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Rockhurst Nursing School 2022-2023 > Community and Mental Health: Exam 3 > Flashcards

Community and Mental Health: Exam 3 Flashcards

Reviewing Suicide, Schizophrenia, The Health Care System, Economics of Health Care, Child/Adolescent Care, Eating Disorders

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1
Q

Chapter 26: Child and Adolescent Mental Health Care

Resiliency and things in common for resilient children

A

Developed through successful transition through a previous crisis. Resilient children usually have more available resources, a good mentoring figure and neurologically less vulnerable to stress

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2
Q

Chapter 26: Child and Adolescent Mental Health Care

General Systems Theory

A

“A change in one family member affects all family members”, the family as a whole

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3
Q

Chapter 26: Child and Adolescent Mental Health Care

General Etiology of Mental Disorders in Children

A

Either genetic, biochemical, social and/or environmental

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4
Q

Chapter 26: Child and Adolescent Mental Health Care

Disruptive Mood Dysregulation Disorder (DMDD)

A

Severe recurrent temper outburst inconsistent with developmental level
Time: Averaging 3 or more times/week, present > 12 months
Diagnosing: Between ages 6-18

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5
Q

Chapter 26: Child and Adolescent Mental Health Care

General Manifestations of Autism

A

Unresponsive to Caregiver, Resistant to Affection, Relating to Objects more than people, Lack of Development, Repetitive Play, Acute Hearing/Touch, Sleeping Difficulties, Absence of Self-Image, Desire of Sameness

Note: Autism is on a spectrum, many variants

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6
Q

Chapter 26: Child and Adolescent Mental Health Care

Nursing Interventions for a Patient with Autism

A
  1. Protection from harm
  2. Centering around achieving full potential in cognitive and social skills
  3. Behavior Modification
  4. Play Therapy to develop trust, positive experiences with adults, creativity and reality
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7
Q

Chapter 26: Child and Adolescent Mental Health Care

Behavioral Disorder: ADHD

A

; may or may not have hyperactivity
Diagnosing: Around school age, more frequent in males

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8
Q

Chapter 26: Child and Adolescent Mental Health Care

Behavioral Disorder: Oppositional Defiant

A

Pattern of negative, defiant, and disobedient behavior toward authority figures, but don’t see themselves as defiant
Diagnosing: Usually evident before 8

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9
Q

Chapter 26: Child and Adolescent Mental Health Care

Behavior Disorder: Conduct Disorder

A

Pattern of violating basic rights and social norms of others
Diagnosing: Males tend to fight/do vandalism; Females tend to lie, be truant and run away

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10
Q

Chapter 26: Child and Adolescent Mental Health Care

Nursing Interventions for Behavioral Disorders

A
  1. Protect from harm
  2. Accountability for behavior
  3. Increase in ability to trust and controlling impulses
  4. Having positive role models
  5. Support and Education to Caregivers
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11
Q

Chapter 26: Child and Adolescent Mental Health Care

Anxiety Disorders: Separation Anxiety Disorder

A

Having a hard time separating from caregiver, fear of abandonment; rooted in unresolved dependent ties

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12
Q

Chapter 26: Child and Adolescent Mental Health Care

Anxiety Disorders: PTSD

A

Younger children have nightmares with monsters, threats to self, etc. and internalize anxiety
Diagnosing: In any age

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13
Q

Chapter 26: Child and Adolescent Mental Health Care

Anxiety Disorders: Phobias

A

Fears, especially of specific things that invokes great anxiety, which can peak during transitional times
Diagnosing: Most often in girls

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14
Q

Chapter 26: Child and Adolescent Mental Health Care

Adverse Childhood Experience (ACE) Study

A

Traumatic events that children go through that affect mentality and behavior, with 10 questions (4+/10 sets them up for major health concerns)

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15
Q

Chapter 26: Child and Adolescent Mental Health Care

Nursing Interventions for Anxiety Disorders

A
  1. Protect from panic level
  2. Cognitive therapy for underlying fear
  3. Behavior Modification, reinforcing self-control
  4. Help to increase self-esteem and feelings of competence
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16
Q

Chapter 26: Child and Adolescent Mental Health Care

Overall Interventions for Children

A

Involving the families, using play therapy or play and talk therapy as age appropriate, medication compliance, setting boundaries, desired behavior is rewarded, promote responsibility

17
Q

Chapter 26: Child and Adolescent Mental Health Care

Important Notes for Interventions

A

Find common ground, show inability to be manipulated, being a role model, intervene before explosive behavior, avoid power struggles, community resources

18
Q

Chapter 26: Child and Adolescent Mental Health Care

Psychopharmacology for ADHD

A

CNS Stimulants:

19
Q

Chapter 26: Child and Adolescent Mental Health Care

Psychopharmacology for Autism Spectrum Disorder

A

Anti-psychotics: Risperidone and Aripiprazole
Targeting: Aggression, Self-Injury, Tantrums, Mood Changes

20
Q

Chapter 26: Child and Adolescent Mental Health Care

Psychopharmacology for Autism Spectrum Disorder (AEs and Considerations)

A

Side Effects: Drowsiness/Dizziness, increased appetite, nasal congestion, fatigue, constipation, drooling an weight gain
AEs: EPS, hyperglycemia, diabetes

21
Q

Chapter 26: Child and Adolescent

Psychopharmacology for ADHD (AEs and Considerations)

A

Warning: Monitor CV functioning, psychiatric symptoms may worsen
Side Effects: Insomnia, anorexia, weight loss, tachycardia, decrease in RATE OF GROWTH AND DEVELOPMENT (RITALIN)

22
Q

Chapter 26: Child and Adolescent

Psychopharmacology for ADHD (Atomoxetine Specific)

A

MoA: Selective norepinephrine reuptake inhibitor
Warning: CV and Liver Function, Psychiatric Symptoms may worsen
Side Effects: Palpitations/Tachycardia, Anorexia/Weight loss, Nausea/Vomiting, Constipation, Liver Damage

23
Q

Chapter 26: Child and Adolescent

Psychopharmacology for ADHD (Central Acting Alpha-Agonists)

A

Clonidine and Guanfacine
AE: Palpitations, Tachycardia/Bradycardia, Constipation, Dry mouth, Sedation

24
Q

Chapter 26: Child and Adolescent

ADHD Medication Concerns

A

OTC medications should be avoided when child is taking stimulant medications
Drug-Drug with cold and hay fever meds could be toxic

25
Q

Chapter 14: Eating Disorders

Commonality: Based on Irrational Misperception of Body Image

A

Irrational misperception of body image; cognitive distortions resulting of processing errors in the brain
Connected to: Anxiety, dysphoria, low self-esteem, feeling of lack of control

26
Q

Chapter 14: Eating Disorders

Co-Morbities of Eating Disorders =

A

Mood and anxiety disorders, substance abuse, body dysmorphic disorders, impulse control disorders, personality disorders (OCD and Borderline disorders), possible suicidal ideation/self-harm

27
Q

Chapter 14: Eating Disorders

Red Flags for Anorexia

A
  • Loss of Appetitie and menstral period
  • Dieting with relish
  • Denial of hunger
  • Excessive exercise/frequent weighing
  • Use of laxatives/vomiting
  • Layering clothing
  • Bizarre eating habitis
  • Low Tolerance for cold
  • With Bulimia as well: Bathroom trips right after meals; red/raw knucles
28
Q

Chapter 14: Eating Disorders

Common Characteristics with Anorexia

A
  • Perfectionism/low self esteem
  • Females from age12-25; increase in age 8-11
  • Controlling over body
  • Uninformed and fearing sex
  • Shy, timid and neat
  • High energy/achiever
  • Dependent upon parents

Rockhurst Nursing School 2022-2023 (8 decks)

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