Psychiatric Disorders of Children and Adolescents (9)

Question 1

Understand the symptoms, diagnostic criteria, and nursing intervention for individuals with ADHD and conduct disorder (3)

Symotoms of ADHD

Answer 1

Inattention
Distractibility
Hyperactivity
Impulsiveness

Question 2

ADHD Interventions

Answer 2

Predictable environment & routine
Chunking (step by step instructions)
Reduce Stimuli

Behavioral programs/charts
Clear limits with clear consequences
Family and school programming
Confirm absorption & comprehension

Question 3

Conduct Disorder
(Violating others rights)

Persistent pattern of?

Answer 3

Aggression
Destruction of property
Harm to others (animals)
Lying

Question 4

Identify the common symptoms, comorbidities, and pharmacologic treatment utilized in the care of individuals with Tourette syndrome and tic disorders (2)

What are Tics?
Motor Tics?
Phonic Tics?

Answer 4

Sudden, rapid, repetitive, stereotyped motor movements or vocalizations

Motor tics: quick, jerky movements of the eyes, face, neck, and shoulders

Phonic (vocal) tics: throat clearing, grunting, or other noises or sounds such as words, parts of words.

Question 5

What is Tourette Disorder?
What comes first
Whos affected more?
Medications?

Answer 5

Multiple motor and phonic tics for at least a year

Motor before phonic

boys affected 3x more

Medications: Antipsychotics
Haloperidone
Aripiprazole

Adrenergic receptor agonists
Clonidine

Question 6

Discuss the symptomatology and nursing care of children and adolescents with separation anxiety and disruptive behavior disorders (2)

Separation Anxiety (azmeer)

Inappropriate?
Worry about?
Phobia?
Seen at age?

Answer 6

Inappropriate fear and anxiety

Worry about harm to or permanent loss of person

School phobia

age 7

Question 7

Oppositional Defiant
Disorder (ODD)

Weekly pattern of?

Answer 7

Disobedience
Argumentativeness
Anger
Low frustration tolerance
Blame

Question 8

Treatment for CD and ODD

Answer 8

Family Based Intevention

Social Skills Training
Comorbidities

Question 9

Identify strategies useful in the assessment of children. (2)

Answer 9

Preschool children
◦ Difficulty putting feelings into words, thinking concretely
◦ Use of play
◦ Assessment tools, drawings

School-aged children
◦ Ability to use constructs, provide longer explanations
◦ Rapport through competitive games
◦ Can also use drawing

Question 9

Identify strategies useful in the assessment of adolescents. (2)

Answer 9

Adolescents
◦ Understand their developmental stage: Self-conscious, identity/role, independence
◦ Communicate respect, honesty, advocacy
◦ Explain what information can stay private & what must be shared with adults
◦ Promote feelings of control
◦ Learn their interests