Chapter 42

Question 1

Clinical manifestations of autism

Answer 1

–Inability to relate to others
–Inability to communicate with others
–Limited activities, interests

Question 2

•Syndrome characterized by degrees of inattention, impulsive behavior, hyperactivity

Answer 2

ADHD

Question 3

Clinical manifestation of ADHD

Answer 3

•Clinical manifestations: Vary based on individual
•Diagnosis: Multidisciplinary assessment
•Treatment: Multidisciplinary
–Structure: School, home
–Medication
•Nursing care: Calm, patient attitude
–Family encouragement, support

Question 4

Involuntary urination beyond age when urination control is commonly acquired

Answer 4

Enuresis

Question 5

Chronic involuntary fecal soiling beyond age when control is expected (approximately 3 years of age)

Answer 5

Encopresis

Question 6

Clinical manifestations of Encopresis

Answer 6

–Speech, learning disabilities may accompany this problem

–Without organic cause: Can indicate serious emotional problem

Question 7

•Form of deliberate, repeated aggressive behavior, usually toward weaker person

Answer 7

Bullying

Question 8

Clinical manesfestations of bullying

Answer 8

•Clinical manifestations: Bully acts to have power, control over victim
–Victim often is perceived as “different”

Question 9

•Clinical manifestations: Strong anxiety resulting in genuine physical symptoms which disappear after child receives permission to remain home from school
–Vomiting; diarrhea; various pains; low-grade fever

Answer 9

School phobia

Question 10

•Emotional disorder characterized by persistent sadness interfering with daily activities

Answer 10

Depression

Question 11

Clinical manesfestations of depression

Answer 11

•Clinical manifestations: Anger; irritability; appetite and/or sleep changes; physical complaints; difficulty concentrating

Question 12

•Four principal factors fostering human growth

Answer 12

–Food
–Rest and activity
–Adequate hormonal secretion
–Satisfying relationship with person providing consistent, loving human contact and stimulation

Question 13

Clinical manesfestation of nonorganic failure to thrive

Answer 13

•Clinical manifestation: Listless; seriously below average height, weight; poor muscle tone; loss of subcutaneous fat; long periods of immobility; tactilely defensive

Question 14

Severe behavioral disturbance affecting language, interaction, attention, perception, and motor activity

Answer 14

Autism