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Psychiatric-Mental Health Nursing NU 306 > Childhood disorders > Flashcards

Childhood disorders Flashcards

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1
Q

neurological findings in autistic children

A

enlargement in temporal lobe
frontal & occipital increase in the surface area
impairment in the connectivity in the brain
neurotransmitters have a role
though serotonin & epinephrine & dopamine are under research at this time

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2
Q

physiological findings in autistic children

A 
fragile X
maternal rubella
congenital hypothyroidism
PKU 
down syndrome
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3
Q

perinatal influences in autistic children

A

mom suffered from asthma & allergies

theory: mom having the flu during pregnancy

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4
Q

clinical picture for autistic children. their impairment in communication and imaginative activity are shown in what 5 ways

A 
both verbal & non-verbal affected
language may not be present
utterances
inappropriate/absent facial expressions
cannot imaginative play
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5
Q

childhood disorder in which child is fascinated with ceiling fans

A

autistic

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6
Q

3 characteristics of autistic children

A
  1. repetitive body movements/words (sways back and forth)
  2. adherence to routine with diet
  3. head banging/bites
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7
Q

what can you do to an autistic child while he is banging his head against the wall?

A

divert his attention

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8
Q

2 drugs: autism

A

Risperdal

Abilify

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9
Q

what do the drugs in autistic children help with?

A

aggression
self-injury
temper tantrums

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10
Q

ADHD criteria

A

at least 6 symptoms for at least 6 months

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11
Q

2 issues with ADHD

A

inattention and hypersensitivity

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12
Q

biochemical issue found in ADHD

A

decreased dopamine and decreased epinephrine

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13
Q

ADHD have prenatal, perinatal, and postnatal influences, name them (8)

A 
smoking
FAS
Premature
fetal distress
prolonged labor
low APGAR
cerebral palsy
epilepsy
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14
Q

environmental findings in ADHD

A

exposure to lead

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15
Q

diet in ADHD

A

Feingolds

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16
Q

psychosocial influences: ADHD

A 
stress in child
mom: mental d/o
dad: criminal
child: foster care
alcoholism in family
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17
Q

theory behind giving stimulants to ADHD children

A

wear them out in the AM and sleep better at PM

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18
Q

meds: ADHD

A 
dexadrine (dextroamphetamine sulfate)
Adderall (dextroamphetamine/amphetamine)
Ritalin/Concerta (methylphenidate)
Focalin (dexmethylphenidate)
Vyvanse (lisdexamfetamine)
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19
Q

SNRI in ADHD

A

strattera (atomoxetine)

20
Q

Strattera action in ADHD

A

increases norepinephrine

21
Q

Alpha 2 Adrenergic Agonist in ADHD

A

Intuniv (Guanfacine)

22
Q

what value must you have before administering Intuniv (Guanfacine)?

A

BP

23
Q

SE: stimulants

A 
wt loss
palpitations
tachycardia
overstimulation
insomnia
tolerance, dependence
seizures
new/worsen psychotic symptoms
24
Q

SE: strattera

A 
palpitations
anorexia
wt loss N/V
constipation
liver damage
25
Q

what value do you have when administering strattera

A

liver enzymes

26
Q

what must you watch for in the patient when using strattera?

A

worsen already present psychotic symptoms

27
Q

SE: Intuniv (guanfacine)

A

constipation
dry mouth
block sns causes sedation
rebound syndrome if abruptly withdrawn

28
Q

what medication must you look out for rebound syndrome?

A

Intuniv (Guanfacine)

29
Q

children dx with conduct disorder often have parents with what kind of personality?

A

antisocial

30
Q

shifting of parenteral figures, large family sizes, absent father are characteristics one might find when dx a child with what disorder?

A

conduct disorder

31
Q

childhood onset type and adolescent onset type

A

conduct disorder

32
Q

peer rejection and parental rejection occur in what childhood disorder?

A

conduct disorder

33
Q

family influences for conduct disorder

A

parental rejection/inconsistency

34
Q

genetics, temperament, and biochemical factors for conduct disorders

A

specific chromosomes
at age 3, child has a very challenging temperament
norepinephrine & serotonin and testosterone are high

35
Q

conduct d/o criteria

A

1 criteria in last 6 months and 3 or more in the last 12 months

36
Q

age of conduct d/o children

A

13 years or younger

37
Q

family influences in ODD

A

parents have a px with limit setting and discipline
defiant themselves
absent parents

38
Q

ODD criteria

A

4 or more in the last 6 months

39
Q

ODD s&S

A 
negative
hostile
loses temper
argues with adults/authority figures
annoys people
angry
revengeful
blames others for their mistakes/never their fault
40
Q

tourette’s d/o

A

never tic free for more than 3 months

41
Q

onset for tourettes

A

before age 18

42
Q

common tics for tourettes

A 
facial grimacing
shoulder shrugging
hopping
deep knee bends
twirling
retracing their steps
43
Q

meds for tourettes

A

haldol

clonidine

44
Q

separation anxiety d/o criteria

A

3 or more symptoms for at least 4 weeks and under 18 years

45
Q

s&s separation anxiety

A 
clingy
terrified of being away from item/person
worry losing figure
fear of being alone
worry about an event that will lead to separation
refusal to go to sleep 
nightmares
physical symptoms association with separation

Psychiatric-Mental Health Nursing NU 306 (3 decks)

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