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Mental exam 3 > Disruptive Behavior Disorders (23) > Flashcards

Disruptive Behavior Disorders (23) Flashcards

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
Q

moderate CD

A

vandalism, conning, running away from home, verbal bullying, sexual promiscuity

26
Q

severe CD

A

forced sex, animal cruelty, weapon-use, robbery

27
Q

biologic etiology of CD

A

lack of reactivity in ANS

28
Q

medications for CD

A

many medications are ineffective BUT Risperidone, Lithium, or Carbamazepine

29
Q

neurotransmitters altered in CD

A

norepinephrine and serotonin

(along with high levels of testosterone in boys)

30
Q

what is the purpose of timeout?

A

proactive prevention of violence

31
Q

nursing interventions for CD

A

1) set boundaries
2) explain consequences
3) state expectations in behavior

32
Q

why are SSRIs prescribed for IED?

A

reduces aggressive tendencies

IED linked with serotonin deficiency

33
Q

what does plasma tryptophan do for the brain?

A

it is responsible for producing melatonin, niacin and serotonin

Mental exam 3 (5 decks)

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