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Week 2: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain. $10.49
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Week 2: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain.
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Week 2: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain. Week 2: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questio...

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  • February 4, 2025
  • 35
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NR606/ NR 606
  • NR606/ NR 606

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Week 2: NR606/ NR 606 (Latest Update 2025/
2026) Diagnosis & Management in Psychiatric
Mental Health II Practicum | Questions with
Verified Answers| 100% Correct- Chamberlain.


Erika is a 24-year-old who gave birth to her first child a month
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ago. She took 3 weeks of unpaid leave from her job as a
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restaurant server and started back to work last week. Her mother-
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in-law watches the baby while she and her husband are at work.
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Erika has significant feelings of guilt for leaving her baby to return
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



to work. She also reports feeling a lack of energy and difficulty
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focusing while at work. i,- i,- i,-




Which of the following management strategies is the most
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appropriate for Erika? i,- i,-




-reassure administer a screening tool such as the Edinburgh
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Postnatal Depression Scale (EPDS) to further evaluate Erika's
i,- i,- i,- i,- i,- i,- i,- i,-



symptoms


Rationale: Administering a screening tool such as the Edinburgh
i,- i,- i,- i,- i,- i,- i,- i,- i,-



Postnatal Depression Scale (EPDS) to further evaluate Erika's
i,- i,- i,- i,- i,- i,- i,- i,-



symptoms is the most appropriate management strategy.
i,- i,- i,- i,- i,- i,- i,-



Screening will help identify other potential symptoms of
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peripartum depression. High scores on the screening tool may
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,require medication and/or psychotherapy. Although decreased
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energy and difficulty focusing may be a result of Erika's recent
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return to work, the symptoms, combined with significant guilt,
i,- i,- i,- i,- i,- i,- i,- i,- i,-



may not be normal.
i,- i,- i,-




Reasons for post-adoption depression:
i,- i,- i,- i,-i,- i,- -unrealistic i,-



expectations
-difficulties bonding with the infant or child i,- i,- i,- i,- i,- i,-




-complicated relationships with birthparents in open adoptions i,- i,- i,- i,- i,- i,-




-underestimation of the impact that adoption would have on i,- i,- i,- i,- i,- i,- i,- i,- i,-



parents' and families' lives
i,- i,- i,-




-question their legitimacy as a parent i,- i,- i,- i,- i,-




MMHDs: Bipolar Disorder -DSM-5-TR includes a specifier for
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bipolar disorder with peripartum onset
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• symptoms that begin during pregnancy or in the first four
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weeks following childbirth
i,- i,-




-childbirth can trigger hypomanic episodes i,- i,- i,- i,-




• often early in the postpartum period
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• may have severe depressive episode several weeks later
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-Early detection of signs of hypomania is necessary to reduce
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suicide & infanticide risk
i,- i,- i,-

,MMHDs: Anxiety Disorder i,- i,- i,-i,- i,- -Generalized anxiety disorder i,- i,-




• difficult to distinguish from symptoms experienced by new
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parents
-Symptoms: irritability, difficulty sleeping, difficulty concentrating,
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easy fatiguability
i,-




-Themes of worry: i,- i,- i,-




• pregnancy and delivery complications
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• infant well-being
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• maternal or partner illness
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-Risk factors: prior hx of ax
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MMHDs: Psychosis -DSM-5-TR: "brief psychotic disorder with
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peripartum onset" when symptoms present suddenly during
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pregnancy or within the first 4 weeks after birth & last at least
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one day but no more than one month
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-preexisting bipolar disorder have highest risk i,- i,- i,- i,- i,-




-Loss of sleep is common precipitating factor
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-presents with at least 1 of the following symptoms:
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• delusions
i,-




• hallucinations
i,-




• disorganized speech
i,- i,-




• grossly disorganized or catatonic behavior
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, -Suicide and infanticide are primary concerns
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-Hallucinations or delusions r/t the infant are common i,- i,- i,- i,- i,- i,- i,-




-considered a psychiatric emergency & requires immediate
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hospitalization and tx i,- i,-




__________________ is considered a psychiatric emergency and i,- i,- i,- i,- i,- i,- i,-



requires immediate hospitalization and treatment
i,- Perinatal i,- i,- i,- i,-i,- i,- i,-



psychosis


MMHDs: OCD -Pregnancy creates risk for onset or
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-



exacerbation of OCD i,- i,-




-peripartum period, approximately 1.5-2x more likely to
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experience OCD compared to general pop. i,- i,- i,- i,- i,-




-47% of women with OCD experience first onset during
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peripartum period i,-




-Common obsessions: i,- i,-




• fears of contaminating the baby
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• need for exactness
i,- i,- i,-




• thoughts of aggression towards infant
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➣fear being left alone with infant, may distance self from infant
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



to avoid acting on the thoughts
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• fears of infant death
i,- i,- i,- i,-




-common compulsions: i,-

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