Chapter 11: Childhood and Neurodevelopmental Disorders Flashcards

1
Q

what are some barriers to treatment

A

clinicaians and parents wait to see whether symptoms are the result of a developmental lag or trauma that will correct itself

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2
Q

these disorders are a disruption to

A

normal pattern of childhood development

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3
Q

temperament

A

overall mood, attitude, and behavior that a child uses to cope with demands and expectations

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4
Q

resilience

A

capacity to recover quickly from difficulties
relationship between inborn strengths and success in handling stressful environmental factors

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5
Q

what do you need to have to be resilent

A

experienced something negative

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6
Q

what info should we collect during data collection

A

HPI
family history
medical history
development history
physical exam
suicide risk

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7
Q

developmental assessment tool

A

Denver 2 developmental screening tests

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8
Q

therapy types we can use

A

play
bibliotherapy
expressive arts
music

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9
Q

bibliotherapy

A

using literature to help the child express feelings in a supportive environment

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10
Q

disruption behavior management

A

principle of least restrictive intervention
- time out
- quite room
- seclusion and restraint

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11
Q

psychological therapies

A

CBT
group therapy

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12
Q

receptive language disorder

A

trouble understanding words that they hear and read

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13
Q

expressive language disorder

A

trouble speaking with others and expressing thoughts and feelings

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14
Q

tic disorders

A

sudden nonrhythmic and rapid motor movements or vocalizations

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15
Q

provisional tic disorder

A

single or multiple motor and or vocal tics for less than 1 year

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16
Q

persisitent motor or vocal tic disorders

A

single or multiple motor or vocal tics but not both for more than 1 year

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17
Q

tourettes disorder

A

multiple motor tics and at least one vocal tic for more than 1 year

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18
Q

treating tic disorders

A

comprehensive behavior intervention for Tics (CBITS)
deep brain stimulation

antipsychotics
alpha 2 adrenergic agonists

19
Q

dyslexia

A

reading

20
Q

dyscalculia

A

math

21
Q

dysgraphia

A

written expression

22
Q

Autism spectrum disorders
persistent deficits in social ______________ and ______________ across multiple contexts

A

communication and interaction

23
Q

autism qualities

A

restricted, repetitive patterns or behaviors, interest or activities, fixated interests, exec cove adherence to routines, hyper/hypoactivity

24
Q

autism patients tend to be picky

A

eaters

25
Q

autism appears during first 3 years of life and child achieves milestones and then

A

loses them

26
Q

autism spectrum
- symptoms must be present in

A

early developmental periods

27
Q

autism diagnosis

A

impaired social interactions
impaired verbal interactions
delayed growth and development

28
Q

autism treatment plans

A

behavior management
physical/occupational/speech

29
Q

autism pharmacotherapy is used to

A

improve realatedness and decrease anxiety, compulsive behaviors or agitation

30
Q

autism specific pharm

A

second gen antipsychotics (risperidone, aripiprazole)
stimulants
SSRI

31
Q

why use second gen antipsychoits

A

autism associated agitation

32
Q

why use stimulants in autism

A

comorbid ADHD symptoms and may be used to target hyperactivity, impulsivity, or inattention

33
Q

why use SSRI in autism

A

improve mood
reduce anxiety

34
Q

autism psychological therapies

A

Applied behavior analysis (ABA)
early intensive behavioral intervention (EIBI)
early start Denver model (ESDM)

35
Q

attention deficit hyperactivity disorder
- inappropriate degree of

A

inattention
impulsiveness
hyperactivity

36
Q

what if you have ADHD but have an absence of hyperactivity

A

still ADHD but classified as primarily inattentive type

37
Q

how many setting should ADHD present in

A

at least 2

38
Q

nursing diagnosis for ADHD

A

risk for self directed or other directed violence due to impulsivness

39
Q

outcomes for ADHD

A

target hyperactivity
impulse control
positive coping skills

40
Q

ADHD psychological therapies

A

parent training in behavior therapy
cognitive behavioral therapy

41
Q

ADHD pharm

A

upper stimulants (amphetamines)
non stimulants = sedating

42
Q

stimulants impact

A

appetite and sleep

43
Q

when should you take a stimulant

A

in the morning

44
Q
A