Health Promotion, Shared Decision Making, & Motivational Interviewing

Question 1

How many well-child visits are recommended by the AAP from birth to adolescence?

Answer 1

14

Question 2

How many helath supervision visits are recommended by the AAP between birth and 3 years of age?

Answer 2

12

Question 3

What is CRAFFT?

Answer 3

screening tool to assess adolescents’ use of alcohol & drugs

Question 4

Dr. John’s preferred depression screening for ages 11 to 21?

Answer 4

PHQ-9

Question 5

what is PHQ-9? (ages?)

Answer 5

depression screening tool for ages 11-21

Question 6

when is cholesterol screening recommended?

Answer 6

9-11 years

Question 7

when is screening recommended for hematocrit & hemoglobin?

Answer 7

15 & 30 mos

Question 8

when is screening recommended for HIV?

Answer 8

16-18 years

Question 9

when should routine cervical cancer screening begin?

Answer 9

21 yrs old; routine pelvics not needed

Question 10

how are newborns screened for critical congenital heart disease?

Answer 10

w/use of pulse oximetry: after 24 hrs but before hospital discharge

Question 11

prevention should account for what percentage of pediatric visits?

Answer 11

1/3

Question 12

what do the changes in the 2014 aap guidelines place an emphasis on?

Answer 12

doing screening for mental health disorders

Question 13

when are autism screenings performed?

Answer 13

18 & 24 mos

Question 14

how can we support optimal nutrition in preventative care?

Answer 14

monitor breastfeeding & weight/height/HC

Question 15

example of broad band screening for mental health?

Answer 15

Pediatric Symptom Checklist

Question 16

a neurodevelopmental screening should be performed when?

Answer 16

9, 18, & 30 mos

Question 17

at age 9 mos, child should developmentally:

Answer 17

• -can separate from parents, move around

- -develop pincer grasp

Question 18

what does pincer grasp indicate?

Answer 18

acts as surrogate for cortical & overall brain development

Question 19

pincer grasp should be developed by age:

Answer 19

9 mos

Question 20

when is autism screening performed?

Answer 20

• -at 18 mos

- -can do repeat at 24 mos if something is wrong

Question 21

when can you screen for language?

Answer 21

–at 24 mos –> 20% will be delayed

Question 22

at 24 mos, how many children will show language delay?

Answer 22

20%

Question 23

Name 4 screening tools for development:

Answer 23

1) Ages & Stages
2) Denver II
3) Peds
4) Language: CAT/CLAMS

Question 24

what is CAT/CLAMS?

Answer 24

language screening tool

–Cognitive Adaptive Test/Clinical Linguistic & Auditory Milestone Scale

Question 25

what is M-CHAT?

Answer 25

Modified checklist for autism in Toddler

Question 26

Reach Out & Read is used when?

Answer 26

start at 6 mos, through 5 years | --for lower-income families

Question 27

criticism of health belief model?

Answer 27

Habits are not included | --relationship b/t variables is not clear

Question 28

Transtheoretical Model

Answer 28

--hypothesizes a number of qualitatively different discrete stages & process of change

Question 29

Transtheoretical Model: 6 Stages

Answer 29

1) Pre-Contemplation 2) Contemplation 3) Determination/Preparation 4) Action 5) Maintenance 6) Relapse/Recycle

Question 30

which children face the most difficulty in adjusting to adolescence?

Answer 30

early maturing & late maturing adolescents

Question 31

developmentally, how do changes in the pre-frontal cortex affect teens?

Answer 31

1) increase in white matter (insulated & myelinated) --> increase in # of connections between prefrontal cortex & other areas in the brain = crucial component of complex behaviors & decision-making 2) increased sensitivity to dopamine in the brain - -sensation-seeking behaviors ETC

Question 32

strength-based approach to adolescents is different bc:

Answer 32

traditionally, risk-based approach focused on problems & weaknesses --strength-based sees adolescent as resilient, reframes the adolescent

Question 33

in 1904, G. stanley Hall coined term "storm & stress," said that 3 key elements of adolecent development are:

Answer 33

1) conflict w/parents 2) mood disruption 3) risky behavior

Question 34

in 1959, Erikson's idea of adolescent development:

Answer 34

confusion or diffusion of identity vs. achieving a stable identity

Question 35

"7 C's" Model of Resilience:

Answer 35

1) Confidence 2) Competence 3) Connection 4) Character 5) Contribution (Lerner & colleagues) 6) Coping 7) Control

Question 36

three principles used to engage youth as "their own expert" :

Answer 36

1) self-determination theory ("I know what's best for me.") 2) Nurturant-authoritative approach (not authoritarian, but authoritative!--nurturance supporting the youth's emotional experience) 3) Mindfulness

Question 37

3 impt topics w/behavior change:

Answer 37

1) Importance 2) Confidence 3) Readiness

Question 38

2 tools to look at when assessing pt's motivation t o change:

Answer 38

1) Readiness ruler: how ready is the pt for change? | 2) Confidence ruler: how confident is the pt that he/she will be successful in making the change?

Question 39

DARN-CAT | related to motivational interviewing

Answer 39

``` Desires Abilities Reasons Needs Commitment Action to Take change ```

Question 40

talking to pt about change: OARS

Answer 40

Open-ended questions Affirmations Reflections Summarization

Question 41

who is at highest risk for death by drowning?

Answer 41

Afr Amer teens ages 15-19 | and youngest children

Question 42

when can child be left along in bathtub?

Answer 42

around 6 years

Question 43

for whom are pedestrian injuries most common?

Answer 43

boys 5-9 years old