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PMH-C Exam Practice
(Multiple Choice)
Questions With 100%
Correct Answers
What is the mission of Postpartum Support International (PSI)? To advocate public policies which guarantee these rights and ensure access to mental health services for pregnant and postpartum women. To promote awareness, prevention and treatment of mental health issues related to childbearing in every country worldwide. To promote gender-sensitive and autonomy-enhancing mental health services for pregnant and postpartum women. To promote awareness, prevention and treatment of mental health issues related to childbearing in every country worldwide. PSI Support Coordinators are located: In North America only In the US and Internationally In the US only In the US and Internationally What is the PSI "Chat with an Expert" and how often is it held? An online video support group. Held on Wednesdays for moms and first Mondays for dads. A free phone chat with a perinatal mental health expert provider. Held on Wednesdays for moms and first Mondays for dads. A 1:1 chat with an expert set up by appointment. Held as needed when expert available.
A free phone chat with a perinatal mental health expert provider. Held on Wednesdays for moms and first Mondays for dads. What is the toll-free "helpline" number operated by PSI? 1 - 877 - 944 - HELP 1 - 800 - 944 - 4PPD 1 - 800 - 944 - MAMA 1 - 800 - 944 - 4PPD What is the prevalence of postpartum depression in women, according to research by Kathy Wisner in 2012? (see assigned article) 1:5 in the first three months; 1:7 when subjects followed for the first year. 1:10 in the first three months; 1:7 when subjects followed for the first year. 1:7 in the first three months; 1:5 when subjects followed for the first year. 1:7 in the first three months; 1:5 when subjects followed for the first year What was NOT a frequent co-occurring disorder with postpartum depression, according to Kathy Wisner's study? Narcolepsy anxiety bipolar disorders Narcolepsy What percentage of fathers experience depression postpartum, according to the American Academy of Pediatrics? 1: 1: 1: 1: Which of the following is NOT recognized as a statistically-significant cause of a perinatal mental health disorder? Cesarean Birth
Describe how you would differentiate between symptoms of perinatal obsessive-compulsive disorder and postpartum psychosis? OCD only occurs during pregnancy; postpartum psychosis is only postpartum. OCD always involves images of violence to the baby; with postpartum psychosis she knows they are wrong but wants to act on them anyway. Perinatal OCD is ego-dystonic and does not include delusional thinking; postpartum psychosis is ego-syntonic and does include delusional thinking. Perinatal OCD is ego-dystonic and does not include delusional thinking; postpartum psychosis is ego-syntonic and does include delusional thinking. Which of the following is NOT an evidence-based risk factor for development of pmds? First time parent history of PMS personal and family history of pmads First time parent What is a common barrier to screening for pmads? Screening tools are not available in languages other than English Provider doesn't know where to send patient if they screen positive Screening tools are too expensive Provider doesn't know where to send patient if they screen positive What does EPDS stand for? Edinburgh Perinatal Depression Screen Edinburgh Postpartum Depression Screen Edinburgh Postnatal Depression Scale Edinburgh Postnatal Depression Scale True/False: There are no validated screening tools for mood disorders during pregnancy. False True
False True/False: The EPDS should NEVER be taken when client is by herself. False True False What is the website referenced in Class #2 for resources on Bipolar Mood Disorders? Psycheducation.org daybreakalliance.com bipolarhelp.com Psycheducation.org Which of these is one of the resources recommended for information about risks and safety of medication in breastfeeding? Mothertobaby.org globalhealingcenter.com drugs.com Mothertobaby.org What is an essential role of the professional in primary prevention? Assessing risk Family planning discussion Reviewing birth plan Assessing risk Which is an evidence-based validated screening tool for postpartum depression? GAD- 7 EPDS Beck Depression Inventory EPDS What is NOT one of the recommended opening statements a provider can use to introduce a screening tool. "Please be as open and honest as possible when answering these questions." "We have assessed that you are most likely experiencing depression, and we'd like you to fill out this simple questionnaire to confirm that." "It's not easy being a new mother and it's ok to feel unhappy at times. As you have recently had a new baby, we would like to know how you are feeling." "We have assessed that you are most likely experiencing depression, and we'd like you to fill out this simple questionnaire to confirm that." What is the best practice recommendation for a response greater than 0 to the last question in the EPDS or the PHQ-9?
Bright light therapy What is NOT one of the evidence-based psychotherapy models shown to improve treatment outcomes in perinatal mood disorders. Interpersonal Psychotherapy Group Psychotherapy Cognitive Behavioral Therapy Client-Centered Psychotherapy Client-Centered Psychotherapy What is the most effective model for perinatal mental health counseling? There is no evidence that one model has greater success than the other evidence-based models. Behavioral Activation Interpersonal Psychotherapy Group Psychotherapy There is no evidence that one model has greater success than the other evidence-based models. TRUE/FALSE: Psychotherapy for perinatal mood disorders should never continue for longer than 10 sessions. TRUE FALSE False What is the quote from Susan Hickman, phd, that refers to the recommendation that psychotherapists should focus on immediate relief before addressing long-term issues? Check out the fire before you rewire the house Tell people about the fire before you rewire the house Put out the fire before you rewire the house Douse the fire before you measure the house Put out the fire before you rewire the house What are three elements of "cognitive restructuring" in CBT? Identify automatic thoughts, Observe the connection between thought & feeling, Look for cognitive distortions Identify automatic thoughts, Change the behavior, Look for cognitive distortions Observe your behavior, reflect on your thoughts, change your feelings Tell someone about your thought, Observe the connection between thought & feeling, Look for cognitive distortions Identify automatic thoughts, Observe the connection between thought & feeling, Look for cognitive distortions
Goals of feminist psychotherapy include encouraging the client to: Work only with providers of the same gender Understand that depression is primarily caused by a poor relationship with one's mother Tune in more to other's feelings Negotiate for her own personal space and/or time in relationships with others Negotiate for her own personal space and/or time in relationships with others The emotional conflicts that occur around postpartum depression typically include all of the below, EXCEPT this one: The wish to be dependent Tolerating the ambivalence about parenting that occurs as a result of PPD. Trying to figure out The wish to be dependent According to the research of Cheryl T.Beck, 8. Dnsc, CNM, FAAN , the recovery period after postpartum depression involves: Grieving for time lost Battling with reimbursement from insurance companies Worry about their children being taken away An increase in sexual libido Grieving for time lost Which is the result of the study comparing SSRI's to CBT individual therapy? Those in therapy had the same decrease in depressive symptoms as those taking medication. Those in therapy had a greater decrease in depressive symptoms as those taking medication. Those taking medication had a greater decrease in depressive symptoms as those in therapy. Those in therapy quit the study, and only those taking medication were involved at the end. Those in therapy had the same decrease in depressive symptoms as those taking medication. What are the four steps of Jeffrey Schwartz's Cognitive Behavioral Therapy for OCD symptoms? Remember, Reflect, Refocus, Re-label Reflect, Refocus, Re-label, Revalue Respond, Revalue, Re-Attribute, Return Re-label, Reattribute, Refocus, Revalue Re-label, Reattribute, Refocus, Revalue What was not mentioned as an evidence-based method of Mother-Infant Psychotherapy? Parent-Child Psychotherapy
The theory of "psychosocial adaptation to motherhood" comes from the research of Blum Beck Wisner Lederman Lederman The life growth theme in the motherhood constellation is about being able to access social support keeping the baby alive the requirement for role shifts and integration being nurturing enough as a mother Keeping the baby alive Cheryl Beck's theory of the four stage process of "Teetering on the Edge" for women with postpartum depression includes all BUT: The desire for isolation Dying of self Struggling to survive Regaining Control The desire for isolation The social stigma for mothers with severe mental illness affects The severity of their symptoms How they are treated when they do seek care How it will affect their child/children Whether they are more likely to have partner support. How they are treated when they do seek care This model of psychotherapy specifically addresses the importance of a woman's attachment history: Psychodynamic Cognitive behavioral Feminist Dialectical behavioral Psychodynamic Understanding a woman's attachment history is important because It determines whether or not she can be a good mother It determines whether or not she should have a baby It is the single most significant predictor of the attachment she will form with her infant therapy can help to change her history
It is the single most significant predictor of the attachment she will form with her infant When a pregnancy is acknowledged but its emotional significance it dismissed, it is referred to as Affective denial Psychotic denial Pervasive denial Emotional denial Affective denial In this kind of pregnancy denial, pregnancy symptoms are misconstrued or even absent Affective denial Psychotic denial Pervasive denial Emotional denial Pervasive denial Some cases of postpartum psychosis can be conceptualized as a: Schizoaffective disorder Episode of schizophrenia An acute manic episode An acute manic episode One of the recurrent themes in pregnancy denial is Threats of abandonment An unwanted child Spousal revenge Psychosis Threats of abandonment True or False? There is a correlation between a woman's positive experience of being mothered in childhood and her confidence in the maternal role. TRUE FALSE True What is one of the special considerations that might create barriers to care in the treatment of perinatal mental health? Serving in the military, or spouse of active duty Ambivalence about maternal role Family history of depression Serving in the military, or spouse of active duty
They will always have lowered libido Which of these statements is TRUE: Pregnant women are at lower risk of interpersonal violence when they are married. 40% of assaults begin during the first pregnancy Prevalence of postpartum depression is not affected by interpersonal violence. 40% of assaults begin during the first pregnancy What is one reason mentioned that women living with depression might be more likely to be victims of intimate partner violence? Lowered assertiveness due to depressive symptoms It could her partner's response to her irritability Role models in movies and television Lowered assertiveness due to depressive symptoms What was NOT listed as one of the possible causes of high rate of pmds in Military families? Partner deployed Poor living conditions Stigma associated with reaching out for support Poor living conditions What was NOT mentioned as a possible element that adds to pmds after fertility treatment? Less desire to have children after such an arduous process Side effects of medications Fear of loss Less desire to have children after such an arduous process What concept was introduced in this class as a way families can develop resilience? Maintaining regular dinner time Intergenerational Conflict Resolution Intergenerational transmission of resilience Intergenerational transmission of resilience Antidepressants should be used in pregnancy... A. As a first line of treatment in new onset depression during pregnancy b. If she's currently on an antidepressant and has a history of relapsing or chronic depression, or has a new onset severe depression. C. Women should not be on antidepressants during pregnancy. D. For treatment of insomnia during pregnancy. B. If she's currently on an antidepressant and has a history of relapsing or chronic depression, or has a new onset severe depression.
When considering starting an antidepressant medication during pregnancy women, which of the following is most accurate? A. There is a moderate increased risk of birth defects. B. The benefit of medication is always greater than the risk of birth defects. C. In the literature, studies have not shown that SSRI's or SNRI's cause birth defects. D. There is not good data about risks of SSRI's in pregnancy. C. In the literature, studies have not shown that SSRI's or SNRI's cause birth defects. Which is the most accurate statement regarding Neonatal Adaptation Syndrome: a. Can be avoided by discontinuing medication in the 3rd trimester. B. Often requires a NICU stay and is sometimes fatal. C. Occurs in up to 50% of babies exposed to SSRI's. D. Is mild, goes away by itself, and seldom requires treatment. D. Is mild, goes away by itself, and seldom requires treatment. The new FDA Categories evaluate: a. Pregnancy & Labor/Delivery, Lactation, and Females and Males of reproductive potential b. Pregnancy & Labor/Delivery, Lactation, and Females of reproductive potential c. Pregnancy & Labor/Delivery and Lactation d. Categories of ABCDX A. Pregnancy & Labor/Delivery, Lactation, and Females and Males of reproductive potential When starting treatment with a SSRI: a. Start with a mid-range dose for faster symptom relief. B. Start medication in the evening. C. Start with a very low dose and work up to a therapeutic level. D. Start at the dose patient was previously on C. Start with a very low dose and work up to a therapeutic level. Women with perinatal depression and anxiety: a. Are best treated with Bupropion. B. Are best treated with an SSRI and a short term, as needed, benzodiazepine. C. Are best treated with a high dose SSRI d. Are best treated with a TCA B. Are best treated with an SSRI and a short term, as needed, benzodiazepine A woman who recently started on an SSRI for depression and reports agitation and less need for sleep, and has rapid speech...
B. To avoid medication in the first trimester. C. Antipsychotic medications are associated with birth defects. A. To continue to take medication throughout pregnancy. SSRI's have been associated with heart defects when taken during pregnancy. Which is correct? A. There is an up to 5% increase in risk of heart defects. B. No increased risk has been shown. C. Only paroxetine (Paxil) causes heart defects. B. No increased risk has been shown. In discussing the risk of autism/attention deficit hyperactivity disorder (ADHD) in SSRI exposed fetuses, the data show a. There is strong data showing an association of SSRI exposed fetuses and autism. B. Small studies have shown a high rate of association of autism/attention deficit hyperactivity disorder with ssris. C. No significant increase in risk has been shown in large studies. C. No significant increase in risk has been shown in large studies.
