normal Pregnancy symptoms - correct answer...Mood is labile, teary Self esteem is normal Sleep: bladder or heartburn may awaken. Can fall asleep No suicidal ideology Energy: may tire, rest restores Pleasure: joy and anticipation (appropriate worry) Appetite: increases Depression Symptoms - correct answer...Mood: persistent gloom Low self-esteem, guilt Sleep: early a.m. awakening Suicidal thoughts, plans, or intentions Energy: rest does not restore Fatigue Anhedonia Poor appetite Sadness, crying Guilt and shame Hopeless and helplessness Overwhelm Lack of feelings toward baby Isolation "This doesn't feel like me" Worthlessness Mood swings Inability to care for self and family baby blues - correct answer...-NOT a mild form of clinical depression - Affects 60-80% of new moms - Mild - Lasts no more than 2 days to 2 weeks - Predominant mood is happiness - Common to have tearfulness, lability, reactivity - Peaks 3-5 days after delivery - Present in diverse cultures - Unrelated to stress or psychiatric history - Acute sleep deprivation -Different in from PPD in length and severity - Symptoms: mood swings, anxiety, sadness, irritability, crying, decreased concentration, trouble sleeping -Very common to feel this way, hormones have to readjust -Every mother experiences some type of baby blues, it's normal Blues or Depression? - correct answer...Severity Timing Duration Anxiety Symptoms - correct answer...Agitated, irritable Inability to sit still Excessive concern about the baby's or her own health High alert Appetite changes Sleep disturbances Constant worry Racing thoughts Shortness of breath Heart palpitations Panic Symptoms - correct answer...Episodes of extreme anxiety Shortness of breath, chest pain, sensation of choking or smothering, dizziness Hot or cold flashes, trembling, rapid heart rate, numbness or tingling Restlessness, agitation, irritability Excessive worry or fear