childhood and neurodevelopmental disorders

Question 1

effects of childhood mental illness

Answer 1

long term mental disorders in adulthood
thwarted development
diminished productivity
conflict within family and community
child welfare involvement
juvenile justice involvement
special education resources needed
physical health impairments

Question 2

risk factors of childhood mental illness

Answer 2

biological - genetic predisposition, neurobiological
psychological factors- temperament
environmental factors- abuse, trauma, low socioeconomic status, parenting style

Question 3

resiliency

Answer 3

adapt to change/adversity
rely on inner strength
healthy coping strategies
function amid strong emotions
reach out for help/support
form nurturing relationships with other adults when parents are not available
protective against depression and anxiety

Question 4

protective factors to promote mental health

Answer 4

positive self image
family cohesion and abuse discord
support from significant others
positive relationships with at least 1 parent
positive early family experiences
family support to help with environmental stressors
academic achievement
positive peer relationships
temperament

Question 5

role of nurse with children, adolescents and family focus

Answer 5

early identification is key
identify family needs
promote children’s rights in treatment settings
avoid seclusion and restraint

Question 6

assessment interveiw

Answer 6

interaction based on developmental level
establish therapeutic relationship
children provide better information about internal symptoms (mood, sleep, SI)
parents provide better information about internal symptoms (behavior, relationships)

Question 7

conducting an interview with a preschooler

Answer 7

have difficulty putting feelings into words, thinks concretely
use play, conduct assessment in playroom

Question 8

conducting an interview with school-aged

Answer 8

able to use constructs; provide longer explanations
establish rapport through competitive games

Question 9

conducting an interview with adolsecents

Answer 9

egocentric; increased self-consciousness, fear of being shamed
let them know what info will be shared with parent; direct candid approach
16 and older topics such a sexual activity cannot be discussed with parents without Childs permission

Question 10

child assessments include

Answer 10

family functioning- parent/child relationships
current problem- nature, severity, length, triggers, anything make it better or worse
history: previous treatment, family hx, developmental and social
mental status
physical exam

Question 11

cognitive

Answer 11

learn and solve problems

Question 12

social and emotional child development

Answer 12

interact with others
helping themselves and self control

Question 13

speech and language

Answer 13

both understand and use language

Question 14

fine motor

Answer 14

ability to use small muscles, specifically in hands and fingers, pick up small objects, hold spoons, turn pages of book

Question 15

gross motor

Answer 15

use of large muscles

Question 16

basic communication guidelines

Answer 16

respect and preserve their dignity
seek solutions not blame
avoid no and don’t, use do or lets do it this way
instill hope
learn to communicate needs clearly
manage feelings
learn that they are competent and worthwhile
never give up on a child

Question 17

behavioral interventions

Answer 17

positive reinforcement

Question 18

bibliotherapy

Answer 18

literature, books, stories

Question 19

expressive art therapy

Answer 19

drawings, sculpting, painting

Question 20

disruptive behavior management

Answer 20

time out
quiet room
try to do this before seclusion or isolation

Question 21

play therapy

Answer 21

appropriate for younger children
vehicle for change, expression of feelings, trust, relationship building
psychodynamic therapy
therapist is in the role of trusted participant not aberrant perpetrator