20 Lowdermilk Ch.31: Mental Health Disorders and Substance
Abuse Exam.
1. 1. When caring for a
B
pregnant woman with
cardiac problems, the nurse An increased appetite and a lack of interest would
must be alert for the signs reassure the nurse that the client is not
and symptoms of cardiac experiencing an episode of mania. Clinical
decompensation. Which manifestations of a manic episode include at least
critical findings would the three of the following: grandiosity, decreased need for
nurse find on assessment of sleep, pressured speech, flight of ideas, distractibility,
the client experi- encing this psychomotor agitation, and excessive involvement in
condition? plea- surable activities. The pregnant woman
a. Regular heart rate and exhibiting symp- toms of a manic episode will likely
hyper- tension have a decreased interest in eating and an increased
b. Increased urinary level of interest in pleasurable activities without
output, tachycardia, regard for negative consequences. Psy- chomotor
and dry cough agitation and a lack of sleep, hyperactivity and
c. Shortness of breath, distractibility, and pressured speech and grandiosity
bradycar- dia, and are all clinical manifestations of a manic episode.
hypertension
d. Dyspnea, crackles, and
an ir- regular, weak pulse C
2. 2. When a woman is diag- Thoughts of harm to herself or to the infant are
nosed with postpartum among
depres- sion (PPD) with
psychotic fea-
tures, what is the nurse's primary the most serious symptoms of PPD and
require immediate
concern in planning the c. Harming her infant
client's care?
a. Displaying outbursts of
anger
b. Neglecting her hygiene
, 20 Lowdermilk Ch.31: Mental Health Disorders and Substance
Abuse Exam.
assessment and intervention. Although harm to herself or her infant. Although this client is
outbursts of anger and neglecting personal likely to lose interest in her spouse, it is not the
hygiene are symptoms attribut- able to PPD, nurse's primary
the major concern remains the potential of
d. Losing interest in her husband concern.
3. 3. During an inpatient psychiatric B
hospitalization, what is the most
important nursing In the hospital setting, the reintroduction of the
intervention? infant to the mother can and should occur at the
a. Contacting the client's mother's own pace.
signifi-
, 20 Lowdermilk Ch.31: Mental Health Disorders and Substance
Abuse Exam.
cant other A schedule is set that increases the number of
b. Supervising and guiding hours the mother cares for her infant over several
visits with her infant days, culminating in the infant staying overnight in
c. Allowing no contact with the mother's room. These supervised and guided
any- one who annoys her visits allow the mother to experi- ence meeting the
d. Having the infant infant's needs and giving up sleep for the infant.
with the mother at all Reintroducing the mother to her infant while in a
times supervised setting is essential. Another important task
for a mother under psychiatric care is to
reestablish positive interactions with others.
4. 4. Despite warnings, A
prenatal exposure to
alcohol continues to far Respiratory diflculties are not attributed to
exceed exposure to illicit exposure to alcohol in utero. Other abnormalities
drugs. Which condition is related to FAS in-
rarely
associated with fetal alcohol syn- clude mental retardation, neurodevelopment
disorders,
drome (FAS)? and ARBDs.
a. Respiratory conditions
b. Intellectual impairment
c. Neural development
disorder
d. Alcohol-related birth
defects (ARBDs)
ANS: D
5. 5. As a powerful central
Cocaine is a powerful CNS stimulant. Ettects on
nervous system (CNS) pregnancy
stimulant, which of
these substances can lead to mis- associated with cocaine use include abruptio
placentae,
carriage, preterm labor, placental preterm labor, precipitous birth, and stillbirth.
Abuse Exam.
1. 1. When caring for a
B
pregnant woman with
cardiac problems, the nurse An increased appetite and a lack of interest would
must be alert for the signs reassure the nurse that the client is not
and symptoms of cardiac experiencing an episode of mania. Clinical
decompensation. Which manifestations of a manic episode include at least
critical findings would the three of the following: grandiosity, decreased need for
nurse find on assessment of sleep, pressured speech, flight of ideas, distractibility,
the client experi- encing this psychomotor agitation, and excessive involvement in
condition? plea- surable activities. The pregnant woman
a. Regular heart rate and exhibiting symp- toms of a manic episode will likely
hyper- tension have a decreased interest in eating and an increased
b. Increased urinary level of interest in pleasurable activities without
output, tachycardia, regard for negative consequences. Psy- chomotor
and dry cough agitation and a lack of sleep, hyperactivity and
c. Shortness of breath, distractibility, and pressured speech and grandiosity
bradycar- dia, and are all clinical manifestations of a manic episode.
hypertension
d. Dyspnea, crackles, and
an ir- regular, weak pulse C
2. 2. When a woman is diag- Thoughts of harm to herself or to the infant are
nosed with postpartum among
depres- sion (PPD) with
psychotic fea-
tures, what is the nurse's primary the most serious symptoms of PPD and
require immediate
concern in planning the c. Harming her infant
client's care?
a. Displaying outbursts of
anger
b. Neglecting her hygiene
, 20 Lowdermilk Ch.31: Mental Health Disorders and Substance
Abuse Exam.
assessment and intervention. Although harm to herself or her infant. Although this client is
outbursts of anger and neglecting personal likely to lose interest in her spouse, it is not the
hygiene are symptoms attribut- able to PPD, nurse's primary
the major concern remains the potential of
d. Losing interest in her husband concern.
3. 3. During an inpatient psychiatric B
hospitalization, what is the most
important nursing In the hospital setting, the reintroduction of the
intervention? infant to the mother can and should occur at the
a. Contacting the client's mother's own pace.
signifi-
, 20 Lowdermilk Ch.31: Mental Health Disorders and Substance
Abuse Exam.
cant other A schedule is set that increases the number of
b. Supervising and guiding hours the mother cares for her infant over several
visits with her infant days, culminating in the infant staying overnight in
c. Allowing no contact with the mother's room. These supervised and guided
any- one who annoys her visits allow the mother to experi- ence meeting the
d. Having the infant infant's needs and giving up sleep for the infant.
with the mother at all Reintroducing the mother to her infant while in a
times supervised setting is essential. Another important task
for a mother under psychiatric care is to
reestablish positive interactions with others.
4. 4. Despite warnings, A
prenatal exposure to
alcohol continues to far Respiratory diflculties are not attributed to
exceed exposure to illicit exposure to alcohol in utero. Other abnormalities
drugs. Which condition is related to FAS in-
rarely
associated with fetal alcohol syn- clude mental retardation, neurodevelopment
disorders,
drome (FAS)? and ARBDs.
a. Respiratory conditions
b. Intellectual impairment
c. Neural development
disorder
d. Alcohol-related birth
defects (ARBDs)
ANS: D
5. 5. As a powerful central
Cocaine is a powerful CNS stimulant. Ettects on
nervous system (CNS) pregnancy
stimulant, which of
these substances can lead to mis- associated with cocaine use include abruptio
placentae,
carriage, preterm labor, placental preterm labor, precipitous birth, and stillbirth.
