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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

Disorders of Children & Adolescents

A

20% have some sort of psychiatric disorder

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10
Q

Comorbidity

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
t
r

Disorders of Children & AdolescenceEtiology

A

Genetic

Neurobiological

Temperament

Resilience

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13
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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14
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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15
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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16
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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17
Q

Disorders of Children & Adolescence

what is best predictor of suicide

A

past attempts

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18
Q

what 2 therapy
what manamgent

Disorders of Children & Adolescence
General Interventions

A

family therapy
group therapy

milieu management

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19
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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20
Q

Seclusion and Restraint

use what

how often check under 9
how often check 9-17

Disorders of Children & Adolescence General Interventions

A

Use least restrictive intervention

under 9-every hr
9-17 every 2 hrs

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21
Q

what room

does what

Disorders of Children & Adolescence General Interventions

A

quiet room

unlocked room that derecreases stimulation

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22
Q

what helps sad/upset

Disorders of Children & Adolescence General Interventions

A

Time Out

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23
Q

Cognitive-Behavioral Therapy

replaces what
used for what 3

Disorders of Children & Adolescence General Interventions

A

Replacing negative thoughts w/ positive

OCD, Aversion to school, depression

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24
Q

play therapy

do what

Disorders of Children & Adolescence General Interventions

A

follow the Childs lead

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25
Q

mutual what
therapeutic what

Disorders of Children & Adolescence General Interventions

A

mutual storytelling

therapeutic games

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26
Q

bibliotherapy

Disorders of Children & Adolescence General Interventions

A

use books that help children express feelings

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27
Q

what’s theraptuc

Disorders of Children & Adolescence General Interventions

A

therapeutic drawing

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28
Q

combine what with cognitive behavioral therapy

Disorders of Children & Adolescence General Interventions

A

psychopharmacology

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29
Q

Autistic Spectrum Disorder:

what component
more common in who
impairment in what

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Genetic component

More common in boys, usually seen within first 3 years of life.

Impairment in communication and social interaction

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30
Q

what is key x2 in autism

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Routines,

Early intervention is Key!

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31
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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32
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

33
Q

what meds in ADHD

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

: Ritalin,

Adderall,

Concerta,

Stattera

chart 187

34
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

35
Q

Medications to control ODD behavior:

anti
l
anti
anti

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

antipsychotics,

lithium,

anticonvulsants,

anti-depressants

36
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.

37
Q

Techniques for managing behavior – conduct disorder

Disorders of Children & Adolescence Pervasive Developmental Disorders

A

Page 195, Box 11-3

38
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

39
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

40
Q

Other mood disorders in kids:

A

Major Depressive Disorder

Bipolar Disorder

Adjustment Disorder

Feeding and Eating Disorders

41
Q

Risk Factors-
what main one
poor

Feeding, Eating and Elimination Disorders

A

genetics

poor social relationships/

42
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

43
Q

Environmental Factors-

what
t

Feeding, Eating and Elimination Disorders

A

weight based bullying

trauma

44
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

45
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

46
Q

assessment anorexia

e
v
daily
normal
pattern

A

ecg

vs

daily weights

normal eating patterns

social pattern

47
Q

Planning-

immediate
provide
address
reintroduce

Eating Disorders: Anorexia

A

immediate medical stabilization

provide electrolytes

address suicide and depression

reintroduce nutrients slowly

48
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

49
Q

Assessment

enlarged
dental x2
c
what involvement

Eating Disorders: Bulimia

A
  • enlarged parotoid glands from vomiting

dental erosion and carries

calluses on knuckles

esophageal involvement

50
Q

Planning-

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)

51
Q

Implementation-

t
normalize
meal
what antidepressant
what seizure med

Eating Disorders: Bulimia

A

therapy

normalize eating habits

meal planning

fluoxetine –antidepressant

buproprion-seuizures

52
Q

Assessment

o
what problems

Eating Disorders: Binge Eating Disorder

A
  • obesity

gi problems/

53
Q

Planning

rebuilding
phy
postive

Eating Disorders: Binge Eating Disorder

A
  • rebuilding daily intake

physical activity

positive coping mechanisms

54
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/

55
Q

what treats ADHD

what treats ssri

what surgery

Binge eting disorder

A

Lisdexamfetamine dimesylate – treats ADHD

SSRI- depression

bariatric surgery

56
Q

Paranoid

what towards others
hyper
m
reluctant
usually what childhood

Cluster A Personality Disorders

A

Suspiciousness toward others.

Hyper vigilant -increased alertness

mistrustful.

Reluctant to share information.

Usually had a childhood with rage and humiliation

57
Q

Cluster A Personality Disorders-paranoid/ schizoid/ schizotypal

what behaviors
social what

A

Odd or eccentric behaviors

Social isolation and detachment

58
Q

Paranoid

what defense mechanism
how do you act around them

Cluster A Personality Disorders

A

Use projection as defense mechanism

Be straightforward and neutral-mannered

59
Q

Schizoid

-what detachment
-precursor to what
-predisposition to what

Cluster A Personality Disorders

A

Emotional detachment

May be a precursor to schizophrenia

Genetic predisposition to shyness

60
Q

Schizoid

do not do what to them

what childhood

Cluster A Personality Disorders

A

Do not try to push socialization on them

May have grown up in childhood with cold and neglectful atmosphere

61
Q

Schizotypal

Cluster A Personality Disorders

A

Magical Thinking

May have unusual appearance or way of dress

Have difficulty forming relationships

62
Q

schizotypal

respond how
may be
do not do what

Cluster A Personality Disorders

A

Responding inappropriately to social cues

May be genetically linked

Do not push patient to be socially outgoing

63
Q

Cluster B Personality Disorder

A

Borderline

Histrionic

Antisocial

Narcissistic

64
Q

Borderline

high what
what emotion
what issues

Cluster B Personality Disorder

A

High mortality rate

Instability in emotion

Relationship “Issues”

65
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.

66
Q

Borderline

developed when
give what

Cluster B Personality Disorder

A

May have developed from childhood with early abandonment

Give clear boundaries and limits

67
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

68
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

69
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

70
Q

Narcissistic

sense of
could be
avoid what

Cluster B Personality Disorder

A

Have a sense of personal entitlement

Could be result of childhood neglect

Avoid engaging in power struggles

71
Q

Histrionic

what behavior
I
p
overly
keep

Cluster B Personality Disorder

A

Attention-seeking behavior

Impulsive

Provocative

Overly intense attachment to the opposite sex parent

Keep interactions professional

72
Q

Cluster C Personality disorder

A

Avoidant

Dependent

Obsessive-Compulsive

73
Q

Avoidant

sensitive to what
what temperament
poor

Cluster C Personality disorder

A

Sensitive to rejection

Timid temperament (social shyness)

Poor self-confidence

74
Q

Avoidant

patterns of what
linked to what
act how to pt

Cluster C Personality disorder

A

Patterns of anxiousness and fearful behaviors

Linked to parental / peer rejection

Be friendly and accepting toward patient

75
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

76
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

77
Q

Obsessive-Compulsive

is what
how different from ocd

Cluster C Personality disorder

A

Perfectionism

Different than OCD, not as severe

78
Q

Obsessive-Compulsive

may result from
do not

Cluster C Personality disorder

A

May result from excessive parental criticism, control or shame

Do not get into power struggles

3-Third semester (19 decks)

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