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Peds > mental health / cognition (1) > Flashcards

mental health / cognition (1) Flashcards

1
Q

What is the change in thought, intelligence, and language that occurs overtime as brain maturation and life experiences interact to mutually influence children’s actions

A

Cognition

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2
Q

How many weeks in gestation does it take for critical development to occur for the brain

A

4-6

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3
Q

Why is mental health and cognition different in children compared to adults

A

progression and abilities influence perceptions and reactions

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4
Q

what is necessary to form the cornerstone of the child’s healthy mental development

A

Bonding and attachment to significant adults

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5
Q

children from which backgrounds have increased risk for mental health disorders

A

Low income, children in the welfare system, youth in the juvenile justice system

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6
Q

what areas does the mental health assessment in pediatrics focus on?

A

History, growth and development, social skills, affect, appearance, behaviors, and life events

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7
Q

when were diagnostic tests for mental health alterations done for children?

A

When parents or teachers notice behavior changes they are referred to a mental health provider

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8
Q

what does evaluation of mental health alterations in pediatrics consist of?

A

Observing behavior, asking family and teachers to complete behavioral questionnaires, and a thorough review of history

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9
Q

what is the primary treatment goal of mental health alterations?

A

This is the child in the family to achieve and maintain optimal level of functioning for child and family through interventions designed to reduce impact of stressors

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10
Q

What are the three modes of therapy?

A
  • Individual therapy
  • family therapy
  • group therapy
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11
Q

Who was involved in individual therapy

A

The child and the therapist

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12
Q

who is involved in family therapy

A

the family and the therapist

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13
Q

who was involved in a group therapy

A

a group of children of the same age

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14
Q

which therapeutic strategy reveals problems through fantasy

A

Play therapy

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15
Q

Which therapeutic strategy provides insight to issues and helps with healing

A

Art therapy

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16
Q

Which therapeutic strategy teaches thinking patterns to change reactions to situations that cause anxiety or other undesirable conditions

A

Cognitive therapy

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17
Q

which therapeutic strategy uses stimulus and response conditioning to alter undesirable behavior and reinforce desired behavior?

A

Behavior modification

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18
Q

Which therapeutic strategy uses the child’s imagination and positive thinking, can decrease pain

A

Visualization and guided imagery

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19
Q

This hypnosis used as a therapeutic strategy for mental health?

A

Yes

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20
Q

Is there a specific cause of autism

A

No, several theories have been proposed such as genetics, immune responses, and environmental exposure, but they have not been proven

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21
Q

Which neurotransmitters are abnormal in autism spectrum disorder

A

dopamine and serotonin

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22
Q

Is there a link between the MMR vaccine and autism?

A

No

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23
Q

By what age does autism typically become apparent

A

3

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24
Q

What is primarily observed with autism?

A

Impaired social interaction. Eye contact, rarely smiles and does not babble, unable to converse normally, fails to initiate conversation and has impaired observations of nonverbal behavior

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25
Q

what is often the first symptom leading to diagnosis of autism?

A

Communication difficulties or delays in speech

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26
Q

if a child is not at risk for autism, when is the autism screening done?

A

18-24 months

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27
Q

What is done when a child has autism to rule out other conditions

A

CT or MRI, lettuce running, metabolic studies, DNA analysis, EEG

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28
Q

When are medications used with autism?

A

To treat associated disorders, not autism itself

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29
Q

A condition classified as ADD with impulsivity and hyperactivity

A

ADHD

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30
Q

what is the most common mental health alteration in children

A

ADHD

31
Q

Which gender is ADHD most common in?

A

Males

32
Q

Does ADHD continue into childhood?

A

Often

33
Q

What are known associations related to ADHD

A
  • high lead or mercury levels
  • prenatal exposure to alcohol or tobacco
34
Q

are there genetic factors involved in ADHD?

A

Yes, single gene not identified

35
Q

Which environmental factors may impact ADHD diagnosis?

A

Families stress, poverty, poor nutrition

36
Q

When is an ADHD diagnosis made?

A

After children have been brought in for evaluation due to behaviors that interfere with daily function of parents and teachers

37
Q

At what ages should a child be evaluated for ADHD if they have academic problems, behavior difficulties, in attention, hyperactivity or impulsivity

A

4-18

38
Q

Which diagnostic criteria establishes the diagnosis of ADHD

A

DSM-V

39
Q

What environmental changes can be made to help manage ADHD

A
  • decrease stimulation
  • Small classroom placement
  • Consistent limits and expectations
  • structured routine
40
Q

what behavior therapy can be done to help manage ADHD

A
  • behavior modification: or word positive behavior and consequence for unacceptable behavior
  • Parent training on behavioral techniques, increases parenting skills
41
Q

What are the two kinds of medicines that are used to treat ADHD

A

Stimulant and non-stimulant

42
Q

what are common side effects of ADHD medication

A
  • anorexia: give it meantime; monitor weight and height
  • insomnia: administer early in the day
  • cardiac exam prior to initiation and periodically: monitor blood pressure and tachycardia
43
Q

do ADHD medications provide potential for abuse?

A

Yes

44
Q

What are the five theories that explain the cause of depression?

A
  1. Biologic
  2. Learned helplessness
  3. cognitive distortion
  4. Social skill deficit
  5. family dysfunction
45
Q

Which neurotransmitters are decreased in depression?

A

Indolamine, serotonin, norepinephrine and dopamine

46
Q

What are clinical manifestations of depression

A

horoscope performance, withdrawal from social activities, sleep problems, appetite problems, headaches or stomach aches, decreased energy, difficulty concentrating and making decisions, low self esteem, hopelessness

47
Q

At what age should all children begin to be screened for depression

A

11

48
Q

what are the two things used for clinical therapy of depression

A

therapy and medication

49
Q

which medications are used for depression

A

antidepressants, most commonly SSRIS, block reuptake of serotonin in the synapse increasing serotonin levels

50
Q

What is the only approved antidepressant for children

A

fluoxetine (Prozac)

51
Q

what is the second leading cause of death in 10 to 24 year olds

A

Suicide

52
Q

what are risk factors of suicide

A

Depression, pregnancy, drug use, family history, gay, loneliness, anxiety, chronic illness, history of previous attempt

53
Q

what is clinical treatment of suicidal ideation

A
  • suicide attempt or ideation -> admission to the hospital
  • individual, family, or group therapy
  • a no suicide contract
  • treat comorbidities with therapy and medication
54
Q

Should all suicide threats be taken serious

A

Yes

55
Q

what occurs following a life threatening event that is experienced or witnessed

A

PTSD

56
Q

how long do symptoms of PTSD go on for

A

Longer than a month, they impair function

57
Q

Describe what PTSD seems like in children

A

re live event frequently in thoughts and dreams, feelings of fear, terror, or helplessness. child feels detached

58
Q

What is the clinical therapy of PTSD

A

cognitive behavioral therapy, anxiety or depression meds

59
Q

what does cognitive behavioral therapy for PTSD focus on?

A

Focuses on thoughts and behaviors leading to an understanding of negative thoughts and increasing activities that provide pleasure

60
Q

What IQ classifies intellectual disability

A

less than 70 or 75

61
Q

what disability is classified by significant limitation and intellectual functioning and adaptive behavior

A

Intellectual disability

62
Q

what is a genetic prenatal condition where there are three copies of the 21st chromosome

A

down syndrome, also called trisomy 21

63
Q

what condition has physical characteristics of microcephaly, flat forehead, wide short neck, epicanthal eye folds, flat nose, small low set ears, protruding tongue, short broad hands, single transverse crease that crosses palm of hand

A

Down syndrome

64
Q

what health related problems does Down syndrome cause

A

Hypotonia, cardiac defects, hearing loss, leukemia

65
Q

what can fetal alcohol syndrome cause that is health related

A

poor coordination, failure to thrive, skeletal and joint abnormality, hearing loss

66
Q

what facial abnormalities does fetal alcohol syndrome cause

A

Thin upper lip, underdeveloped jaw, smooth upper lip, eye folds, small head

67
Q

What is it important to help with when a child has a severe cognitive delay

A

Skin care, oral hygiene, positioning every two hours

68
Q

when is confidentiality not apply in children

A

when a child or adolescent shares information about having tried to hurt themselves or plans to hurt themselves

69
Q

What is included in a mental health assessment of a child? Choose all that apply.
1. History
2. Growth and development
3. social skills
4. Appearance
5. School history
6. Life events

A

all of them except for school history

70
Q

which symptom is frequently the first noticed in an inventor child with autism spectrum disorder?

A

Communication delay

71
Q

parent education for attention deficit hyperactivity disorder will include which of the following? Choose all that apply
a) quiet environment for homework
b) Consistent limit setting
c) Relaxed home environment
d) risk for overeating with medications

A

a and b

72
Q

what is the most common risk factor for suicide?

A

Depression

73
Q

what is the leading preventable cause of intellectual disability in the United States?

A

Alcohol

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