test 3 ch 19 Flashcards

1
Q

Describe the findings of Lavigne and Faier-Routman.

A

Chronically ill children were only at moderately increased risk for psychological adjustment difficulties as compared to their healthy peers

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2
Q

List the four types of stress particular to the families of chronically ill children.

A

a. Role conflicts
b. Financial burdens associated with medical care needs
c. Burden of daily medical care
d. Isolation

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3
Q

What are the top four behaviors that contribute to early mortality and chronic illness?

A

a. Poor nutrition
b. Inadequate physical activity
c. Smoking
d. Abuse of alcohol

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4
Q

What are some of the findings regarding sedentary behavior in school-aged children? v

A

School-age children engaging in sedentary behavior for more than 2 hours per day had higher body fat; decreased cardiovascular fitness; and lower self-esteem, prosocial behavior, and academic achievement

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5
Q

What do children with somatic symptom and related disorders often endure?

A

Frequent disruptions in their daily lives. such as: missed days from school, frequent medical appointments, less time with peers in play activities and sports, frequent disruption in family activities

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6
Q

List 4 symptoms of conversion disorder (functional neurological symptom disorder).

A

a. Weakness or paralysis
b. Abnormal movements
c. Gait abnormalities
d. Abnormal limb posturing

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7
Q

When is a DSM-5 diagnosis of somatic symptom disorder with predominant pain given?

A

When child presents with primary symptoms of pain without motor, sensory, or seizure symptoms

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8
Q

When is a diagnosis of epilepsy made?

A

When seizure is not identified with particular event such as closed head injury

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9
Q

Within the cognitive domain, what do children with spina bifida generally experience?

A

Generally low-average intellectual functioning with specific weaknesses in visual-spatial and visual-motor functioning

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10
Q

What are some of the consequences of feeding problems?

A

a. Suboptimal growth
b. Food refusal
c. Disruptive mealtime behaviors

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11
Q

How are childhood overweight and obesity defined?

A

a. Overweight – BMI at or above 85th percentile for children of same age and sex
b. Obesity – BMI at or above 95th percentile for children of same age and sex

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12
Q

What are the DSM-5 subtypes of enuresis?

A

a. Nocturnal only
b. Diurnal only (urinary incontinence)
c. Nocturnal and diurnal (nonmonosymptomatic enuresis)

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13
Q

What is the most pervasive behavioral sleep disorder among children?

A

Behavioral insomnia of childhood

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14
Q

How is circadian rhythm disorder characterized?

A

Difficulty falling asleep before early hours of morning, in combination with difficulty waking for school and daytime sleepiness

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15
Q

What is the most common etiology in young children for obstructive sleep apnea?

A

Enlarged tonsils and adenoids resulting in airway obstruction during sleep

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16
Q

List the symptoms of asthma

A

a. Coughing
b. Wheezing
c. Shortness of breath
d. Chest tightness
e. Sputum production

17
Q

What are the four main components of the medical regimen for those with type 1 diabetes mellitus?

A

a. Insulin administration
b. Blood glucose testing
c. Dietary management
d. Exercise

18
Q

Children and adolescents with sickle cell disease report pain on the average of what percentage of days? What is the reported average duration?

A

Pain on average of 7-39% of diary days with average duration of 2.5 days

19
Q

What are the common symptoms experienced by those with juvenile rheumatoid arthritis?

A

a. Pain
b. Persistent inflammation/contracture of joints
c. Stiffness/decreased mobility
d. Slowed growth