Test 2: Blueprint (3) Flashcards
What is Tourette’s Syndrome?
presence of multiple motor tics and one or more vocal tics
What are common motor tics seen with Tourette’s?
- eye blinking
- neck jerking
- shoulder shrugging
- facial grimacing
- squatting, hopping, skipping, tapping, retracing
What are common vocal tics seen with Tourette’s?
words or sounds such as squeaks, grunts, barks, sniffs, snorts, coughs, and uttering obscenities
Common nursing diagnoses associated with Tourette’s:
- Risk for self-directed or other-directed violence r/t low tolerance for frustration
- Impaired social interaction r/t impulsiveness and to oppositional and aggressive behavior
- Low self-esteem r/t embarrassment associated with tic behaviors
Desired outcome for “Risk for self-directed or other-directed violence”?
has not harmed self or others
Desired outcomes for “Impaired social interaction”?
- interacts with staff and peers in an appropriate manner
- demonstrates self-control by managing tic behavior
- follows rules without becoming defensive
Desired outcome for “Low self-esteem”?
verbalizes positive aspects about self
Drugs used to manage Tourette’s:
haloperidol
pimozide
atypical antipsychotics
alpha agonists
What should be remembered about haloperidol for Tourette’s?
only used with children who have SEVERE symptoms or symptoms that IMPEDE FUNCTIONING
What should be remembered about pimozide for Tourette’s?
only for SEVERE cases
not recommended for under 12 years old
What are 3 atypical antipsychotics used for Tourette’s?
1) risperidone
2) olanzapine
3) ziprasidone
What are 2 alpha agonists used for Tourette’s?
clonidine
guafacine
What is Oppositional Defiant Disorder (ODD)?
persistant pattern of angry mood and defiant behavior (occurring more frequently than usual in comparison to individuals of same age/developmental level)
ODD can interfere with _____, _____, or _____ activities.
social
educational
vocational
What are symptoms with ODD?
- stubbornness
- procrastination
- disobedience
- negativism
- carelessness
- testing of limits
- resistance to directions
- unwillingness to cooperate
- running away
- school avoidance/underachievement
- temper tantrums
- fighting
- argumentativeness
Common nursing diagnoses associated with ODD:
- NONCOMPLIANCE with therapy r/t negative temperament, denial of problems, underlying hostility
- DEFENSIVE COPING r/t retarded ego development, low self-esteem, unsatisfactory parent/child relationship
- LOW SELF-ESTEEM r/t lack of positive feedback, retarded ego development
- IMPAIRED SOCIAL INTERACTION r/t negative temperament, underlying hostility, manipulation of others
What is the desired outcome for “Noncompliance with therapy”?
complies with treatment by participating in therapies w/o negativism
What are the desired outcomes for “Defensive coping”?
- takes direction from staff w/o becoming defensive
- does not manipulate others
What is the desired outcome for “Low self-esteem”?
verbalizes positive aspects about self
What is the desired outcome for “Impaired social interaction”?
interacts with others in an appropriate manner
What is Conduct Disorder?
persistant pattern of behavior in which the basic rights of others and major-age-appropriate societal norms or rules are violated
Conduct Disorder is a precursor to ____ ____ ____.
antisocial personality disorder
Symptoms of conduct disorder:
- physical aggression
- use of drugs/alcohol
- sexual permissiveness
- low self-esteem but portrays “tough-guy” image
- inattentive
- impulsiveness
- hyperactvity
- lack of feelings of guilt or remorse
- use of projection as a defense mechanism
- inability to control anger
- low academic achievement
Nursing diagnoses for ODD:
- Risk for OTHER-DIRECTED VIOLENCE r/t characteristics of temperament, peer rejection, negative parental role models, dysfunctional family dynamics
- IMPAIRED SOCIAL INTERACTION r/t negative parental role models, impaired peer relations leading to inappropriate social behaviors
- DEFENSIVE COPING r/t low self-esteem and dysfunctional family system
- LOW SELF-ESTEEM r/t lack of positive feedback and unsatisfactory parent/child relationship
Desired outcomes for “Risk for other-directed violence”:
has not harmed self or others
Desired outcomes for “Impaired social interaction”:
interacts with others in a socially appropriate manner
Desired outcomes for “Defensive coping”:
accepts direction w/o becoming defensive
Desired outcomes for “Low self-esteem”:
demonstrates evidence of increased self-esteem by discontinuing exploitative and demanding behaviors towards others
