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Depression in Mothers

1. Which of the following may indicate depression?

A. Patient lacks energy. B. Patient complains about not sleeping or sleeping too much. C. Patient complains about not being hungry or overeating. D. All of the above.

2. Which of the following family situations may increase the chances of depression in mothers?

A. Mothers who have a child with a chronic illness or developmental problems. B. Mothers who care for an elderly or sick parent or relative. C. Mothers who are in violent or abusive relationships with their partners. D. All of the above.

3. Some mothers with depression have trouble getting close to their babies and this affects the babies' development.

A. True B. False

4. Nurses should encourage all mothers to do each of the following for their children, except:

A. Help them eat, sleep, and play regularly each day. B. Provide them with healthy, home cooked meals. C. Decline support from family and friends to avoid the guilt of not being present. D. Respond to their needs.

5. Which of the following is not an action step that a nurse can take when working with a mother who may be depressed?

A. Ask her how she is feeling. B. Encourage her to start a job / go back to work. C. Encourage her to do things to improve her mood. D. Screen and refer women with more serious depression.

6. Admitting depression may raise the mother's concerns that she will be seen as a bad mother or that her children will be taken from her. The nurse should reassure her that this isn't the case.

A. True B. False

7. Using a screening tool can help identify which mothers really need a referral for mental health services.

A. True B. False

8. The baby's doctor should never be contacted about the mother's feelings, as this could create problems for her relationship with that doctor.

A. True B. False

9. If the mother is given the Patient Health Questionnaire-9 (PHQ-9), support should be offered to all mothers scoring 10 points or above, but is not necessary for those scoring 9 points or lower.

A. True B. False

10. Depression responds well to which of the following?

A. Cognitive Behavioral Therapy B. Interpersonal Psychotherapy C. Problem-Solving Therapy D. All of the above

11. When referring mothers to mental health care providers, all of the following are important characteristics for that provider to posses, except for:

A. Accepts the kinds of insurance that your mothers have or have a sliding fee scale so mothers can make payments that they can afford. B. Speaks the languages of the mothers whom you are referring. C. Offers child care so that the mother can bring her child with. D. Offers evening and weekend hours to provide services to mothers who work all day during the week.

12. Many mothers don't go to treatment the first time they are referred. On subsequent visits, the mother should be asked if she followed up on the referral and continual encouragement offered for her to seek out treatment.

A. True B. False

13. Each of the following is important to stress to a mother that is prescribed medication for depression, except for:

A. Several weeks may go by until the mother notices any effects from the medicine. B. If the original dosage doesn't help, the mother should double her dose and give it another several weeks. C. Mothers should continue taking their medicine even after they start to feel better. D. All of the above should be stressed to a mother prescribed medication for depression.

14. Which of the following should be taken to a hospital emergency department for evaluation?

A. A mother who is suicidal or thinks about hurting others. B. A mother who is being threatened by others in the home. C. A mother who is homeless. D. All of the above.


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