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D-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
Q

play therapy

allows what

Disorders of Children & Adolescence General Interventions

A

allows child to express feelings through natural course of plat

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26
Q

mutual what
therapeutic what

Disorders of Children & Adolescence General Interventions

A

mutual storytelling

therapeutic games

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27
Q

bibliotherapy

Disorders of Children & Adolescence General Interventions

A

use books that help children express feelings

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28
Q

what’s theraptuc

Disorders of Children & Adolescence General Interventions

A

therapeutic drawing

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29
Q

combine what with cognitive behavioral therapy

Disorders of Children & Adolescence General Interventions

A

psychopharmacology

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30
Q

Autistic Spectrum Disorder:

what component
more common in who
impairment in what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Genetic component

most common in boys- seen within 3 years

Impairment in communication and social interaction

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31
Q

what can autistic kids look like:

says
dont
what type of kids
may be

A

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

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32
Q

what do you need in
what is key in autism

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Routines,

Early intervention is Key!-has better results

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33
Q

autism-later onset

no what
may have what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

No significant delay in cognitive and language

May have problems with social development

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34
Q

Attention- Deficit Hyperactivity Disorder:

in
im
hyper

symptoms must be present at what age

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Inattention

Impulsiveness

Hyperactivity

Symptoms must be present before age 7; at home and at school

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35
Q

what meds in ADHD

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

amphetamine

Dexmethylphenidate

Methamphetamine

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36
Q

teaching for ADHD meds

give before what
daily
when give second
see improvements when

A

give before breakfast

daily wt

give second before 4

see improvement when grades go up

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37
Q

Oppositional Defiant Disorder:

n
d
h
d

evident before what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Negativistic

Disobedient

Hostile

Defiant behavior

Evident before age 8

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38
Q

Medications to control ODD behavior:

anti
l
anti
anti

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

antipsychotics,

lithium,

anticonvulsants,

anti-depressants

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39
Q

Conduct Disorder:

violates
what’s not followed
cruel to who
do not

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Violates rights of others

Age-appropriate norms are not followed

Cruel to animals.

Do not feel sorry.

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40
Q

Techniques for managing behavior – conduct disorder

behavioral contract-what is it

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

contract between patient and nurse about behavior, expectations and needs

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41
Q

Techniques for managing behavior – conduct disorder

collaborative/ proactive solutions– help to/ and

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

helps to identify and define problematic behaviors, triggers

and a plan to solution

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42
Q

Techniques for managing behavior – conduct disorder

counseling-what is

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

verbal interactions to teach coach to maintain adaptive behavior

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43
Q

Techniques for managing behavior – conduct disorder

modeling- method of what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

method that learning skills is done by observation and imitation

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44
Q

Techniques for managing behavior – conduct disorder

role-playing-does what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

acts out a specific script or role to encase understanding of the role

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45
Q

Techniques for managing behavior – conduct disorder

planned ignoring-do what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

when behaviors are attention seeking then you just ignore them

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46
Q

Techniques for managing behavior – conduct disorder

use of signals or gestures

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

use a gesture that reminds the child to self control behavior

47
Q

Techniques for managing behavior – conduct disorder

physical distance and touch control-does what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

moving closer to a child for calming effect, like maybe putting arm around shoulder

48
Q

Techniques for managing behavior – conduct disorder

redirection- does what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

when child had undesirable behavior you engage the child in a more appropriate activity

49
Q

Techniques for managing behavior – conduct disorder

addition affection- give what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

give a child planned emotional support

50
Q

Techniques for managing behavior – conduct disorder

use of humor-uses

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

use appropriate humor to act as a diversion to the child

51
Q

Techniques for managing behavior – conduct disorder

clarification as intervention- does what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

breaks down a problem and solution that the child needs to understand

52
Q

Techniques for managing behavior – conduct disorder

restructuring-changing

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

changing an activity in a way that will decrease stimulation or frustration

53
Q

Techniques for managing behavior – conduct disorder

limit setting- involves what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

involves giving direction, stating an expectation or telling a child what to do or where to go

54
Q

Techniques for managing behavior – conduct disorder

simple restitution- restores

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

restores the environment to its oringal state

55
Q

Techniques for managing behavior – conduct disorder

physical restraints- is what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

mechanical means to control child

56
Q

Tic Disorders:

what 3 types

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

provisional tic disorder,

persistent motor/verbal tic disorder,

Tourette’s disorder

57
Q

Tic Disorders:

seen when
what % familial
peak/diminshes when

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Seen between ages 4-6

90 % familial

Peak at adolescence, diminish early adult

58
Q

Other mood disorders in kids:

A

Major Depressive Disorder

Bipolar Disorder

Adjustment Disorder

Feeding and Eating Disorders

59
Q

What is the goal for eating disorders

what can you not do in hospital

A

goal os medical stabilization

cannot fix the eating disorder in the hospital

60
Q

Risk Factors-
what main one
poor

Feeding, Eating and Elimination Disorders

A

genetics

poor social relationships/

61
Q

Co-Morbidities

b
a
d
o
p
what use

Feeding, Eating and Elimination Disorders

A

Bipolar
Anxiety
Depressive
Obsessive compulsice
PTSD
Alchohol/substance use

62
Q

Environmental Factors-

what
t

Feeding, Eating and Elimination Disorders

A

weight based bullying

trauma

63
Q

Syndromes:

anorexia- does what

bulimia-does what

binge-does what

Feeding, Eating and Elimination Disorders

A

Anorexia Nervosa-dont eat

Bulimia Nervosa- eat then throw up

Binge Eating Disorder- eat lots of food

64
Q

s/s

do not
wt
what hair
what skin
what vs
what bmi
what social group

Eating Disorders: Anorexia

A
  • 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
Q

how to calculate BMI

A

pts wt(kg) / height ( in meters) squared

one meter is 3.28 feet

66
Q

assessment guidelines -anorexia

determine
perform
gather
assess
assess
review
determain

A

determine chief complaint

perform complete nursing assessment

gather psychical history

assesse nutritional pattern

assasse daily activities

review labs

determine goals of treatment

67
Q

criteria for hospitalization in anorexia

extreme what
below
what hr
what bp
what temp
a

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
Q

assessment anorexia

e
v
daily
normal
pattern

A

ecg

vs

daily weights

normal eating patterns

social pattern

69
Q

Planning-

immediate
provide
address
reintroduce

Eating Disorders: Anorexia

A

immediate medical stabilization

provide electrolytes

address suicide and depression

reintroduce nutrients slowly- dont want reseeding

70
Q

Implementation-

resolve
what program- normalize
wt how often
monitor what
maintain /build
feed how fast

Eating Disorders: Anorexia

A

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
Q

what dont anorexics take/why

privileges are tied to what

what is goal of anorexia

A

dont take antidepressants because of weight gain

provldeges are tied to wt gain

goal is 90% of ideal body weight

72
Q

Assessment

enlarged
dental x2
c
what involvement
overall has

Eating Disorders: Bulimia

A
  • enlarged parotoid glands from vomiting

dental erosion and carries

calluses on knuckles

esophageal involvement

overall has normal wt

73
Q

Planning- criteria for hospitalization

s
what potassium level
what chloride level
what tearing
hem

Eating Disorders: Bulimia

A

syncope

serum potassium less then 3.2

chloride less then 88/

esophageal tears/

hematemesis( vomiting blood)

74
Q

assessment guidelines bulimia nervosa

determain
perform
gather
assess what pattern
assess what pattern
assess what
review
determine

A

determine chief complaint

perform a nursing assessment

gather psychosocial history

assess nutritional pattern

assess binging patterns

assess daily activities

review labs

determine goals

75
Q

Implementation-

t
normalize
meal
what antidepressant
what contraindicated med

Eating Disorders: Bulimia

A

therapy

normalize eating habits

meal planning

fluoxetine –antidepressant

buproprion-contraindiacted-seuizures

76
Q

Assessment

o
what problems

Eating Disorders: Binge Eating Disorder

A
  • obesity

gi problems/

77
Q

Planning

rebuilding
phy
postive

Eating Disorders: Binge Eating Disorder

A
  • rebuilding daily intake

physical activity

positive coping mechanisms

78
Q

Implementation-

treat what
avoid
be
develop

Eating Disorders: Binge Eating Disorder

A

treat why they are at hospital-like depression/

avoid judgmental terms/

be empathetic/

develop small groups/

79
Q

what treats ADHD

what treats depression

what surgery

Binge eting disorder

A

Lisdexamfetamine dimesylate – treats ADHD

SSRI- depression

bariatric surgery

80
Q

what is goal for binge eating

A

goal is healthier coping styles- cannot cope well

81
Q

teamwork- interventions for eating disorders

involve who
set
consult
meet

A

involve pt and nurse in treatment plan

set a target weight

consult w dietician

meet with team on regular basis

82
Q

monitoring- interventions for eating disorders

monitor
daily
monitor
acompany
limit

A

montior vs and electrolytes

daily wts and after urination

monitor I/o

accompany pt during bathroom times

limit time in bathroom

83
Q

support- interventions for eating disorders

what speech
re
what techniques
daily
assess

A

motivational speech

reinforcement

relaxation techniques

daily logs about feelings

assess self esteem

84
Q

promote increasing indepedneace- interventions for eating disorders

allow
place

A

allow choices for meal planning

place responsibilities on patient

85
Q

pica-

rumination disorder

A

pica- when you eat random household item things

rumination-undigested food being returned to mouth- then its rechewed, reswallowed or spit out

86
Q

avoidance- eating disorder

avoids
low
dependent on
no

A

avoid foods

low BMI

dependent in enteral feedings

no distortion of body image

87
Q

personality disorders must meet 3 of these

different in:

t
e
managing
accept
day
participation

A

thoughts

emotions

managing emotions

accepting that they have a problem

day to day living

participation in relationships

88
Q

Cluster A Personality Disorders-paranoid/ schizoid/ schizotypal

what behaviors
social what

A

Odd or eccentric behaviors

Social isolation and detachment

89
Q

paranoid

how act around others
hyper
mis
reluctant

usually what childhood

A

Suspiciousness toward others.

Hyper vigilant

mistrustful.

Reluctant to share information.

Usually had a childhood with rage and humiliation

90
Q

Paranoid

they use what defense mechanism
adhere
be what to them
dont be

Cluster A Personality Disorders

A

Use projection as defense mechanism

adhere to all prearranged promises to maintain trust

Be straightforward and neutral-mannered

dont be too nice

91
Q

Schizoid

-what detachment
-precursor to what
-predisposition to what
-what is affected

Cluster A Personality Disorders

A

Emotional detachment

May be a precursor to schizophrenia

Genetic predisposition to shyness

relationships are affected

92
Q

Schizoid

do not do what to them
what childhood
what therapy

Cluster A Personality Disorders

A

Do not try to push socialization on them

May have grown up in childhood with cold and neglectful atmosphere

psychotherapy

93
Q

Schizotypal

what thinking
may have
have what

Cluster A Personality Disorders

A

Magical Thinking

May have unusual appearance or way of dress

Have difficulty forming relationships

94
Q

schizotypal

they respond how
do not do what

Cluster A Personality Disorders

A

Responding inappropriately to social cues

Do not push patient to be socially outgoing

95
Q

Cluster B Personality Disorder

A

Borderline

Histrionic

Antisocial

Narcissistic

96
Q

Borderline

high what
what emotion
what issues

Cluster B Personality Disorder

A

High mortality rate

Instability in emotion

Relationship “Issues”

97
Q

Borderline

what soothing habits
what coping style

Cluster B Personality Disorder

A

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
Q

Borderline

developed when
give what

Cluster B Personality Disorder

A

May have developed from childhood with early abandonment

Give clear boundaries and limits

99
Q

Antisocial

disregard
what disorder in childhood
shows no
tell/perfomrs

Cluster B Personality Disorder

A

Disregard for others (psychopaths)

Conduct disorder in childhood

Show no remorse

Tell lies and preform illegal acts

100
Q

antisocial

do not
set what
continue

Cluster B Personality Disorder

A

Do not be manipulated

Set clear and realistic limits

Continue to reinforce rules

101
Q

Narcissistic

what is it
what view of self
no what

Cluster B Personality Disorder

A

Arrogance d/t feelings of shame and fear of abandonment

Grandiose view of self-importance

No empathy for other people

102
Q

Narcissistic

sense of
could be

Cluster B Personality Disorder

A

Have a sense of personal entitlement

Could be result of childhood neglect

103
Q

narcissistic

avoid
remain
role model
do not

A

Avoid engaging in power struggles

remain neutral

role model empathy

do not challenge grandiose statements

104
Q

Histrionic

what behavior
I
p
overly

Cluster B Personality Disorder

A

Attention-seeking behavior “drama queen”

Impulsive

Provocative- anger or sexual?

Overly intense attachment to the opposite sex parent

105
Q

histrionic -

keep
encourage
help
what behavior/what response

A

Keep interactions professional

encourage the use of concrete and desprivtive language

help pt clarify own feelings

seductive behavior is a repose to distress

106
Q

Cluster C Personality disorder

A

Avoidant

Dependent

Obsessive-Compulsive

107
Q

Avoidant

sensitive to what
what temperament
poor

Cluster C Personality disorder

A

Sensitive to rejection

Timid temperament (social shyness)

Poor self-confidence

108
Q

Avoidant

patterns of what
linked to what

Cluster C Personality disorder

A

Patterns of anxiousness and fearful behaviors

Linked to parental / peer rejection

109
Q

avoidant

act how
accept
what excercises
what training

A

Be friendly and accepting toward patient

accept patients fears

excercises to enhance social skills

assesivness training to express needs

110
Q

dependant

how act in relationships
match what

Cluster C Personality disorder

A

In relationships – person is passive, self-doubting

Match their identity of the other person

111
Q

dependent

could be
identify
encourage pt

Cluster C Personality disorder

A

Could be result of chronic illnesses

Identify current stressors

Encourage patient to seek own ideas and ask questions

112
Q

Obsessive-Compulsive

is what
how different from ocd
results from

Cluster C Personality disorder

A

Perfectionism

Different than OCD, not as severe

May result from excessive parental criticism, control or shame

113
Q

Obsessive-Compulsive

do not
difficulty
help

Cluster C Personality disorder

A

Do not get into power struggles

difficulty dealing with unexpected changes

help identify ineffective coping skills

D-Third semester (19 decks)

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