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Psychosocial Care > Test 4 - Childhood Disorders > Flashcards

Test 4 - Childhood Disorders Flashcards

1
Q

classification of disruptive behavior disorders

A

external

internal

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2
Q

which type of childhood behavior d.o gets more attention

A

external

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3
Q

components of development of trust

A

rage

helplessness/hopelessness

(cause/effect problems)

(abuse, neglect illness)

trust

satisfaction

expression

need

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4
Q

sx of conduct d.o (10)

A

lack of conscience

superficially engaging or charming

destructive to others and material things

cruelty to animals

may pose danger to others

poor peer relationships

self destructive/accident prone

seductive/problems w. sexual aggression

not affectionate on parents terms

preoccupation w. fire

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5
Q

dsm definition of conduct d.o

A

repetitive pattern of behavior in which the basic rights of others or societal norms are violated

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6
Q

for dx of conduct d.o, child must have __ or more criteria

in the last __ months,

with at least on criteria in the last __ months

A

3 or more criteria

12 months

6 months

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7
Q

dsm criteria for conduct d.o (4)

A

aggression to other ppl or animals

destruction of property

deceitfulness or theft

serious violations of rules

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8
Q

sx of conduct d.o must present by __ yo for dx

A

15

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9
Q

ex of aggression to people/animals (3)

A

bullies/fight

cruel to people/animals

forced sexual activity

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10
Q

ex of destruction of property

A

fire setting

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11
Q

ex of serious violations of rules

A

truant

runaway

breaking curfew

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12
Q

predisposing factors for conduct disorder

A

parental rejection/neglect

inconsistent child rearing w. harsh discipline

physical/sexual abuse

frequent change of caregivers

early institutional living

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13
Q

dsm definition of oppositional defiant d.o

A

pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness

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14
Q

for dx of oppositional defiant d.o, pt must have at least __ symptoms from any category

lasting at least __ months

exhibited during interaction with __

A

4 symptoms

6 months

1 individual who is not a sibling

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15
Q

categories of symptoms in oppositional defiant d.o (3)

A

angry/irritable mood

argumentative/defiant behavior

vindictiveness

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16
Q

angry/irritable sx for odd (3)

A

often loses temper

touchy/easily annoyed

often angry/resentful

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17
Q

argumentative/defiant behavior for odd (4)

A

often argues w. authority figures/adults

often actively defies/refuses to comply w. requests from authority figures or w. rules

deliberately annoys others

often blames others for his/her mistake or misbehavior

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18
Q

criteria for vindictiveness in odd

A

spiteful or vindictive at least twice w.in past 6 mo

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19
Q

odd is directed towards __,

is not always apparent __,

is more apparent w.

A

authority figure

in school/community

familiar adults/peers

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20
Q

characteristics of pre school kids w. odd

A

highly reactive and not easily soothed

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21
Q

how do kids w. odd see themselves

A

as responding reasonably to unreasonable demands

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22
Q

sex difference in disruptive behavior d.o’s do not emerge prior to __ yo

A

6

23
Q

after 6 yo, is disruptive behavior mc in m or f

A

males

24
Q

⅔ of all peds mental health referrals are for

A

odd

cd

25
Q

one major distinction btw cd and odd

A

kids w. odd are not grossly violating/hurting other people

26
Q

mc comorbidity w. odd and cd

A

ADHD

27
Q

2 other common comorbidities w. odd/cd

A

depressive d.o

anxiety d.o

28
Q

marker of better prognosis for cd

A

developing d.o later in childhood

29
Q

major predictor for seriousness of antisocial behavior

A

severity and variety of early antisocial behavior

30
Q

worse prognosis for cd

A

comorbidities

31
Q

possible causes for cd

A

genetic basis → high concordance in twins

31
Q

possible causes for cd

A

genetic basis → high concordance in twins

32
Q

there is high heritable vulnerability to externalizing d.o’s, including (4)

A

conduct d.o

antisocial pd

etoh dependence

drug dependence

33
Q

one theory for antisocial pd

A

unresponsive nervous system → chronic under arousal leads pt w. asp to seek out dangerous/risky situations to stimulate arousal

34
Q

50% of boys w. cd develop

A

antisocial pd

35
Q

boys w. cd or cd + adhd have shown to be less sensitive to

A

negative pictures/images

36
Q

med to decrease aggression in cd

A

risperidone

37
Q

med for short-term tx of aggression

A

lithium

38
Q

tx strategies for childhood d.o

A

consider attachment problem

identify precipitating events

consider parents perception of the problem

help parents understand child

explore support system available to parents

39
Q

how should parents handle rules for kid w. childhood d.o

A

highly consistent

logical/enforceable

consequences for breaking rules

reward appropriate behavior

40
Q

never try to control

A

child’s biology

ex: must be in bed by 9pm, not asleep by 9pm

41
Q

dsm for adhd

A

6 or more sx - manifested often

42
Q

categories for adhd sx

A

impulsivity

hyperactivity

inattention

43
Q

impulsive adhd sx (3)

A

blurts out answer before question is finished

difficulty awaiting urn

interrupts/intrudes on others

44
Q

hyperactivity adhd sx (6)

A

fidgets

unable to stay seated

inappropriate running/climbing

difficulty engaging in leisure activity quietly

on the go

talks excessively

45
Q

inattention sx in adhd

A

inattention to details/makes careless mistakes

difficulty sustaining attention

seems not to listen

fails to finish tasks

difficulty organizing

avoids tasks requiring sustained attention

loses things

easily distracted

forgetful

46
Q

mc behavioral d.o of childhood

A

adhd

47
Q

is adhd mc in m or f

A

m

first born boys

48
Q

comorbidities associated w. adhd

A

depressive d.o

cycylothymia

bipolar

anxiety d.o

ocd

learning d.o

odd

cd

antisocial d.o

substance use

tourettes

49
Q

what dramatically reduces substance abuse in adhd kids

A

medication

50
Q

how do stimulants affect the brain

A

stimulate the frontal lobe

51
Q

tx considerations for adhd w. comorbidities

A

combo of counseling PLUS meds

52
Q

3 major types of adhd

A

inattentive

hyperactive

impulsive

53
Q

for adhd, first sx must appear by __ yo

A

12

Psychosocial Care (6 decks)

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