Test 2: Blueprint (2) Flashcards
What is another name for depression?
pseudodementia
Depression mimics the _____ changes noticed with a _____ _____.
cognitive
neurocognitive disorder
Pseudodementia (depression) is:
- Rapid onset
- Forgetful (but doesn’t confabulate)
- Oriented to time and place
- Does not wander
- Performance is variable
- Better as day progresses
- Appetite poor
- Concentration intact
NCD is:
- slow onset
- forgetful and confabulates
- disoriented to time and place
- wanders in search of familiar
- consistently poor performance
- worsens as day progresses
- unchanged appetite but doesn’t remember to eat
- impaired concentration
Symptoms of ADHD:
- inattention
- hyperactivity
- impulsiveness
Common nursing dx for ADHD:
- Risk for injury r/t impulsive and accident prone behavior and the inability to perceive self-harm
- Impaired social interaction r/t intrusive and immature behavior
- Low self-esteem r/t dysfunctional family system and negative feedback
- Noncompliance with task expectations r/t low frustration tolerance and short attention span
What is an outcome for “Risk for injury r/t impulsive and accident-prone behavior and the inability to perceive self-harm”?
Experience not physical harm
What is an outcome for “Impaired social interaction r/t intrusive and immature behavior”?
Interacts appropriately
What is an outcome for “Low self-esteem r/t dysfunctional family system and negative feedback”?
Verbalized positive aspects about self
What is an outcome for “Noncompliance with task expectations r/t low frustration tolerance and short attention span”?
Demonstrates fewer demanding behaviors;
Cooperates with staff in an effort to complete assigned tasks
What is important to focus on with ADHD?
- Client SAFETY!!!
- Increase self-worth
- Foster motivation for compliance
Nursing interventions for ADHD:
- decrease environmental stimuli
- set limits on behavior
- provide safe environment
- behavior contract
- administer ordered meds
Meds used for ADHD:
stimulants
antidepressants
centrally acting alpha agonists
Stimulants for ADHD:
troamphetamine
methylphenidate
pemoline
dextroamphetamine/amphetamine
Antidepressants for ADHD:
atomoxetine
buproprion
Centrally Acting Alpha Agonists for ADHD:
clonidine
guafacine
Symptoms of autism:
- withdrawal of the child into self
- does not like to be touched
- inappropriate laughing
- no fear of danger
- insensitive to pain
- no eye contact
- difficulty expressing needs
- difficulty interacting with others
- sustained unusual or repetitive play
- echoing of words/ phrases
Common nursing diagnoses for autism:
- Risk for SELF-MUTILATION r/t neurological alterations
- Impaired SOCIAL INTERACTION r/t inability to trust and neurological alterations
- Impaired VERBAL COMMUNICATION r/t withdrawal into self and neurological alterations
- DISTURBED PERSONAL IDENTITY r/t neurological alterations
What outcome is seen with “Risk of self-mutilation”?
exhibits no evidence of self-harm
What outcome is seen with “Impaired social interaction”?
interacts appropriately with at least 1 staff member
What outcome is seen with “Impaired verbal communication”?
able to communicate so that he can be understood by at least one staff member
What outcome is seen with “Disturbed personal identity”?
demonstrates behaviors that indicate he has begun the separation/individuation process
