child/adolescent/abuse (halter ch 3, 11, 16, 21, 28, 29, 35)

Question 1

Ability to withstand stress
-Characteristics: affectionate, confident,
humorous, flexible, competent

Answer 1

resiliency

Question 2

tips for communicating with children/adolescents

Answer 2

• use familiar vocab
• be at eye level
• clarify their meanings
• assess needs r/t immediate situation
• assess ability to cope with change
• use humor appropriately
• enter into their world (play, storytelling, art, music)

Question 3

disorder: IQ Less than 70 AND limitations in functioning

- multiple causes (hereditary, fetal alcohol syndrome, hypoxia, deprivation of nurturing)

Answer 3

intellectual development disorder (IDD)

Question 4

5 classes mental retardation based on IQ score

Answer 4

1. profound (IQ <20) - needs complete care
2. severe (IQ = 20-34)
3. moderate (IQ = 35-49)
4. mild (IQ = 50-69)
5. borderline (IQ = 70-79)

Question 5

what disorders are included in the autism spectrum (5)

Answer 5

• autistic disorder
• aspergers disorder
• childhood disintegrative disorder
• rett’s disorder
• pervasive developmental disorder

Question 6

autism spectrum DSM 5 criteria (3) (ASD)

Answer 6

Aloneness (deficits in relationships)
Sameness (repetitive, routines)
Developmental (nonverbal communication, sensory output)

Question 7

Tx autism spectrum disorder (6)

Answer 7

• antipsychotics (for tantrums, aggression)
• SSRIs (for anger and compulsive behavior)
• divert from self-stim
• adapt environment
• immediate reinforcement
• family education

Question 8

DSM 5 criteria for ADHD (FIDGETY)

Answer 8

Functionally impairing
Inattention
Disinhibition
Greater than normal
Exclude other disorders
Two or more settings
Young onset (<12 yo)

Question 9

ADHD meds (3)

Answer 9

• stimulants (1st line): methylphenidate, amphetamines
• antidepressants (wellbutrin, strattera)
• a agonist (clonidine)

Question 10

ADHD med teaching (3)

Answer 10

• most common SE: decreased appetite, insomnia
• reduction in growth with long term use
• increased HR and bp

Question 11

tips for parents with ADHD child

Answer 11

• manage behavior at the time
• use rewards/incentives more than punishments
• work closely with schools
• close supervision for homework

Question 12

oppositional defiant DSM 5 criteria (6+ months with 4/8 criteria)

Answer 12

• often loses temper
• often argues with adults
• often defies/refuses to comply with rules
• often deliberately annoys people
• often blames others for their mistakes
• often grouchy, easily annoyed
• often angry and resentful
• often spiteful or vindictive

Question 13

conduct disorder DSM 5 criteria (3/4 in past year or 1/4 in past 6 months)

Answer 13

• aggression towards others (including hurting animals)
• destruction of property
• deceitfulness or theft
• serious violation of rules

Question 14

disruptive mood dysregulation disorder

Answer 14

• temper outbursts to common stressors
• outbursts 3+times/week
• negative mood between outbursts
• atleast 3 months, 2 settings, 6 yo

Question 15

S+S anxiety in children (4)

Answer 15

• restlessness
• inability to sleep
• somatic complaints
• irritability

Question 16

therapies for children

Answer 16

• expressive therapy (art, singing, drawing, writing)
• bibliotherapy/storytelling
• play therapy
• milieu therapy (comfort, consistency, safety, rewards)

Question 17

examples group therapy

Answer 17

• psychodynamic
• social skills
• substance abuse
• multi-family
• parent support

Question 18

examples comorbid problems with ADHD if untreated (3)

Answer 18

• drugs
• alcohol
• legal problems