Childhood and Adolescent Disorders Flashcards
A 7-year old boy is disruptive in the classroom and is described by his parents as being hyperactive. What is the most probable psychiatric disorder? What are the signs and symptoms of this disorder? What drug is usually prescribed for this disorder?
Attention-deficit (hyperactivity) disorder (ADD/ADHD). More prevalent in boys; failure to listen to or follow instructions; difficulty playing quietly; disruptive behavior; impulsive behavior; difficulty sitting still; distractibility to external stimuli; excessive talking; shifting from one unfinished task to another; and underachievement in school performance. Methylphenidate (Ritalin)
A 15-year-old boy is threatening to drop out of school. His parents, both alcoholics, say they can’t stop him. He has just been arrested for stealing a car and breaking into a house. What is the most probable disorder? Develop nursing diagnosis and interventions for this disorder.
Conduct disorder:
A. Risk for violence related to…depending on client.
B. Disturbed self-esteem related to…depending on client.
C. Ineffective family coping related to …depending on client.
D. Assess verbal and nonverbal cues for escalating behavior so as to decrease outbursts. Use a non-authoritarian approach. Avoid asking “why” questions. Initiate a show of force with a child who is out of control. Initiate suicide precautions when assessment indicates risk. Use a quiet room when external control is needed. Clarify expressions or jargon if meanings are unclear. Teach to redirect angry feelings to a safe alternative, such as a pillow or punching bag. Implement behavior modification therapy if indicated. Role-play new coping strategies.
