Psychosocial Flashcards
What early interventions should the parents be referred to for a child w/ autism?
PT
OT
speech/language therapy
support groups
What should you educate parents on for a child with autism?
decrease environmental stimuli
assist w/ nutritional needs
introduce the child to new situations slowly
monitor for behavior changes
encourage age-appropriate play
communicate at an age-appropriate level (brief & concrete)
What kinds of behavior modification should be encouraged?
promote positive reinforcement
increase social awareness
tech verbal Communication
decrease unacceptable behaviors
set realistic goals
structure opportunities for small successes
set clear rules
What are the expected findings for ADHD?
Inattention
hyperactivity
impulsivity
What are some examples of inattention?
failing to pay close attention to detail
difficulty sustaining attention
not listening
easily distracted
forgetful
losing things
not following instructions
What are some examples of hyperactivity?
fidgeting
failing to stay seated
excessive talking
What are some examples of impulsivity?
blurting out a response before questions are done being asked
difficulty waiting their turn
interrupting often
What is the nursing care for patients with ADHD?
use a calm, firm, respectful approach w/ the child
model acceptable behavior
get the child’s attention before giving directions
give short & clear explanations
set clear limits
safe environment
provide the child w/ specific positive feedback when expectations are met
assist child in developing coping mechanisms
What should you educate the family on for a child with ADHD?
give positive reinforcement
rewards for good behavior
age-appropriate consequences
have a structured environment
When should you give methylphenidate & dextroamphetamine?
30 min before meals
What are the expected findings when observing child abuse?
bruises, welts in various stages of healing
burns, fractures, lacerations
fear of parents
lack of emotional response/reaction
withdrawn
Aggressive
What are the expected findings for a child with depression?
alone/withdrawn
fatigue
tearful/crying
sad/ flat affect
weight loss/gain
alterations in sleep
lack of interest in school or activities
low self-esteem
suicidal ideation
constipation
What are the nursing interventions for children with depression?
assess for substance abuse
assess for actual or potential risk to self
- suicide plan, lethality of the plan, means to carry out the plan
assist with coping
encourage peer group discussions, mentoring and counseling
