Mgmt of Children Flashcards
childhood mental health problems usually last into adulthood, t or f
true
*what is an important aspect of assessment for children
development
methods of data collection w/children
history from everyone in contact with the child
ask child
observe child
use games/play to illicit thoughts and feelings
milieu for children
structured safe environment requiring participation (its your job to give out snacks…)
group therapy according to age
play in young kids - young kids
talk and play - school-aged
talk - adolescents
behavior modification treatment for child
unwanted behavior is ignored/limited
rewards for positive behavior - point system
is play therapeutic
yes - can give insight into child’s thoughts/feelings
key component in all modalities of treatment for children
parental involvement
adhd presentation
what realistically can the child accomplish
this child responds well to praise
involve family in trt
observe symptoms over time
what is oppositional defiance disorder
disobedient, defiant towards authority figures
what is conduct disorder
violate rights of others and society as a whole
during an interview assess
how serious is their disruptive behavior- how hostile and aggressive are they
do they care if they hurt someone
make sure you can get to the door
what should we provide for unwanted behaviors
no threats (if you keep doing that your going to seclusion)
provide non-threatening feedback
provide positive feedback for wanted behaviors\
be firm and clear - set limits
you are a role model - are you being respectful
the most common disorder in kids
anxiety
what is separation anxiety
they never stop crying all day - afraid somethings going to happen to their caregiver
1st step in treating separation anxiety
behavioral interventions
kids with ptsd symptoms present with
internalizing their symptoms (headache, upset stomach)
is anxiety genetic
yes and contagious - assess parents interaction w/child
can kids be depressed
yes - manifests as somatic symptom self critical (i cant do anything)
with is autism
delay in social communication and interaction
autism - issues with social interaction and language
aspergers - language is not an issue, social interaction is
planning for autism
support across all setting depending on level of intensity
focus on the problem
A 4-year-old child cries and screams from the time
the parents leave the child at preschool until the
child is picked up 4 hours later. The child is calm
and relaxed when the parents are present. The
parents ask, “What should we do?” What is the
nurse’s best recommendation?
D.“Talk with your health care provider about a referral to a mental health clinic.”
Which child shows behaviors indicative of mental
illness?
D. 3-year-old who is mute, passive toward adults, and twirls while walking
