peds & neurodevelopment (329 E3) Flashcards
resiliency
a protective factor against mental illness
-able to adapt to change/adversity
-have inner strength
-healthy coping strategies
-function amid strong emotions
-reach out for help/support
-form nurturing relationships with other adults when parent is unavailable
play therapy
allows for the expression of feelings through play
-very effective in young children
-cannot be standardized
-the play therapist can never take on a violent role in play therapy
what is the most common disorder in children ages 8-15
ADHD
followed by (in order) mood disorder, major depression, conduct disorder, dysthymia, anxiety disorder, panic disorder, generalized anxiety & eating disorders
effects of childhood mental illness
-Long-term mental disorders in adulthood
-Thwarted development
-Diminished productivity
-Conflict within family and in community
-Child welfare involvement
-Juvenile justice involvement
-Special education resources needed
-Physical health impairments
temperament
attitude, mood or behavior of the child that they use to cope with the environment
a psychological risk factor for mental ill
what does an assessment begin with
the interview -> it is the primary tool
-during assess for interaction between child and parent
the child can provide better information about “” and the parent can provide better information about “”
internal sx (mood, sleep, SI) ; external sx (behavior, relationships)
how to interview a child
-Simple phrases (more concrete)
-Corroborate information with adult
-Direct questions, rather than open-ended
-May use play media
-May not be able to provide accurate time-line
*conducting an interview w/ children: preschool
use play conduct assessment in playroom bc they have difficulty putting feelings into words (concrete thinkers)
*conducting an interview w/ children: school aged children
establish rapport through competitive games -> nurse is able to use constructs and provide longer explanations
*conducting an interview w/ children: adolescents
let them know what information will be shared with parents, direct & candid approach -> these ages are considered egocentric, have increased self consciousness, & fear of being shamed
assessment of children & adolescents include
-Family functioning: parent-child relationship
-Current problem: nature, severity, length; how upsetting? Better/ worse? Triggers/events? describe behaviors at home, response to discipline, empathy violence, risks
-History: previous treatment, family history, developmental & social
-Mental status
-Physical exam
child development: Cognitive
ability to learn and solve problems. Ex: a 2-month-old baby learning to explore environment with hands or eyes; a five-year-old learning how to do simple math problems
child development: social & emotional
ability to interact with others, including helping themselves and self-control. Ex. a six-week-old baby smiling; a ten-month-old baby waving bye-bye; a five-year-old boy knowing how to take turns in games at school
child development: speech & language
ability to both understand and use language. Ex. a 12-month-old baby saying his first word; a two-year-old naming parts of her body; or a five-year-old learning to say “feet” instead of “foots”
child development: fine motor
ability to use small muscles, specifically their hands and fingers, to pick up small objects, hold a spoon, turn pages in a book, or use a crayon to draw
child development: gross motor
ability to use large muscles. Ex. a six-month-old baby learns how to sit up with some support; a 12-month-old baby learns to pull up to a stand holding onto furniture, and a five-year-old learns to skip
basic communication guidelines
-Treat youngsters with respect and preserve their dignity.
-Seek solutions, not blame.
-Avoid “no” and “don’t”; use “do” and “let’s do it this way”
-Instill hope for success by helping the child:
~Learn to communicate needs clearly
~ Manage feelings
~Learn that they are competent and worthwhile
the role of the PMH nurse with children, adolescents & their fam
-Doing a thorough assessment
-Early identification is KEY!
-Identifying family needs
-Promoting children’s rights in treatment settings
-Avoiding seclusion & restraint
-Notifying parents
protective factors against mental illness
Promote resiliency
Positive self-image
Family cohesion& absence of discord
Positive relationship with at least one parent
Positive early family experiences
Support
Academic achievement
Positive peer relationships
Temperament
