childhood and neurodevelopment disorders Flashcards

1
Q

assessment data

A

allergies, head to toe

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2
Q

data collection

A

medical history

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3
Q

mental status exam

A

also reflexes, groin knees, and feet

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4
Q

development assessment

A

language development, recognizing cues, responding, time out, socially in school

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5
Q

present illness

A
  • angry
  • outburst
  • can socialize
  • not wanting to be touches
  • behaviors at school
  • developmental things: pregn complications
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6
Q

General Interventions for Children and Adolescents

A
  • Behavioral interventions: reward system, point system
  • Play therapy: allows childrent o express themselves
  • Bibliotherapy: literature to help with feelings
  • Expressive arts therapy: allowing express through art
  • Journaling
  • Music therapy: good for developmental delays
  • Family interventions
  • Psychopharmacology: complementary treatment, not all meds
  • Disruptive behavior management: least restrictive thing to do, quiet room, seclusions, and restraints
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7
Q

group therapy: younger children

A

uses play and ideas

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8
Q

group therapy: grade school children

A

combines play, learning skills, and talk

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9
Q

group therapy adolescents

A

identifying emotions, modifying responses, learning skills and talking, focusing largely on peer relationships and addressing specific problems

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10
Q

cognitive- behavioral therapy

A

Replacing negative, self-defeating thoughts with more realistic and accurate appraisals to improve functioning

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11
Q

neurodevelopment disorders

A
Communication disorders
Motor disorders 
Specific learning disorder
Intellectual developmental disorder
ASD
ADHD
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12
Q

speech disorders

A

Problems in making sounds

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13
Q

communication disorders

A

deficit in language skills acquisition that impairment in academic, achievement, socialization, or self worth

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14
Q

language disorders

types

A
  • Difficulty understanding or in using words in context and appropriately
  • May be evident by inability to follow directions
  • Expressive language disorder
  • Social communication disorder
  • trouble with verbal and nonverbal means
  • speech therapy work with him
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15
Q

receptive

A

difficulty understanding

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16
Q

expressive

A

difficulty finding right words

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17
Q

developmental coordinations disorder

A
  • Impairments in motor skill development
  • Coordination below the child’s developmental age
  • say they dont want to do it if they realize they cant
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18
Q

sterotypic movement disorder

A

Repetitive, purposeless movements for 4 weeks or more

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19
Q

tic disorders

A

Sudden nonrhythmic and rapid motor movements or vocalizations

treatment:
- physical and occupational therapy

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20
Q

types of tic disorders

A

Tourette’s disorder
Persistent motor or vocal tic disorder
Provisional tic disorder

21
Q

tourette’s disorder

A

multiple motor ticks for 1y can be brought on by stress

22
Q

Persistent motor or vocal tic disorder

A

single/multiple motor tick for 1y

23
Q

Provisional tic disorder

A

single/ multiple motor or vocal ticks

24
Q

treating tic disorders

A

Behavioral techniques
Medications
Deep brain stimulation (DBS)

25
Q

motor disorders medications

A

haldol (1st gen)
abilfilo (2nd)
catapress
botox

26
Q

specific learning disorders

A

noticied by teacher b/c way below performance of peers

  • parents should get them evaluated
  • schools can help with services
  • individual treatment plan
  • progress monitor
  • specialized interventions different from class
  • low self esteem drop out and trouble with employment
27
Q

dyslexia

A

reading

28
Q

dyscalculia

A

math

29
Q

dysgraphia

A

written expression

30
Q

Intellectual Development Disorders

A

Intellectual functioning
Social functioning
Daily functioning

31
Q

intellectual development disorders

A

can be mild to extremely severe

- begin in childhood

32
Q

intellectual functioning

A

deficit in reading problem solving

33
Q

social functioning

A

impaired communication and language regulating emotion

34
Q

daily functioning

A

daily life affected

35
Q

Application of the Nursing Process

A

Assessment guidelines

  • Assess for delays: parents/teacher
  • Assess for signs of potential neglect or abuse

Diagnosis: lack of empathy: impaired social reaction

Outcomes identification
- Nursing Outcomes Classification (NOC)

Implementation
- Psychosocial interventions: early interventions care giver involvement, school involvement

Evaluation: use fullness of programs and services

36
Q

Autism Spectrum Disorders

A
  • Deficits in social relatedness and relationships
  • Stereotypical repetitive speech
  • Obsessive focus on specific objects
  • Over adherence to routines or rituals
  • Hyper- or hypo-reactivity to sensory input
  • Extreme resistance to change
  • Appears in early childhood
37
Q

ASD assessment

A

developement delays, communication, sensory stim, relationships within family abuse, intellectual ability

38
Q

asd diagnosis

A

lack of coordination head banging

39
Q

asd outcomes

A

reframe from outburst, talk through it

40
Q

asd implementation

A

provide structure, consistency, reward system

  • psychological interventions
  • psychobiological interventions
41
Q

asd interventions

A

physical occupational speech therapy

42
Q

asd meds

A
  • abilifi

- respiradol

43
Q

ADHD

A

Inappropriate degree of

  • Inattention
  • Impulsiveness
  • Hyperactivity
  • commonly seen in school
  • temper outburst
  • low self esteem
44
Q

ADD

A

inattentiveness but not hyperactive

45
Q

adhd assessment, diagnosis

A

Assessment

  • Level of physical activity, attention span, talkativeness
  • Social skills
  • Comorbidity: learning disorder, disregulation, impulsive

Diagnosis: low self esteem, anxiety

46
Q

adhd outcomes

A
  • child saftey
  • self control
  • energy is managed
  • improving self esteem
  • postive coping skills
  • family function n
47
Q

adhd services

A

intense out patient, charter school, residential, group home

  • cognitive therapy: coping skills
  • family involved
  • consistency limits
48
Q

meds for adhd

A

ridiline aderal

increase pay attention, less impulsive, less distracted