T2 - Childhood and Adolescent Disorders (Josh) Flashcards
Medications approved for Autism:
Risperidone
Aripiprazole
Evaluation of the child w/ disability disorder should reflect –
positive behavioral changes
— is a precursor to — which is a precursor to —
Oppositional Defiant Disorder (ODD)
Conduct Disorder
Anti-social Behavior Disorder
Individuals w/ a history of seizures or eating disorders should not take –
buproprion
- nonselective reuptake inhibitor
Which is a potential side effect from the prolonged use of methylphenidate (Ritalin)?
a) Psychosis
b) decreased IQ
c) Weight gain
d) decrease in rate of growth and development
d) decrease in rate of growth and development
- temporary
Which of the following activities would be most appropriate for the child w/ ADHD?
a) Monopoly
b) Volleyball
c) Pool
d) Checkers
b) Volleyball
Meds for Tourette’s
Haloperidol
Pimozide (>12 yrs)
Risperidone
Olanzapine
Ziprasidone (increased QT interval)
Clonidine
Guanfacine
What is the most common cause of disability disorder in children?
Disruptions in embryonic development associated w/…
- maternal illness
- maternal injestion of ETOH or other drugs
- pregnancy complications
Which of the following meds is used to treat Tourette’s?
a) Methylphenidate
b) Haloperidol
c) Imipramine
d) Phenytoin
b) Haloperidol
Which of the following is thought to predispose adolescents to developing Conduct Disorder?
a) Overprotective parents
b) Parents w/ high expectations
c) Parents who consistently set limits on child’s behavior
d) Parents who are ETOH dependent
d) Parents who are ETOH dependent
The essential feature of — is the presence of multiple motor tics and 1 or more vocal tics.
Tourette’s Disorder
- most common ~6-7 yrs
- boys more than girls
Conduct disorder may be a precursor to the diagnosis of which personality disorder?
a) Narcissistic personality disorder
b) Antisocial personality disorder
c) Histrionic personality disorder
d) Passive-aggressive personality disorder
b) Antisocial personality disorder
Which disorder?
- persistent pattern of inattention
- hyperactivity
- impulsiveness
ADHD
An adolescent, diagnosed with ADHD, is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client’s task performance?
a) Mandate that the client remains in his room until all homework is complete.
b) Remove privileges if homework has not been completed within a 2-hour period.
c) Encourage dividing tasks into smaller, attainable steps and reward successful completion.
d) Seek a physician’s order to discontinue the stimulant methylphenidate.
c) Encourage dividing tasks into smaller, attainable steps and reward successful completion.
What is the goal in assessment of childhood disorders?
Assess strengths and limitations to encourage the client to be as independent as possible
— is persistent pattern of angry mood and defiant behavior
Oppositional Defiant Disorder (ODD)
When giving meds, to reduce anorexia, give —
immediately after meals
A major portion of the hyperactive child’s problems are related to difficulties —
performing age-appropriate tasks
— is characterized by a child’s withdrawal into self and into a fantasy world of own creation
Autism
- 1 in 88 children
- boys more than girls
In an effort to help the child w/ mild to moderate intellectual development disorder develop satisfying relationships w/ others, which of the following nursing interventions is most appropriate?
a) Interpret the child’s behavior for others
b) Set limits on behavior that is socially inappropriate
c) Allow the child to behave spontaneously, for he/she has no concept of right/wrong
d) This child is not capable of forming social relationships
b) Set limits on behavior that is socially inappropriate
