HFCH EXAM 4 EXAM 110 QUESTIONS AND CORRECT ANSWERS 2024
Define separation anxiety disorder - ANSWER--Developmentally inappropriate levels of concern
over being away from a significant other (i.e. parent, spouse, kid, etc.)
Define generalized anxiety disorder (GAD) - ANSWER--Excessive worry that lasts for months
-Affects more women vs. men
-Worry about everything
*A condition that occurs when an individual experiences intense tension and worry, even if no external
stressors are present
-Excessive worry about everyday problems for at least 6 mos
S/S of mild anxiety - ANSWER--Everyday problem-solving leverage
-Grasps more information effectively
S/S of moderate anxiety - ANSWER--Selective inattention - tunnel vision in that moment
-Clear thinking hampered
-Problem solving not optimal
-Sympathetic nervous system symptoms begin
--fight or flight response
--tachycardia, diaphoresis, GI issues, tachypnea
S/S of severe anxiety - ANSWER--Perceptual field greatly reduced - even more narrow tunnel vision
-Difficulty concentrating on environment
-Confused and automatic behavior (auto behavior = blackout while driving)
-Somatic symptoms increase - what we physically experience - more dramatic
,S/S of panic - ANSWER--Markedly disturbed behavior - running, shouting, screaming, pacing
(mania)
-Unable to process reality - impulsivity - could affect your safety
-worst case scenario
Define phobia - ANSWER--Persistent, irrational fear
*An intense, persistent, irrational fear of a simple thing or social situation that compels the individual to
avoid the stressor that elicits the fear
Phobia vs. fear - ANSWER-Phobia = irrational fear
Fear = reactions to specific dangers or perceived fear
*A sense of apprehension triggered by a perceived threat to safety or well-being, including a painful
stimuli or dangerous event.
Define perinatal loss - ANSWER-Death of fetus or infant anytime from conception to 28 days after
birth
*Death of a fetus or infant that occurs between the time of conception and the end of the newborn
period 28 days after birth
What is important to keep in mind when providing care for perinatal loss? - ANSWER--It's a
traumatic event for the infant's parents as well as other family members
-Grief can be more intense than with most other losses
--Grief in mothers after miscarriage, stillbirth, & neonatal deaths are essentially the same
--Fathers grieve like mothers but w/less intensity, shorter duration
, -Allow parents time to process grief before asking questions about birthing preferences -
ANSWER any questions
Siblings and perinatal loss - ANSWER--Encourage parents to include siblings in process of grieving
for stillborn baby
-Siblings should be able to experience newborn sibling even if infant is dead
--Siblings able to mourn deceased brother/sister mourn death w/less traumatic results
-Encourage creation of memories by taking pictures with or holding deceased sibling
-Do not force children to hold, touch, or otherwise experience deceased baby --> let child lead encounter
Define anticipatory grieving - ANSWER--The individual begins to grieve before the actual loss
occurs
-Experienced by families who are informed that their unborn child may not survive in utero or during or
after delivery
-experienced before the loss occurs, can be actual or perceived
Postpartum depression - MATERNAL - ANSWER--Starts 1-2 weeks after birth
--See lots of emotional changes 24 hours - 1st week after baby d/t hormone changes = "baby blues" --If
persistent = pp depression
-Screen moms in hospital using Edinburgh screening tool
-May start on meds (SSRIs) + therapy (group therapy is usually successful)
*A severe form of depression that affects new mothers, often beginning within 3 months of delivery but
which may strike at any time during the first year after having a child. Also called depressive disorder
with peripartum onset
Postpartum depression - PATERNAL - ANSWER--Paternal Perinatal Depression (PPND)
-Affects 10% of men
Define separation anxiety disorder - ANSWER--Developmentally inappropriate levels of concern
over being away from a significant other (i.e. parent, spouse, kid, etc.)
Define generalized anxiety disorder (GAD) - ANSWER--Excessive worry that lasts for months
-Affects more women vs. men
-Worry about everything
*A condition that occurs when an individual experiences intense tension and worry, even if no external
stressors are present
-Excessive worry about everyday problems for at least 6 mos
S/S of mild anxiety - ANSWER--Everyday problem-solving leverage
-Grasps more information effectively
S/S of moderate anxiety - ANSWER--Selective inattention - tunnel vision in that moment
-Clear thinking hampered
-Problem solving not optimal
-Sympathetic nervous system symptoms begin
--fight or flight response
--tachycardia, diaphoresis, GI issues, tachypnea
S/S of severe anxiety - ANSWER--Perceptual field greatly reduced - even more narrow tunnel vision
-Difficulty concentrating on environment
-Confused and automatic behavior (auto behavior = blackout while driving)
-Somatic symptoms increase - what we physically experience - more dramatic
,S/S of panic - ANSWER--Markedly disturbed behavior - running, shouting, screaming, pacing
(mania)
-Unable to process reality - impulsivity - could affect your safety
-worst case scenario
Define phobia - ANSWER--Persistent, irrational fear
*An intense, persistent, irrational fear of a simple thing or social situation that compels the individual to
avoid the stressor that elicits the fear
Phobia vs. fear - ANSWER-Phobia = irrational fear
Fear = reactions to specific dangers or perceived fear
*A sense of apprehension triggered by a perceived threat to safety or well-being, including a painful
stimuli or dangerous event.
Define perinatal loss - ANSWER-Death of fetus or infant anytime from conception to 28 days after
birth
*Death of a fetus or infant that occurs between the time of conception and the end of the newborn
period 28 days after birth
What is important to keep in mind when providing care for perinatal loss? - ANSWER--It's a
traumatic event for the infant's parents as well as other family members
-Grief can be more intense than with most other losses
--Grief in mothers after miscarriage, stillbirth, & neonatal deaths are essentially the same
--Fathers grieve like mothers but w/less intensity, shorter duration
, -Allow parents time to process grief before asking questions about birthing preferences -
ANSWER any questions
Siblings and perinatal loss - ANSWER--Encourage parents to include siblings in process of grieving
for stillborn baby
-Siblings should be able to experience newborn sibling even if infant is dead
--Siblings able to mourn deceased brother/sister mourn death w/less traumatic results
-Encourage creation of memories by taking pictures with or holding deceased sibling
-Do not force children to hold, touch, or otherwise experience deceased baby --> let child lead encounter
Define anticipatory grieving - ANSWER--The individual begins to grieve before the actual loss
occurs
-Experienced by families who are informed that their unborn child may not survive in utero or during or
after delivery
-experienced before the loss occurs, can be actual or perceived
Postpartum depression - MATERNAL - ANSWER--Starts 1-2 weeks after birth
--See lots of emotional changes 24 hours - 1st week after baby d/t hormone changes = "baby blues" --If
persistent = pp depression
-Screen moms in hospital using Edinburgh screening tool
-May start on meds (SSRIs) + therapy (group therapy is usually successful)
*A severe form of depression that affects new mothers, often beginning within 3 months of delivery but
which may strike at any time during the first year after having a child. Also called depressive disorder
with peripartum onset
Postpartum depression - PATERNAL - ANSWER--Paternal Perinatal Depression (PPND)
-Affects 10% of men
