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2024DM ANCC > Chap. 13 - disorders of C/A - CD, ODD, ADHD > Flashcards

Chap. 13 - disorders of C/A - CD, ODD, ADHD Flashcards

1
Q

Conduct disorder

A

Persistent pattern of behavior in which the rights of others or societal norms or rules are violated

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2
Q

Parents of a child with CD may have one (or more) of these 4 disorders

A

SZO
Mood disorders
ASPD
SUD

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3
Q

CD affects __ - __% of the US population

A

1-10%

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4
Q

CD affects __-__% of boys and __-__% of girls

A

6-16% of boys

2-9% of girls

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5
Q

CD onset for boys is age __ - __ and for girls at about age __.

A

Boys 10-12

Girls about age 16

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6
Q

Four categories to assess for CD

A

Aggression towards people or animals
Destruction of property
Deceitfulness or theft
Serious violation of rules

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7
Q

CD dx: ___ or more sx in the past _____, and at least __ in the past _____ _____.

A

3 or more sx in the past year

1 or more in the past 6 months

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8
Q

Childhood onset is considered before age __.

A

Before age 10

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9
Q

Differential dx for CD

A

ADHD
ODD
Mood disorder
SUD

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10
Q

Pharm management for CD

A

There isn’t any specific pharm management other than symptom-targeted meds

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11
Q

Nonpharm treatment for CD

A

Behavioral therapy

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12
Q

CD may be dx’d in adults if criteria for _____ _____ _____ is not met

A

Antisocial personality disorder

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13
Q

ODD

A

An enduring pattern of negativistic, defiant, disobedient, hostile, and defiant behaviors, usually directed towards an authority figure

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14
Q

ODD is more common in children of parents who have a history of (6)

A 
ODD
CD
ADHD
ASPD
SUD
Mood disorders
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15
Q

ODD affects __-__% of the population

A

2-16%

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16
Q

Before puberty, _____ are more often diagnosed with ODD. After puberty _____ are more often diagnosed.

A

Boys before puberty

Neither after puberty - they are equal

17
Q

To diagnose ODD, the client must OFTEN display 4 of these 8 symptoms for at least 6 months

A 
Loses temper
Argues with adults
Actively defies or refuses to comply with adults' requests or rules
Deliberately annoys people
Blames others for mistakes
Is touchy or easily annoyed
Is angry or resentful
Is spiteful or vindictive
18
Q

Differential dx for ODD

A 
ADHD
Mood disorders
SUD
MR
CD
Psychotic disorders
19
Q

Pharm management for ODD

A

There is none

20
Q

Non-pharm management for ODD

A

Behavioral therapy

21
Q

ADHD

A

A persistent pattern of inattention or hyperactivity/impulsivity, or both, that is more frequent and more severe than that typically observed in individuals of the same developmental level

22
Q

NT dysfunctions in ADHD (2)

A

DA

NE

23
Q

Two brain regions most impacted by ADHD

A

Frontal cortex

Basal ganglia

24
Q

About __-__% of US children have ADHD

A

3-5%

25
Q

ADHD is much more common in _____

A

Boys

26
Q

Average age of ADHD onset is __ years; mean age of diagnosis is __ years

A

Onset age 3

Diagnosis age 9

27
Q

About __% will have symptoms of ADHD persist into adulthood

A

60%

28
Q

Inattention or hyperactivity/impulsivity more common in adults?

A

Inattention

29
Q

Symptoms of inattention (10)

A 
Inattention to details
Careless mistakes
Difficulty sustaining attention
Seeming not to listen
Failure to finish tasks
Difficulty with organizing
Avoidance of tasks requiring sustained attention
Loss of things
Distractibility
Forgetfulness
30
Q

Symptoms of hyperactivity/impulsivity

A 
Blurting out answers before question is finished
Difficulty awaiting his or her turn
Interrupting or intruding on others
Fidgeting
Inability to stay seated
Inappropriate running or climbing 
General restlessness 
Difficulty engaging in leisure activities
Always "on the go"
Excessive talking
31
Q

Hypertelorism

A

Wide-set eyes

32
Q

Three physical anomalies in those with ADHD

A

Hypertelorism
Highly arched palate
Low-set ears

33
Q

Strattera differs from the rest of the ADHD meds in that it is not _____

A

Scheduled

34
Q

Ritalin, Concerta, and Metadate are __________ class and are schedule __

A

Methylphenidate

S2

35
Q

Adderall is a/an _____

A

Amphetamine

36
Q

Focalin and Vyvanse are (supposedly) not _____

A

Abusable

37
Q

ADHD scales (2)

A

Conners

Vanderbilt

2024DM ANCC (48 decks)

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