Disruptive Behavior Disorders (23) Flashcards

(33 cards)

1
Q

what are the types of Disruptive Behavior Disorders?

A

1) Oppositional Defiant
2) Intermittent Explosive
3) Conduct Disorder

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2
Q

characteristics of behavior disorders

A

persistent anger, hostility, aggression towards people and property

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3
Q

other related disorders

A

kleptomania and pyromania

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4
Q

what is oppositional defiant disorder?

A

enduring pattern of uncooperative, defiant, disobedient, and hostile behavior

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5
Q

what qualifies for a diagnosis of ODD?

A

behaviors are more frequent and intense

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6
Q

children with ODD

A

have difficulty associating their behavior with consequences

are indifferent to concepts of reward and punishment

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7
Q

manifestations of ODD

A

impairment in problem-solving skills, learning to refrain from inappropriate behavior, attention, flexibility of thinking, decision-making

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8
Q

interventions for children with ODD

A

ignore maladaptive behaviors, reward positive behaviors

enhance personal strengths and attend individual therapy (for adolescents)

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9
Q

major challenges in dealing with ODD

A

managing aggression and deceitfulness

frequent interaction with child-serving agencies

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10
Q

what is intermittent explosive disorder?

A

repeated episodes of impulsive, aggressive, violent behavior and verbal outbursts (lasts 30 mins)

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11
Q

hallmark of IED

A

intensity of emotional outburst is grossly out of proportion to the stressor

episode occurs without warning

cause of physical harm and property destruction

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12
Q

how do children IED react after an episode?

A

guilty, embarrassed, or remorseful

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13
Q

comorbidities of IED

A

ADHD, ODD, conduct disorder, anxiety disorder, depression, substance use disorder

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14
Q

which neurotransmitters are compromised in IED?

A

serotonin imbalance (heavily linked), plasma tryptophan depletion

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15
Q

which part of the brain is affected in IED?

A

frontal lobe dysfunction

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16
Q

medications for IED

A

Fluoxetine, Lithium, Valproic Acid, Phenytoin

17
Q

interventions for IED

A

CBT, anger management, alcohol avoidance

avoid self-medication to prevent dual diagnosis

18
Q

physical symptoms of IED

A

palpitations, muscle tension, HA, tremors, tingling

19
Q

what is conduct disorder?

A

persistent behavior that seriously violates societal norms, rules, laws, and right of others

20
Q

characteristics of CD?

A

children will exhibit callous and unemotional behavior (similar to Antisocial Personality Disorder in adults)

21
Q

two subtypes of CD

A

childhood-onset and adolescent-onset

22
Q

what is childhood-onset?

CD

A

symptoms show before 10 yrs old

physical aggression towards others

disturbed peer relationships

23
Q

what is adolescent onset?

CD

A

no evident CD until after 10 yrs old

less likely persistent

more normal peer relationships

24
Q

mild CD

A

lying, truancy, minor shoplifting, staying out late w/o permission

25
moderate CD
vandalism, conning, running away from home, verbal bullying, sexual promiscuity
26
severe CD
forced sex, animal cruelty, weapon-use, robbery
27
biologic etiology of CD
lack of reactivity in ANS
28
medications for CD
many medications are ineffective BUT Risperidone, Lithium, or Carbamazepine
29
neurotransmitters altered in CD
norepinephrine and serotonin (along with high levels of testosterone in boys)
30
what is the purpose of timeout?
proactive prevention of violence
31
nursing interventions for CD
1) set boundaries 2) explain consequences 3) state expectations in behavior
32
why are SSRIs prescribed for IED?
reduces aggressive tendencies *IED linked with serotonin deficiency*
33
what does plasma tryptophan do for the brain?
it is responsible for producing melatonin, niacin and serotonin