Exam 31: Mental Health Disorders and Substance Abuse

During an inpatient psychiatric hospitalization,what is the most important nursing intervention?

Which is the most accurate description of postpartum depression (PPD)without psychotic features?

When a woman is diagnosed with postpartum depression (PPD)with psychotic features,what is the nurse's primary concern in planning the client's care?

Which substance used during pregnancy causes vasoconstriction and decreased placental perfusion,resulting in maternal and neonatal complications?

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?

A pregnant woman who abuses cocaine admits to exchanging sex to finance her drug habit.This behavior places the client at the greatest risk for what?

The use of methamphetamine (meth)has been described as a significant drug problem in the United States.The nurse who provides care to this client population should be cognizant of what regarding methamphetamine use?

A client with a history of bipolar disorder is called by the postpartum support nurse for follow-up.Which symptoms would reassure the nurse that the client is not experiencing a manic episode?

Screening questions for alcohol and drug abuse should be included in the overall assessment during the first prenatal visit for all women.The 4 Ps Plus is a screening tool specifically designed to identify the need for a more in-depth assessment.Which are the correct components of the 4 Ps Plus? (Select all that apply. )

As part of the discharge teaching,the nurse can prepare the mother for her upcoming adjustment to her new role by instructing her regarding self-care activities to help prevent postpartum depression (PPD).Which statement regarding this condition is most helpful for the client?

With one exception,the safest pregnancy is one during which the woman is drug and alcohol free.What is the optimal treatment for women addicted to opioids?

Reports have linked third trimester use of selective serotonin uptake inhibitors (SSRIs)with a constellation of neonatal signs.The nurse is about to perform an assessment on the infant of a mother with a history of a mood disorder.Which signs and symptoms in the neonate may be the result of maternal SSRI use? (Select all that apply. )

Despite warnings,prenatal exposure to alcohol continues to far exceed exposure to illicit drugs.Which condition is rarely associated with fetal alcohol syndrome (FAS)?

As a powerful central nervous system (CNS)stimulant,which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?

According to research,which risk factor for postpartum depression (PPD)is likely to have the greatest effect on the client postpartum?

While providing care to the maternity client,the nurse should be aware that one of these anxiety disorders is likely to be triggered by the process of labor and birth.Which disorder fits this criterion?