Child and Adolescent Disorders Flashcards

1
Q

a spectrum disorder that ranges from mild to severe

A

autism spectrum disorder

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2
Q

people with _______ are intellectually gifted and are known as ______. Excelling in certain areas of ________.

A

autism; “savants”; learning

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3
Q

what is the etiology of ASD

A

unknown but possible genetic link.

*NO link between MMR and vaccines

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4
Q

what are CM of ASD

A

deficits in social interactions, communication, and behavior

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5
Q

when should a child have hearing and speech evaluated

A

if they don’t demonstrate language skills (babbling or gesturing) by 12mos
if they don’t speak single words by 16mos
if they don’t speak 2 word phrases by 24mos

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6
Q

what other problems could children with ASD have

A
intellectual disability
motor coordination problems
ADHD
sleep disturbances
constipation (GI issues)
seizure disorders
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7
Q

when should screening of ASD be

A

9mos
18mos
24-30mos

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8
Q

what are the 2 screening tools for ASD

A

modified checklist for Autism in Toddlers

the Ages and Stages Questionnaire

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9
Q

when is ASD diagnosed

A

often not until 2-3 years after symptoms are first recognized.
*Autism Diagnostic Observation Schedule is the goal standard for dx ASD

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10
Q

what is the prognosis of ASD children

A

usually a severely disabling condition but some children improve with acquisition of language skills and communication with others. *some are independent but most require lifelong adult supervision

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11
Q

use of the movement of the horse as a strategy by therapists to address impairments, functional limitations, and disabilities in patients with neuromusculoskeletal dysfunction

A

hippotherapy

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12
Q

how is the therapy described as for ASD

A

highly STRUCTURED and INTENSIVE behavior modification program

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13
Q

when caring for these children with ASD what is important to remember

A
lessen environmental stimulation
introduce child to new situations slowly
assist with nutritional needs
encourage age appropriate play and communication
encourage support groups
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14
Q

what is a principle for behavior analysis

A

postive reinforcement

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15
Q

the use of these techniques and principles to bring about meaningful and positive change in behavior

A

applied behavior analysis (ABA)

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16
Q

what are a few calming activities for ASD

A
walk breaks
jobs that involve lifting
jumping on tramp 
stress ball
velcro
gum/lollipop
brush
weighted blanket
17
Q

refers to developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity

A

attention deficit hyperactivity disorder (ADHD)

18
Q

what are people with ADHD at greater risk for

A

depression and anxiety disorder

developmental disorders

19
Q

what is the etiology of ADHD

A

genetic and environmental

20
Q

what is the diagnostic criteria for ADHD

A

symptoms persisted for at least 6 most

to a degree that is maladaptive with developmental level

21
Q

what are the 3 subtypes of ADHD

A

combined type
predominantly inattentive type (ADD)
predominantly hyperactive-impulsive type

22
Q

what are symptoms of ADHD child who is having inattention

A
difficulty sustaining attention in tasks or play
fails to finish hw, chores, or duties
difficulty organizing tasks
often loses things necessary for tasks
easily distracted and forgetful
23
Q

what are symptoms of ADHD child who is having hyperactivity- impulsivity

A

fights with hands or feet
often leaves seat in class
often runs around or climbs when inappropriate
difficulty playing quietly

24
Q

often “on the go” or acts as if “driven by a motor”

and talks excessively

A

hyperactivity- impulsivity

25
Q

often blurts out answers before questions have been completed, difficulty awaiting turn, interrupts others

A

hyperactivity-impulsivity

26
Q

when evaluating a child for ADHD what can you give the parents and teachers

A

behavioral checklist and adaptive scales to fill our but the thing is it is not easy to dx because these are strictly subjective

27
Q

what is the therapeutic mngmt of ADHD

A

fam education and counseling
meds
proper classroom placement
behavioral and psychotherapy therapy

28
Q

what are figet spinners good for

A

allow kids with ADHD to focus their attention

29
Q

focuses on the prevention of undesirable behavior

A

behavioral therapy

30
Q

what is the most common psychostimulants for ADHD

A
methylphenidate hydrochloride (ritalin)
another one used is mixed amphetamine salts (adderall)
31
Q

what are side effects of ADHD stimulants

A
appetite suppression
abd pain 
suppression of growth
sleep disturbances
HA
crying and irritability
hypertension
32
Q

what is important teaching for ADHD kids

A

caffeine decreases the efficacy of stimulant medication
if child has a decreased appetite have them take meds with or after meals instead of before
frequent, small meals and healthy snacks
sleepiness can lessen by admin meds earlier in the day and not past 6pm

33
Q

ADHD parents need to pay close attention to safety especially around

A

traffic, guns, swimming pools, tools, poisonous chemicals

because ADHD children are at an increased risk for accidents and injuries due to impulsivity

34
Q

a recurrent pattern of negativity, disobedience, angry outbursts, unwillingness to compromise, blaming others and seeking revenge

A

oppositional defiant disorder (ODD)

35
Q

ODD is frequently associated with a dx of

A

anxiety disorder
mood disorder
ADHD
learning disabilities

36
Q

if ODD is left untreated what can it progress to

A

conduct disorder

37
Q

aggresion to people, bullying, physical fights, vandalism, shoplifting

A

conduct disorder

38
Q

what is the hallmark for conduct disorder

A

aggressive behavior (known as delinquents)

39
Q

what is the etiology of conduct disorder

A

genetic or they have stress or conflict in the family