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BEACON MedSurg/Peds > Test 3 Mental Health of Child and Adolescent > Flashcards

Test 3 Mental Health of Child and Adolescent Flashcards

1
Q

Biggest concern we have as nurses regarding mental health problems

A

The need to eradicate the stigma against mental health

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2
Q

____% of those in the juvenile justice system have diagnosable mental health problems

A

70% have mental health problems in the juvenile justice system

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3
Q

Alcohol abuse starts as early as age?

A

Starts as early as age 8

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4
Q

___% of children in the welfare system have diagnosable mental health problems

A

50% of children in the welfare system have diagnosable mental health problems

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5
Q

Autosomal dominant framework

A

Mental health problems, such as alcohol abuse, run in families

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6
Q

Environmental framework for mental health

A

Example: mother who drinks could predispose child to mental health problems

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7
Q

Erikson in child development

A

Maturationist approach to development. Individuals who mature at a certain rate and surmount the developmental task at that level are able to successfully challenge the next step. If they don’t, they’re development is interrupted and challenged, and this can pose a problem for them in the coming years.

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8
Q

Ecological systems in child development

A

environment, psychosocial development, and physical development. It is the total environment that says whether or no the child will develop safely and successfully.

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9
Q
  • Ability to withstand stress
  • Characteristics include, “good natured”, confident, sense of humor, realistic, flexible, self assured,secure.
  • Demonstrate capacity to “counce back” and master stress

*Definition of ?*

A

Resilience

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10
Q

___% of children who are exposed to a powerful stressor do not experience lasting developmental damage

A

80% exposed to stressor don’t experience lasting developmental changes

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11
Q
  • Clear thinking
  • Skill in verbal language
  • Understanding own emotions and also those of others
  • Making friends
  • Getting along with others
  • Even temperament
  • Responsive caregiving
  • Self esteem
  • Fostered competence
  • Supportive adults in the environment

*All of these things are meant to ?*

A

Meant to foster resilience

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12
Q
  • Social relatedness impairment
  • communication impairment
  • restricted repertiore of behaviors (childs ability to be flexible in situations is not seen. Only one or two responses to all situations)
A

Autism

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13
Q

Types of developmental disorders (4)

A
  1. Mental Retardation
  2. Pervasive Developmental Disorders
  3. Specific Developmental Disorders
  4. Tic Disorder
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14
Q

True or False: As autistic children grow, they can have unusual abilities for a person of their developmental level , also called cevant abilities

A

True

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15
Q

True or False: Autistic children speak later than other kids of their developmental stage, and also talk about themselves using their name

A

True

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16
Q

How is autism diagnosed?

A
  • There is no specific tool, assessment is used over time to diagnose.
  • Child doesn’t respond to his or her name, doesn’t make eye contact, wants specific order, unusual rituals, all centered around soothing the self
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17
Q

PANDAS

A
  • Psychiatric and Neurological disorders associated with strep
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18
Q
  • Some symptoms can be alleviated using medicines “off label”
  • Self harming: anti-depressants, anti-anxiety
A

Autism

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19
Q
  • Mild end of the autism spectrum
  • intellect is intact
  • Matked by social awkwardness
A

Asperger’s Disorder

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20
Q

CHAT

A

Checklist for Autism in Toddlers

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21
Q
  • focus on symptom management
  • Early detection (CHAT)
  • Behavioral intervention
  • Language therapies
  • Occupational therapies
  • Pharmacotherapy
  • Social skills training
A

Nursing care for Asperger’s

22
Q

Pharmacotherapy for Aspergers

A
  • Medicine to stabalize mood, decrease depression, and deal with anxiety
23
Q

3 Disruptive behavior disorders

A
  1. Attention Deficit Hyperactivity Disorder
  2. Conduct Disorder
  3. Oppositional Defiant Disorder
24
Q
  • 3 Types
  • Inattentive
  • Hyperactive-Impulse
  • Combined: inattention and hyperactivity
A

Attention Deficit/Hyperactivity Disorder

25
Q

-Enduring pattern of disobedience, argumentativeness, explosive angry outbursts, low frustration tolerance, and a tendency to blame others for quarrels or accidents

A

Oppositional Defiant Disorder

26
Q

Use stimulating medications for this because of the “sleepy brain”

A

ADHD

27
Q

Ritalin: short acting

A

Best drug for ADHD, used multiple times a day

28
Q

Cognitive behavioral component to ADHD therapy

A

Cause and reaction problem solving component (learning strategy)

29
Q

Oppositional defiant disorder is comorbid with?

A

Comorbid with ADHD and anxiety

30
Q
  • Risk factors include: Physical and sexual abuse, inconsistent or inadequate parenting, lived in institutional setting during early childhood
A

Conduct Disorder

31
Q

Characterized by serious violations of social standards such as aggression, vandalism, cruelty to animals, stealing, lying, and truancy

A

Conduct Disorder

32
Q

Rapid, jerky movements of the eyes, face, neck and shoulders or slow purposeful movements

A

motor tics

33
Q

Throat clearing, grunting, repetitive noises, words, phrases

A

Phonic tics

34
Q

Types of Tic Disorders (3)

A
  1. Motor Tics
  2. Phonic Tics
  3. Tourette’s Disorder
35
Q

Ways to deal with conduct disorder as a nurse

A

Implement some structure strategies and support for the involved family

36
Q

A combination of motor and phonic tics on a spectrum from barely discernable to extremely debilitating

A

Tourette’s Disorder

37
Q

Diagnosis of Tourette’s

A

Comes when symptoms are visible for at least a year

38
Q

Treatment for Tics

A

Antipsychotics, as well as behavioral therapy

39
Q

Child soiling themselves with feces in a child 4 years or older. Not the result of pre-existing medical problem

A

Encopresis

40
Q

Enuresis

A

Inability to control urination/ daytime wetting

41
Q
  • A subset of children who develop OCD and/or tic disorder following a strep. infection
  • Autoimmune disorder
  • Criteria
  1. Presence of OCD/tic
  2. Pediatric onset (3y/o - puberty)
  3. Varying severity
  4. Association with A Beta-hemolytic streptococcal infection
  5. Association with neurological abnormalities (motor activity)
A

Psychiatric and Neurologic Symptoms Associated with Strep (PANDAS)

42
Q

Treated with an antibiotic

A

PANDAS

43
Q

Precipitating factors for depression in adolescents include

A
  • Low self-esteem
  • difficult relationships
  • academic difficulties
  • parental depression
  • bereavement
44
Q

Why increase in suicide with adolescents on antidepressants

A

Treatment starting to work enough, that they have the energy to complete the suicide plan. Paired with impulsivity of the adolescent.

45
Q

If you can do one intervention in mental health nursing care, what do you want to do?

A

Establish a therapeutic alliance

46
Q

_______ experience higher co morbidity of depression with anxiety, conduct disorders, and substance abuse than adults experience

A

adolescents

47
Q
  • Often seen as part of bipolar disorder
  • elevated mood
  • increased engergy/strength
  • little need for sleep
  • restlessness
  • diregard for safety
  • rapid speech
  • increased irritability
A

Mania

48
Q

Ways to investigate suicide in the adolescent. How would you phrase it?

A
  1. I know you’re feeling very depressed, tell me about any plans you have to harm yourself/ I need to know if you’re thinking about killing yourself
  2. I need to know your plan/ Tell me about your plan
49
Q
  • consistently below or above caloric needs to maintain a healthy weight
  • eating is accompanied by anxiety or guilt
  • eating happens in the absence of hunger and appetite is never satisfied
  • results in physiologic imabalances and complications to health
A

Eating Disorders

50
Q

Treatment for Mania

A
  • Mood stabilizers, anti-convulsants
  • often don’t see lithium in adolescents because of small therapeutic range, lack of compliance, and it’s renally toxic
51
Q
A

BEACON MedSurg/Peds (21 decks)

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