Lowdermilk 11th Ed. Chapter 31: Mental Health Disorders and
Substance Abuse Study Review Test.
1. 1. A client with a history ANS: B
of bipolar disorder is called
by the postpartum support An increased appetite and a lack of interest would
reassure the
nurse for follow-up. client's care?
Which symptoms
would reassure the a. Displaying outbursts of anger
nurse that the client is
b. Neglecting her hygiene
not experiencing a
manic episode?
a. Psychomotor
agitation and lack of
sleep
b. Increased appetite
and lack of interest in
activities
c. Hyperactivity and
dis- tractibility
d. Pressured speech
and grandiosity
2. 2. When a woman is di-
agnosed with
postpartum depression
(PPD) with psy- chotic
features, what is the
nurse's primary
concern in planning the
, Lowdermilk 11th Ed. Chapter 31: Mental Health Disorders and
Substance Abuse Study Review Test.
nurse that the client is not immediate assessment and intervention. Although
experiencing an episode of mania. outbursts of anger and neglecting personal hygiene are
Clinical manifestations of a manic symptoms attributable to PPD, the major concern re-
episode include at least three of the mains the potential of harm to herself or her infant.
following: grandiosity, decreased need Although this client is likely to lose interest in her spouse,
for sleep, pressured speech, flight of it is not the nurse's primary concern.
ideas, distractibility, psychomotor
agitation, and DIF: Cognitive Level: Understand REF: p. 748 TOP: Nursing
excessive involvement in pleasurable Process:
activities. The pregnant woman exhibiting
symptoms of a manic episode will likely
have a decreased interest in eating and
an increased level of interest in
pleasurable activities without regard for
negative consequences. Psychomotor
agitation and a lack of sleep, hyperactivity
and distractibility, and pressured speech
and grandiosity are all clinical
manifestations of a manic episode.
DIF: Cognitive Level: Apply REF: p. 746
TOP: Nursing Process: Implementation
MSC: Client Needs: Physio- logic
Integrity
ANS: C
Thoughts of harm to herself or to the
infant are among the most serious
symptoms of PPD and require
, Lowdermilk 11th Ed. Chapter 31: Mental Health Disorders and
Substance Abuse Study Review Test.
Planning
c. Harming her infant
MSC: Client Needs: Psychosocial Integrity
d. Losing interest in
her husband
3. 3. During an inpatient ANS: B
psychiatric
hospitalization,
what is the most important In the hospital setting, the reintroduction of the infant
to the mother
nursing intervention? can and should occur at the mother's own pace. A
schedule is set that increases the number of hours the mother
a. Contacting the cares for her infant over several days, culminating in the
client's significant infant staying overnight in the mother's room. These
other supervised and guided visits allow the mother to
experience meeting the infant's needs and giving up sleep
b. Supervising and
for the infant. Reintroducing the mother to her infant while
guiding visits with her
in a supervised setting is essential. Another important task
infant
for a
mother under psychiatric care is to reestablish positive
c. Allowing no contact
interactions with others.
with anyone who
annoys her DIF: Cognitive Level: Understand REF: pp. 749-750 TOP:
Nursing Process: Planning
d. Having the infant
with the mother at MSC: Client Needs: Psychosocial Integrity
all times
4. 4. Despite warnings, prena- ANS: A
tal exposure to alcohol con-
tinues to far exceed drugs. Which
expo- sure to illicit
Substance Abuse Study Review Test.
1. 1. A client with a history ANS: B
of bipolar disorder is called
by the postpartum support An increased appetite and a lack of interest would
reassure the
nurse for follow-up. client's care?
Which symptoms
would reassure the a. Displaying outbursts of anger
nurse that the client is
b. Neglecting her hygiene
not experiencing a
manic episode?
a. Psychomotor
agitation and lack of
sleep
b. Increased appetite
and lack of interest in
activities
c. Hyperactivity and
dis- tractibility
d. Pressured speech
and grandiosity
2. 2. When a woman is di-
agnosed with
postpartum depression
(PPD) with psy- chotic
features, what is the
nurse's primary
concern in planning the
, Lowdermilk 11th Ed. Chapter 31: Mental Health Disorders and
Substance Abuse Study Review Test.
nurse that the client is not immediate assessment and intervention. Although
experiencing an episode of mania. outbursts of anger and neglecting personal hygiene are
Clinical manifestations of a manic symptoms attributable to PPD, the major concern re-
episode include at least three of the mains the potential of harm to herself or her infant.
following: grandiosity, decreased need Although this client is likely to lose interest in her spouse,
for sleep, pressured speech, flight of it is not the nurse's primary concern.
ideas, distractibility, psychomotor
agitation, and DIF: Cognitive Level: Understand REF: p. 748 TOP: Nursing
excessive involvement in pleasurable Process:
activities. The pregnant woman exhibiting
symptoms of a manic episode will likely
have a decreased interest in eating and
an increased level of interest in
pleasurable activities without regard for
negative consequences. Psychomotor
agitation and a lack of sleep, hyperactivity
and distractibility, and pressured speech
and grandiosity are all clinical
manifestations of a manic episode.
DIF: Cognitive Level: Apply REF: p. 746
TOP: Nursing Process: Implementation
MSC: Client Needs: Physio- logic
Integrity
ANS: C
Thoughts of harm to herself or to the
infant are among the most serious
symptoms of PPD and require
, Lowdermilk 11th Ed. Chapter 31: Mental Health Disorders and
Substance Abuse Study Review Test.
Planning
c. Harming her infant
MSC: Client Needs: Psychosocial Integrity
d. Losing interest in
her husband
3. 3. During an inpatient ANS: B
psychiatric
hospitalization,
what is the most important In the hospital setting, the reintroduction of the infant
to the mother
nursing intervention? can and should occur at the mother's own pace. A
schedule is set that increases the number of hours the mother
a. Contacting the cares for her infant over several days, culminating in the
client's significant infant staying overnight in the mother's room. These
other supervised and guided visits allow the mother to
experience meeting the infant's needs and giving up sleep
b. Supervising and
for the infant. Reintroducing the mother to her infant while
guiding visits with her
in a supervised setting is essential. Another important task
infant
for a
mother under psychiatric care is to reestablish positive
c. Allowing no contact
interactions with others.
with anyone who
annoys her DIF: Cognitive Level: Understand REF: pp. 749-750 TOP:
Nursing Process: Planning
d. Having the infant
with the mother at MSC: Client Needs: Psychosocial Integrity
all times
4. 4. Despite warnings, prena- ANS: A
tal exposure to alcohol con-
tinues to far exceed drugs. Which
expo- sure to illicit
