Assessment and Screening Flashcards
7 cards from real PMH-C practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Assessment and Screening flashcards as text
A nurse completing an EPDS screening notes that a patient answered 'yes, quite often' to item 10. What is the highest priority response?
Answer: Immediately conduct a suicide risk assessment
Any positive response to EPDS item 10 (thoughts of self-harm) requires an immediate and direct suicide risk assessment before other clinical steps.
Which of the following is the most accurate statement about screening for perinatal mental health conditions?
Answer: Screening identifies risk and is not a diagnosis
Screening tools identify individuals who may warrant further evaluation; a positive screen indicates elevated risk, not a confirmed diagnosis.
A clinician wants to screen for birth trauma following a complicated delivery. Which tool is most appropriate?
Answer: City Birth Trauma Scale (City BiTS)
The City Birth Trauma Scale (City BiTS) is a validated tool specifically designed to assess PTSD symptoms related to the birth experience.
A patient reports she is 'fine' but her EPDS score is 15. How should the clinician proceed?
Answer: Explore the discrepancy between the score and self-report through clinical interview
When there is a discrepancy between a patient's verbal report and screening score, the clinician should explore this through direct, compassionate clinical interviewing.
Which population-level finding underscores the importance of including fathers and partners in perinatal mental health screening?
Answer: Paternal perinatal depression affects approximately 10% of fathers and impacts infant development
Research indicates paternal perinatal depression occurs in about 10% of fathers and is associated with adverse outcomes for children and family functioning.
Which of the following barriers most commonly prevents perinatal mental health screening from occurring in obstetric settings?
Answer: Time constraints during prenatal visits and unclear follow-up protocols
Time pressure during prenatal visits combined with unclear clinical pathways for positive screens are among the most commonly cited system-level barriers to routine screening.
The Antenatal Risk Questionnaire (ANRQ) is primarily used to assess which type of risk in pregnancy?
Answer: Psychosocial risk factors for perinatal mental health disorders
The ANRQ assesses psychosocial risk factors — including past mental health history, social support, and stressors — that predict perinatal mental health disorders.