Psych and Cogn contd

Question 1

Nursing Care for Autism Spectrum Disorders:

Answer 1

Early interventions are key Structure and predictability ALARM ��

Question 2

ALARM

Answer 2

• Mnemonic the nurse can use to assist the child and family in coping with autism. - Autism is prevalent. Listen to patients. Act early. Refer. Monitor.

Question 3

Medications for Autism Spectrum Disorders:

Answer 3

traditional antipsychotics

Question 4

who is more likely to have ADHD with hyperactivity; and who is more likely to have ADHD without hyperactivity

Answer 4

boys with ADHD, girls with ADD

Question 5

Signs and symptoms: Hyperactivity Impulsivity Distractibility Inattention What is it??

Answer 5

Attention Deficit Hyperactivity Disorder

Question 6

Nursing Care for ADHD:

Answer 6

changing maladaptive behaviors, school interventions, weight monitoring

Question 7

Medication for ADHD:

Answer 7

stimulants (Adderall, Ritalin, Concerta), non-stimulants (Strattera, Intuniv)

Question 8

Child can not stop the tic permanently but can suppress them Talking about them may trigger the tics More common in boys than girls

Answer 8

Tic Disorders (Tourette’s Syndrome)

Question 9

Signs and symptoms: Sudden uncontrollable movement or vocalization Tics occur several times per day What is it??

Answer 9

Tic Disorders (Tourette’s Syndrome)

Question 10

Four types of abuse:

Answer 10

phsical, sexual, emotional, neglect.. mandatory reporting

Question 11

Child does not meet age-appropriate weight gain Multifactorial – organic vs. nonorganic

Answer 11

Failure to Thrive

Question 12

Diagnosis of Failure to Thrive

Answer 12

weights below the 3rd percentile or 2 SD below mean

Question 13

purging or withholding eating disorder

Answer 13

anorexia nervosa

Question 14

binging and purging eating disorder

Answer 14

bulimia nervosa

Question 15

binging without purging eating disorder

Answer 15

Binge eating disorder

Question 16

Physical consequences of eating disorders

Answer 16

amenorrhea, weakness, fatigue, electrolyte imbalances, death

Question 17

>85th percentile BMI

Answer 17

overweight

Question 18

>95th percentile BMI

Answer 18

obese

Question 19

Physical consequences of Obesity

Answer 19

HTN, Type II diabetes, sleep apnea, CAD

Question 20

Three criteria of Developmental Disabilities

Answer 20

IQ score

Question 21

Four levels of developmental disabilities and the associated IQ scores

Answer 21

Mild – IQ 55-69 Moderate – IQ 40-54 Severe – IQ 25-39 (generally requires institutionalization) Profound – IQ

Question 22

Trisomy 21

Answer 22

Down’s Syndrome

Question 23

Signs and symptoms: Poor muscle tone, slanting eyes( Epicanthal folds) Hyperflexibility, short, broad hands with a single crease across the palm of one or both hands Flat bridge of the nose, short/low-set ears, macroglossia Heart defects, gastrointestinal anomalies, visual and hearing problems Hypothyroidism Developmental Delays What is it??

Answer 23

Down’s Syndrome

Question 24

Diagnosis of Down’s Syndrome

Answer 24

prenatal amniocentesiss

Question 25

Teratogenic effects of alcohol

Answer 25

Fetal Alcohol Spectrum Disorderr

Question 26

Signs and symptoms: Small head, low nasal bridge, epicanthal folds, small eye openings, short nose, thin upper lip, flat midface, smooth philtrum, underdeveloped jaw What is it??

Answer 26

Fetal Alcohol Spectrum Disorderr