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3-Third semester > Mental health- eating/personality/children-FINAL > Flashcards

Mental health- eating/personality/children-FINAL Flashcards

1
Q

Infancy (birth to 18 months)

eriksons stages of development

A

Trust vs. Mistrust

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2
Q

Early Childhood (2 to 3 years)

eriksons stages of development

A

Autonomy vs. Shame and Doubt

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3
Q

Preschool (3 to 5 years)

eriksons stages of development

A

Initiative vs. Guilt

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4
Q

School Age (6 to 11 years)

eriksons stages of development

A

Industry vs. Inferiority

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5
Q

Adolescence (12 to 18 years)

eriksons stages of development

A

Identity vs. Role Confusion

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6
Q

Young Adulthood (19 to 40 years)

eriksons stages of development

A

Intimacy vs. Isolation

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7
Q

Middle Adulthood (40 to 65 years)

eriksons stages of development

A

Generativity vs. Stagnation

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8
Q

Maturity(65 to death)

eriksons stages of development

A

Ego Integrity vs. Despair

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9
Q

Prevalence-what %

Disorders of Children & Adolescents

A

20% have some sort of psychiatric disorder

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10
Q

Comorbidity

impairs what

Disorders of Children & Adolescents

A

impairment with social skills at home and at school

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11
Q

Risk Factors

parent
child
a/n
witnessing

Disorders of Children & Adolescents

A

Parent with depression

Child with conduct disorder

Abuse and neglect

Witnessing violence

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12
Q

Biological Factors

g
n

Disorders of Children & AdolescenceEtiology

A

Genetic

Neurobiological

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13
Q

cognitive Factors

temperament-refers to what

Disorders of Children & AdolescenceEtiology

A

refers to the overall mood that the child uses to cope with environment

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14
Q

cognitive Factors

resilience -ability

Disorders of Children & AdolescenceEtiology

A

ability to recover quickly from difficulties

adapts to environment
distance self from emotional chaos
problem solving skills

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15
Q

what factors
what Infleunce
model

Disorders of Children & Adolescence Etiology

A

Environmental factors

the influence of culture.

Children model behavior from adults.

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16
Q

Certain familial risk factors:

severe
low
large
parental
maternal
foster

Disorders of Children & Adolescence Etiology

A

Severe marital discord

Low socioeconomic status

Large families w/ overcrowding

Parental criminality

Maternal psychiatric disorder

Foster care placement

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17
Q

Nursing Assessment
Data Collection

A

Chief complaint

Effect on child’s life, school, family and siblings lives.

Social skills and friendships

Developmental assessment

Neurological assessment

Family Hx

Suicide Assessment

Cultural Assessment

Mental Status Exam

Developmental Assessment

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18
Q

what assessment is essential
is
m
hx
what abuse

Disorders of Children & Adolescence

A

Assessment of suicidal thoughts is essential for Adolescence.

Is there a plan?

Motivation?

Hx of impulsiveness

Drug/Alcohol Abuse

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19
Q

Disorders of Children & Adolescence

what is best predictor of suicide

A

past attempts

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20
Q

what 2 therapy
what manamgent

Disorders of Children & Adolescence
General Interventions

A

family therapy
group therapy

milieu management

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21
Q

Behavioral therapy

reward waht
reduces what

Disorders of Children & Adolescence General Interventions

A

Reward the desired behavior to reduce the maladaptive behavior

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22
Q

what room

does what

Disorders of Children & Adolescence General Interventions

A

quiet room

unlocked room that derecreases stimulation

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23
Q

what helps sad/upset

Disorders of Children & Adolescence General Interventions

A

Time Out

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24
Q

Cognitive-Behavioral Therapy

rewards what

like a

Disorders of Children & Adolescence General Interventions

A

rewards desired behaviors and reduces maladaptive behaviors

like a point system

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25
play therapy allows what Disorders of Children & Adolescence General Interventions
allows child to express feelings through natural course of plat
26
mutual what therapeutic what Disorders of Children & Adolescence General Interventions
mutual storytelling therapeutic games
27
bibliotherapy Disorders of Children & Adolescence General Interventions
use books that help children express feelings
28
what's theraptuc Disorders of Children & Adolescence General Interventions
therapeutic drawing
29
combine what with cognitive behavioral therapy Disorders of Children & Adolescence General Interventions
psychopharmacology
30
Autistic Spectrum Disorder: what component more common in who impairment in what Disorders of Children & Adolescence Pervasive Developmental Disorders
Genetic component most common in boys- seen within 3 years Impairment in communication and social interaction
31
what can autistic kids look like: says dont what type of kids may be
says anything that is on their mind dont worry about what others think intelligent kids child may be doing something that they weren't always doing
32
what do you need in what is key in autism Disorders of Children & Adolescence Pervasive Developmental Disorders
Routines, Early intervention is Key!-has better results
33
autism-later onset no what may have what Disorders of Children & Adolescence Pervasive Developmental Disorders
No significant delay in cognitive and language May have problems with social development
34
Attention- Deficit Hyperactivity Disorder: in im hyper symptoms must be present at what age Disorders of Children & Adolescence Pervasive Developmental Disorders
Inattention Impulsiveness Hyperactivity Symptoms must be present before age 7; at home and at school
35
what meds in ADHD Disorders of Children & Adolescence Pervasive Developmental Disorders
amphetamine Dexmethylphenidate Methamphetamine
36
teaching for ADHD meds give before what daily when give second see improvements when
give before breakfast daily wt give second before 4 see improvement when grades go up
37
Oppositional Defiant Disorder: n d h d evident before what Disorders of Children & Adolescence Pervasive Developmental Disorders
Negativistic Disobedient Hostile Defiant behavior Evident before age 8
38
Medications to control ODD behavior: anti l anti anti Disorders of Children & Adolescence Pervasive Developmental Disorders
antipsychotics, lithium, anticonvulsants, anti-depressants
39
Conduct Disorder: violates what's not followed cruel to who do not Disorders of Children & Adolescence Pervasive Developmental Disorders
Violates rights of others Age-appropriate norms are not followed Cruel to animals. Do not feel sorry.
40
Techniques for managing behavior – conduct disorder behavioral contract-what is it Disorders of Children & Adolescence Pervasive Developmental Disorders
contract between patient and nurse about behavior, expectations and needs
41
Techniques for managing behavior – conduct disorder collaborative/ proactive solutions-- help to/ and Disorders of Children & Adolescence Pervasive Developmental Disorders
helps to identify and define problematic behaviors, triggers and a plan to solution
42
Techniques for managing behavior – conduct disorder counseling-what is Disorders of Children & Adolescence Pervasive Developmental Disorders
verbal interactions to teach coach to maintain adaptive behavior
43
Techniques for managing behavior – conduct disorder modeling- method of what Disorders of Children & Adolescence Pervasive Developmental Disorders
method that learning skills is done by observation and imitation
44
Techniques for managing behavior – conduct disorder role-playing-does what Disorders of Children & Adolescence Pervasive Developmental Disorders
acts out a specific script or role to encase understanding of the role
45
Techniques for managing behavior – conduct disorder planned ignoring-do what Disorders of Children & Adolescence Pervasive Developmental Disorders
when behaviors are attention seeking then you just ignore them
46
Techniques for managing behavior – conduct disorder use of signals or gestures Disorders of Children & Adolescence Pervasive Developmental Disorders
use a gesture that reminds the child to self control behavior
47
Techniques for managing behavior – conduct disorder physical distance and touch control-does what Disorders of Children & Adolescence Pervasive Developmental Disorders
moving closer to a child for calming effect, like maybe putting arm around shoulder
48
Techniques for managing behavior – conduct disorder redirection- does what Disorders of Children & Adolescence Pervasive Developmental Disorders
when child had undesirable behavior you engage the child in a more appropriate activity
49
Techniques for managing behavior – conduct disorder addition affection- give what Disorders of Children & Adolescence Pervasive Developmental Disorders
give a child planned emotional support
50
Techniques for managing behavior – conduct disorder use of humor-uses Disorders of Children & Adolescence Pervasive Developmental Disorders
use appropriate humor to act as a diversion to the child
51
Techniques for managing behavior – conduct disorder clarification as intervention- does what Disorders of Children & Adolescence Pervasive Developmental Disorders
breaks down a problem and solution that the child needs to understand
52
Techniques for managing behavior – conduct disorder restructuring-changing Disorders of Children & Adolescence Pervasive Developmental Disorders
changing an activity in a way that will decrease stimulation or frustration
53
Techniques for managing behavior – conduct disorder limit setting- involves what Disorders of Children & Adolescence Pervasive Developmental Disorders
involves giving direction, stating an expectation or telling a child what to do or where to go
54
Techniques for managing behavior – conduct disorder simple restitution- restores Disorders of Children & Adolescence Pervasive Developmental Disorders
restores the environment to its oringal state
55
Techniques for managing behavior – conduct disorder physical restraints- is what Disorders of Children & Adolescence Pervasive Developmental Disorders
mechanical means to control child
56
Tic Disorders: what 3 types Disorders of Children & Adolescence Pervasive Developmental Disorders
provisional tic disorder, persistent motor/verbal tic disorder, Tourette’s disorder
57
Tic Disorders: seen when what % familial peak/diminshes when Disorders of Children & Adolescence Pervasive Developmental Disorders
Seen between ages 4-6 90 % familial Peak at adolescence, diminish early adult
58
Other mood disorders in kids:
Major Depressive Disorder Bipolar Disorder Adjustment Disorder Feeding and Eating Disorders
59
What is the goal for eating disorders what can you not do in hospital
goal os medical stabilization cannot fix the eating disorder in the hospital
60
Risk Factors- what main one poor Feeding, Eating and Elimination Disorders
genetics poor social relationships/
61
Co-Morbidities b a d o p what use Feeding, Eating and Elimination Disorders
Bipolar Anxiety Depressive Obsessive compulsice PTSD Alchohol/substance use
62
Environmental Factors- what t Feeding, Eating and Elimination Disorders
weight based bullying trauma
63
Syndromes: anorexia- does what bulimia-does what binge-does what Feeding, Eating and Elimination Disorders
Anorexia Nervosa-dont eat Bulimia Nervosa- eat then throw up Binge Eating Disorder- eat lots of food
64
s/s do not wt what hair what skin what vs what bmi what social group Eating Disorders: Anorexia
- do not see a problem w behavior- see themselves as fat underweight lanugo-fine downy hair on back face arms mottled cool skin low vs bmi under 17 isolation
65
how to calculate BMI
pts wt(kg) / height ( in meters) squared one meter is 3.28 feet
66
assessment guidelines -anorexia determine perform gather assess assess review determain
determine chief complaint perform complete nursing assessment gather psychical history assesse nutritional pattern assasse daily activities review labs determine goals of treatment
67
criteria for hospitalization in anorexia extreme what below what hr what bp what temp a
extreme electrolyte imabalace below 75% of ideal body weight hr less then 50 systolic bp less then 90 temp less then 96 arrhythmia
68
assessment anorexia e v daily normal pattern
ecg vs daily weights normal eating patterns social pattern
69
Planning- immediate provide address reintroduce Eating Disorders: Anorexia
immediate medical stabilization provide electrolytes address suicide and depression reintroduce nutrients slowly- dont want reseeding
70
Implementation- resolve what program- normalize wt how often monitor what maintain /build feed how fast Eating Disorders: Anorexia
resolve acute symptoms weight restoration program- normalize eating weight pt 2-3 times a week monitor bathroom trips for laxatives or diuretics maintain trust/build relationship feed very slowly
71
what dont anorexics take/why privileges are tied to what what is goal of anorexia
dont take antidepressants because of weight gain provldeges are tied to wt gain goal is 90% of ideal body weight
72
Assessment enlarged dental x2 c what involvement overall has Eating Disorders: Bulimia
- enlarged parotoid glands from vomiting dental erosion and carries calluses on knuckles esophageal involvement overall has normal wt
73
Planning- criteria for hospitalization s what potassium level what chloride level what tearing hem Eating Disorders: Bulimia
syncope serum potassium less then 3.2 chloride less then 88/ esophageal tears/ hematemesis( vomiting blood)
74
assessment guidelines bulimia nervosa determain perform gather assess what pattern assess what pattern assess what review determine
determine chief complaint perform a nursing assessment gather psychosocial history assess nutritional pattern assess binging patterns assess daily activities review labs determine goals
75
Implementation- t normalize meal what antidepressant what contraindicated med Eating Disorders: Bulimia
therapy normalize eating habits meal planning fluoxetine –antidepressant buproprion-contraindiacted-seuizures
76
Assessment o what problems Eating Disorders: Binge Eating Disorder
- obesity gi problems/
77
Planning rebuilding phy postive Eating Disorders: Binge Eating Disorder
- rebuilding daily intake physical activity positive coping mechanisms
78
Implementation- treat what avoid be develop Eating Disorders: Binge Eating Disorder
treat why they are at hospital-like depression/ avoid judgmental terms/ be empathetic/ develop small groups/
79
what treats ADHD what treats depression what surgery Binge eting disorder
Lisdexamfetamine dimesylate – treats ADHD SSRI- depression bariatric surgery
80
what is goal for binge eating
goal is healthier coping styles- cannot cope well
81
teamwork- interventions for eating disorders involve who set consult meet
involve pt and nurse in treatment plan set a target weight consult w dietician meet with team on regular basis
82
monitoring- interventions for eating disorders monitor daily monitor acompany limit
montior vs and electrolytes daily wts and after urination monitor I/o accompany pt during bathroom times limit time in bathroom
83
support- interventions for eating disorders what speech re what techniques daily assess
motivational speech reinforcement relaxation techniques daily logs about feelings assess self esteem
84
promote increasing indepedneace- interventions for eating disorders allow place
allow choices for meal planning place responsibilities on patient
85
pica- rumination disorder
pica- when you eat random household item things rumination-undigested food being returned to mouth- then its rechewed, reswallowed or spit out
86
avoidance- eating disorder avoids low dependent on no
avoid foods low BMI dependent in enteral feedings no distortion of body image
87
personality disorders must meet 3 of these different in: t e managing accept day participation
thoughts emotions managing emotions accepting that they have a problem day to day living participation in relationships
88
Cluster A Personality Disorders-paranoid/ schizoid/ schizotypal what behaviors social what
Odd or eccentric behaviors Social isolation and detachment
89
paranoid how act around others hyper mis reluctant usually what childhood
Suspiciousness toward others. Hyper vigilant mistrustful. Reluctant to share information. Usually had a childhood with rage and humiliation
90
Paranoid they use what defense mechanism adhere be what to them dont be Cluster A Personality Disorders
Use projection as defense mechanism adhere to all prearranged promises to maintain trust Be straightforward and neutral-mannered dont be too nice
91
Schizoid -what detachment -precursor to what -predisposition to what -what is affected Cluster A Personality Disorders
Emotional detachment May be a precursor to schizophrenia Genetic predisposition to shyness relationships are affected
92
Schizoid do not do what to them what childhood what therapy Cluster A Personality Disorders
Do not try to push socialization on them May have grown up in childhood with cold and neglectful atmosphere psychotherapy
93
Schizotypal what thinking may have have what Cluster A Personality Disorders
Magical Thinking May have unusual appearance or way of dress Have difficulty forming relationships
94
schizotypal they respond how do not do what Cluster A Personality Disorders
Responding inappropriately to social cues Do not push patient to be socially outgoing
95
Cluster B Personality Disorder
Borderline Histrionic Antisocial Narcissistic
96
Borderline high what what emotion what issues Cluster B Personality Disorder
High mortality rate Instability in emotion Relationship “Issues”
97
Borderline what soothing habits what coping style Cluster B Personality Disorder
Ineffective and harmful self-soothing habits (cutting) Splitting (Coping Style) – Include positive and negative aspects of oneself into a whole.- so either really good or really bad
98
Borderline developed when give what Cluster B Personality Disorder
May have developed from childhood with early abandonment Give clear boundaries and limits
99
Antisocial disregard what disorder in childhood shows no tell/perfomrs Cluster B Personality Disorder
Disregard for others (psychopaths) Conduct disorder in childhood Show no remorse Tell lies and preform illegal acts
100
antisocial do not set what continue Cluster B Personality Disorder
Do not be manipulated Set clear and realistic limits Continue to reinforce rules
101
Narcissistic what is it what view of self no what Cluster B Personality Disorder
Arrogance d/t feelings of shame and fear of abandonment Grandiose view of self-importance No empathy for other people
102
Narcissistic sense of could be Cluster B Personality Disorder
Have a sense of personal entitlement Could be result of childhood neglect
103
narcissistic avoid remain role model do not
Avoid engaging in power struggles remain neutral role model empathy do not challenge grandiose statements
104
Histrionic what behavior I p overly Cluster B Personality Disorder
Attention-seeking behavior "drama queen" Impulsive Provocative- anger or sexual? Overly intense attachment to the opposite sex parent
105
histrionic - keep encourage help what behavior/what response
Keep interactions professional encourage the use of concrete and desprivtive language help pt clarify own feelings seductive behavior is a repose to distress
106
Cluster C Personality disorder
Avoidant Dependent Obsessive-Compulsive
107
Avoidant sensitive to what what temperament poor Cluster C Personality disorder
Sensitive to rejection Timid temperament (social shyness) Poor self-confidence
108
Avoidant patterns of what linked to what Cluster C Personality disorder
Patterns of anxiousness and fearful behaviors Linked to parental / peer rejection
109
avoidant act how accept what excercises what training
Be friendly and accepting toward patient accept patients fears excercises to enhance social skills assesivness training to express needs
110
dependant how act in relationships match what Cluster C Personality disorder
In relationships – person is passive, self-doubting Match their identity of the other person
111
dependent could be identify encourage pt Cluster C Personality disorder
Could be result of chronic illnesses Identify current stressors Encourage patient to seek own ideas and ask questions
112
Obsessive-Compulsive is what how different from ocd results from Cluster C Personality disorder
Perfectionism Different than OCD, not as severe May result from excessive parental criticism, control or shame
113
Obsessive-Compulsive do not difficulty help Cluster C Personality disorder
Do not get into power struggles difficulty dealing with unexpected changes help identify ineffective coping skills

3-Third semester (19 decks)

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