PSYCHOSOCIAL

Question 1

what screening tool can be used to test for autism?

Answer 1

Checklist for Autism in Toddlers (CHAT)

Question 2

how should the child be introduced if they have autism?

Answer 2

introduce child to new situations slowly. the child does better in a small classroom with few people

Question 3

what are behavior modifications that a child with autism should follow?

Answer 3

1. positive reinforcement with rewards
2. set realistic and clear goals
3. have a routine in place because autism children love routines
4. provide opportunities for small success such as brushing teeth correctly

Question 4

what are expected findings of ADHD?

Answer 4

1. inattention: does not listen and easily distracted
2. hyperactivity: fidgeting and failing to remain seated
3. impulsivity: difficulty waiting turns and interrupts often

Question 5

when should ADHD be diagnosed?

Answer 5

diagnose before 7 years of age

Question 6

what are nursing care points to follow when taking care of a child with ADHD?

Answer 6

1. calm, firm, respectful approach
2. set clear limits and be consistent
3. positive reinforcement, rewards for good behavior, and age appropriate consequences

Question 7

what medications can be given for ADHD?

Answer 7

methylphenidate and dextroamphetamine

Question 8

when can methyphenidate be given?

Answer 8

last dose of the day prior to 4-6 pm and take 30 minutes before a meal

Question 9

what is the purpose of taking methyphenidate?

Answer 9

increases attention span in ADHD children

Question 10

what are risk factors for child abuse?

Answer 10

1. single with partner unrelated to child
2. premature baby causes lack of bonding at birth
3. physical/mental disabilities
4. drug/alcohol addiction

Question 11

what are expected findings of child abuse?

Answer 11

1. fear of parents
2. withdrawal/aggression
3. infant: lack of social smile
4. bulging fontanels (sign of shaken baby syndrome)

Question 12

what are expected findings of depression?

Answer 12

1. sad facial expression
2. tendency to remain alone
3. withdrawn
4. fatigue
5. tearful/crying
6. ill feelings
7. feelings of worthlessness
8. lack of interest in school/drop in performance in school

Question 13

what are priority nursing care points to follow with a patient who has depression?

Answer 13

priority is to perform suicide assessment and then assess for substance abuse