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Nur 4410 Peds Exam #2 > Pychosocial or Cognitive Condition > Flashcards

Pychosocial or Cognitive Condition Flashcards

1
Q

fear of separation from or losing a caregiver

A

Separation anxiety disorder (SAD)

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2
Q

excessive worry about everything

A

Generalized anxiety disorder (GAD)

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3
Q

unrelenting fear of certain objects

A

Specific phobia

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4
Q

physical symptoms r/t anxiety

A

Panic disorder

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5
Q

fear of situations

A

Social phobia

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6
Q

refusal to speak unrelated to physiologic tissue

A

Selective mutism

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7
Q

recurrent worries or thoughts and repetitive actions or thoughts to bind the anxious thoughts

A

Obsessive-compulsive disorder (OCD)

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8
Q

Signs and symptoms: Somatic complaints: Stomach aches, sleeping problems, nausea, dizziness, palpitations Unfounded fears/worry School refusal What is it?

A

Anxiety disorder

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9
Q

Nursing Care for Anxiety Disorders?

A

Recognize normal developmental anxieties Need for further intervention when it interferes with daily activities Refer to mental health professional Teach relaxation techniques Cognitive-behavioral therapy – FRIENDS

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10
Q

Medications for Anxiety Disorders?

A

SSRIs, blood pressure meds

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11
Q

Physicians prescribe them to control rapid heartbeat, shaking, trembling, and blushing in anxious situations for several hours associated with anxiety.

A

Beta-blockers

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12
Q

Program designed for the parents as well as their children with anxiety disorders, uses cognitive-behavioral techniques to help children and their families cope with anxiety, reduce risk of development of anxiety disorders.

A

FRIENDS

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13
Q

acronym FRIENDS, what does it stand for?

A

Feeling worried? Relax and feel good. Inner thoughts. Explore plans. Nice work so reward yourself. Don’t forget to practice. Stay calm, you know how to cope.

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14
Q

Anxiety Disorder in response to real or perceived threat to life or safety

A

Posttraumatic Stress Disorder

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15
Q

Signs & symptoms: Re-experiencing trauma Flashbacks Avoidance of anything that could trigger a memory Dissociation What is it??

A

Posttraumatic Stress Disorder

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16
Q

Nursing Care for Posttraumatic Stress Disorder?

A

Referrals, Ensure Safety, SSRIs for adolescents

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17
Q

Signs and symptoms: Persistent sad/irritable mood Anhedonia-loss of interest in activities once loved Difficulty sleeping Physical agitation or slowing Fatigue What is it??

A

Mood disorder - Depression

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18
Q

Diagnosis for Depression:

A

5 key features present for at least 2 weeks

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19
Q

Nursing Care for Depression:

A

Most important-SAFETY School nurses may catch first

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20
Q

Medications for Depression:

A

SSRIs, Wellbutrin, Effexor

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21
Q

Type of Bipolar Disorder, presence of depressive and manic episodes

A

BD-1

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22
Q

Type of Bipolar Disorder, episodes of hypomania and depression

A

BD-2

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23
Q

Type of Bipolar Disorder, criteria for I & II are not met but exhibit signs of BPD

A

BD-NOS

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24
Q

Signs and symptoms: Cyclical episodes of major depression and mania What is it??

A

Bipolar Disorder

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25
Q

Nursing Care for Bipolar Disorder:

A

Education to family – recognizing manic states Mental Health Resources

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26
Q

Medications for Bipolar Disorder:

A

Lithium, Depakote

27
Q

Signs and symptoms: Symptoms of depression Personality changes Alienation Decline in schoolwork Giving away personal items Preoccupation with death Access to method of suicide (medications, weapons) Plan in place What is it?

A

Suicidal Ideation

28
Q

Proper questioning for Suicidal Ideation:

A

The nurse must ask about suicide ideation. The nurse can discern: Does the child have a plan? Is that plan possible? Has child attempted suicide before? If any of these factors are present nurse must refer the child to a mental health professional.

29
Q

the process of coming into being or becoming prominent

A

emergent, nursing care for suicidal ideation

30
Q

(of a state or situation) requiring immediate action or attention

A

urgent, nursing care for suicidal ideation

31
Q

A serious chronic mental health disorder that is thought to be the result of abnormalities in neurodevelopmental processes that occur early as well as later in life Typically begins in adolescence

A

Schizophrenia

32
Q

Signs and symptoms: Positive: Hallucinations, disorganized speech/behavior, delusions Negative: flattened affect, speech, or motivation What is it??

A

Schizophrenia

33
Q

Nursing Care for Schizophrenia:

A

Safety, treatment is lifelong

34
Q

Medications for Schizophrenia:

A

Atypical antipsychotics (Risperdal, Seroquel, Zyprexa, Abilify)

35
Q

Autistic disorder Asperger’s disorder Rett’s disorder Childhood disintegrative disorder Pervasive developmental disorder not otherwise specified

A

Autism Spectrum Disorders, Pervasive developmental disorder

36
Q

Signs and symptoms (three cluster categories): Impaired social reciprocity Communication impairment Restrictive/Repetitive behaviors What is it??

A

Autism Spectrum Disorders

37
Q

Nursing Care for Autism Spectrum Disorders:

A

Early interventions are key Structure and predictability ALARM

38
Q

ALARM

A
  • 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.
39
Q

Medications for Autism Spectrum Disorders:

A

traditional antipsychotics

40
Q

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

A

boys with ADHD, girls with ADD

41
Q

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

A

Attention Deficit Hyperactivity Disorder

42
Q

Nursing Care for ADHD:

A

changing maladaptive behaviors, school interventions, weight monitoring

43
Q

Medication for ADHD:

A

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

44
Q

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

A

Tic Disorders (Tourette’s Syndrome)

45
Q

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

A

Tic Disorders (Tourette’s Syndrome)

46
Q

Four types of abuse:

A

phsical, sexual, emotional, neglect.. mandatory reporting

47
Q

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

A

Failure to Thrive

48
Q

Diagnosis of Failure to Thrive

A

weights below the 3rd percentile or 2 SD below mean

49
Q

purging or withholding eating disorder

A

anorexia nervosa

50
Q

binging and purging eating disorder

A

bulimia nervosa

51
Q

binging without purging eating disorder

A

Binge eating disorder

52
Q

Physical consequences of eating disorders

A

amenorrhea, weakness, fatigue, electrolyte imbalances, death

53
Q

>85th percentile BMI

A

overweight

54
Q

>95th percentile BMI

55
Q

Physical consequences of Obesity

A

HTN, Type II diabetes, sleep apnea, CAD

56
Q

Three criteria of Developmental Disabilities

A

IQ score <70 Limitations in self care Onset before age 18

57
Q

Four levels of developmental disabilities and the associated IQ scores

A

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

58
Q

Trisomy 21

A

Down’s Syndrome

59
Q

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??

A

Down’s Syndrome

60
Q

Diagnosis of Down’s Syndrome

A

prenatal amniocentesiss

61
Q

Teratogenic effects of alcohol

A

Fetal Alcohol Spectrum Disorderr

62
Q

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??

A

Fetal Alcohol Spectrum Disorderr

63
Q

The End

Nur 4410 Peds Exam #2 (9 decks)

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