The Child with Psychiatric Mental Health Problems Unit 3 (1)

Question 1

Autism Spectrum Disorder

Answer 1

A disorder that is characterized by impairment in social interaction skills and interpersonal communication and a restricted reperoire of activities and interests

dis

Question 2

Risk Factors Austism Spectrum Disorder

Answer 2

1. Neurological Implications
2. Physiological Implicaions (medical issues)
3. Genetics
4. Perinatal (asthma, allergies around ime of pregnancy)

Question 3

ASD symptoms

Answer 3

1. Impairment in social interaction
2. Impairment in communication and imaginative activity
3. Restricted activities and interests

Question 4

ASD NUR Diagnoses

Answer 4

1. Risk for self mutilation
2. Impaired social interaction
3. Impaired verbal communication
4. Disturbed personal identity

Question 5

Hyperactivity

Answer 5

Excessive psychomotor activity that may be purposeful oraimless, accompanied by physical movements and verbal utterances that are usuallymore rapid than normal, inattention and disractibility are common with hyperactive behavior

Question 6

Attention-Deficit/Hyperactivity Disorder

Answer 6

A persistent pattern of inattention and/or hyperactivity impulsivity that intereferes with functioning ordevelopment

Question 7

ADHD Symptoms

Answer 7

1. Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or during other activities
2. Often has difficulty sustaining attenion in tasks or play activities
3. Often does not seem to listen when spoken to directly
4. Often does not follow through on instructionsand fails to finish school work, chores, or duties in the workplace
5. Often has difficulty organizing tasks and activities
6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort
7. Often loses things necessary for tasks or activities
8. Is often easily distracted by extraneous stimuli
9. Is often forgetful in daily activities
10. Often figets wih or taps hands or feet or squirms in seat
11. Often leaves seat in situations when remaining seated is expected
12. Ofen runs about or climbs in situations where it is inappropriate
13. Often unable toplay or engage in leisure activities quietly
14. Is often on the go acting as if driven by a motor
15. Often talks excessively
16. Often blurts out an answer before a question has b een completed
17. Often has difficulty waiting for hisorher turn
18. Often inerrupts or intrudes on others
19. Several inattentive or hyperactive impulsive symptoms were present prior to age 12 years
20. Several inattentive or hyperactive impulsive symptomsare present in twoormoresettings
21. There is clear evidence that the symptoms interfere with or reduce the quality ofsocial, academic,oroccupational functioning
22. The symptomsdonotoccur during anoher mental illness

Question 8

Impulsiveness

Answer 8

The trait of acting without reflection andwithout thought to the consequences of the behavior. An abruptinclinationto act (and theinability to resis acting) on certain behavorial impulses

Question 9

Risk factors ADHD

Answer 9

1. Genetics
2. Biochemical
3. Alteraions in anatomy of thebrain
4. Maternal smoking
5. Toxic substance exposure in womb
6. Fetal alcohol syndrome
7. Premature/low birth weight
8. Prolonged labor
9. Lead
10. Diet (additives and dyes)
11. Pyschosocial stress

Question 10

ADHD NUR diagnoses

Answer 10

1. Risk for injury
2. Impaired social interaction
3. Low self-esteem
4. Noncompliance with task expectations

Question 11

Conduct Disorder

Answer 11

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated

Question 12

Symptoms Conduct Disorder

Answer 12

1. Often bullies, threatens, or intimidates others
2. Often initates physical fights
3. Has used a weapon that can cause serious physical harm to others
4. Has been physically cruel to people
5. Has been physically creul to animals
6. Has stolen while confronting a victim
7. Has forced someone into sexual activity
8. Has deliberately engaged in fire setting with the intention of causing serious damage
9. Has deliberately destroyed others’ property (other than by fire setting)
10. Has broken into someone else’s house, building, or car
11. Often lies to obtain goods, favors,or to avoid obligations
12. Has stolen items of nontrivial value without confronting a victim
13. Often stays out at night despite parental prohibitions, beginning at age 13
14. Has run away from home overnight at least twice whileliving in parental or parental surrogate home, or once without returning for a lengthy period
15. Is often truant from school, beginning before age 13 years

Question 13

CD NUR Diagnoses

Answer 13

1. Risk for other-directed violence
2. Impaired social interaction
3. Defensive coping
4. Low self-esteem

Question 14

CD Risk Factors

Answer 14

1. Genetics
2. Temperament (difficult)
3. Biochemical factors
4. Poor peer relationships
5. Parental rejection
6. Inconsistent managemen with harsh discipline
7. Early insitutional living
8. Freq. shifting of parental figures
9. Large family size
10. Absent father
11. Parents with antisocial personality disorder and/or alcohol dependence
12. Marital conflict and divorce
13. Inadequate communication patterns
14. Parental permissiveness

Question 15

Methylphenidate (Ritalin)

Answer 15

Used to treat ADHD

CNS stimulant

Blocks the reuptake of norepinephrine and dopamine into hepresynapic neuron and increase he release ofthese monoamines into theextraneuronal space

• restlessness
• insomnia
• headache
• palpitaions
• weight loss
• suppressionof growth in children
• increased BP
• abdominal pain
• anxiety
• tolerance
• physical/psychological dependence

Question 16

Dexroamphetamine/ampheamine (Adderall)

Answer 16

Used to treat ADHD

CNS Stimulant

Causes the release of norepinephrine. Higher doses, dopamine may be released.

• Restlessness
• Headache
• Abdominal pain
• Increased BP
• Weight loss
• Palpitations
• Suppression of growth in children
• Anxiety
• Tolerance
• Physical/psychological dependence
• Insomnia