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Complex Care > Week 2 THURS > Flashcards

Week 2 THURS Flashcards

1
Q

Is there a medication to cure autism?

A

No, there is no medication

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2
Q

If a child is 30 months old and speaking 1-2 word sentences and grunting, should you further assess?

A

yes, this could assess to be a learning disability

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3
Q

T or F autistic children have a hard time making eye contact

A

TRUE

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4
Q

Lifestyle choices that affect one’s health positively or negatively such as patterns of sleep, nutrition, and health

A

Behavior

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5
Q

____ Refers to the clients pervasive and enduring emotional state

A

Mood

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6
Q

___ is the outward expression of the client’s emotional state

A

Affect

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7
Q

The domains of human development

A
  • cognitive
  • fine/ gross motor
  • communication
  • social/ emotional
  • sensory
  • growth
  • trauma-informed care
  • sensory integration
  • attachment and temperament/ personality
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8
Q

A neurological and developmental disorder that affects how people interact with others, communicate, learn, and behave

A

Autism Spectrum disorder
- ranges from mild> severe

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9
Q

When is the onset of Autism Spectrum disorder

A
  • first noticed in infancy
  • usually between 12-36 months
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10
Q

Risk factors for autism include…

A

siblings with ASD, genetic conditions such as downs syndrome or fragile X, very low birth weight

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11
Q

What is the etiology for ASD

A

The exact etiology is unknown

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12
Q

Indicators for autism

A
  • impaired social interactions and communication
  • difficulty w/ joint attn
  • strong interest or repetitive behaviors
  • small flexibility and rigid
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13
Q

Is there medication to to cure ASD?

A

No medication to cure, but there are supportive treatments to help with symptoms

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14
Q

What is the goal for a child with autism

A

to rach optimal functioning w/in the limitations of the disorder

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15
Q

T or F, well routine and highly structured learning environments work well for children with autism

A

TRUE, if the routine is changed a child may have behavior issues

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16
Q

T or F, children with autism do not have sensory issues

A

FALSE, they do!
- caregivers must control the environment/ sensory input for the child so they remain calm

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17
Q

Autism s/s found in infants

A
  • resist cuddling, lack of eye contact, be indifferent to touch and affection, little change in facial expression, flat/neutral affect
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18
Q

Autism s/s found in toddlers

A
  • hyperactivity, aggression, temper tantrums, self-injury behaviors
19
Q

What is included in a physical exam for a child with autism

A
  • observe lack of eye contact
  • failure to let needs be known
  • unusual behaviors; handflapping, spinning
  • hyper/ hypotonia
20
Q

Autism nursing management

A
  • education about ASD
  • don’t change routines
  • professional guidance
  • extensive emotional support
  • learn how to manage behaviors when things go unplanned
21
Q

Most common neurodevelopmental disorder of childhood
- characterized by inattention, impulsivity, hyperactivity
- Disruption in learning ability, socialization, compliance

A

ADHD

22
Q

What is the etiology of ADHD?

A
  • exact etiology is unknown
  • believed to be alterations in the dopamine and norepinephrine neurotransmitter system
23
Q

T or F, ADHD can occur at anytime during lifetime

A

FALSE, symptoms have to begin before age 7 and persist longer than 6 months

24
Q

T or F; children with ADHD are lazy and unmotivated

A

FALSE they are not!

25
Q

Medication treatment for ADHD

A
  • Psychostimulants
  • Nonstimulant Norepinephrine Reuptake inhibitors
  • Alpha agonsit antihypertensive agents
26
Q

What do medications do for children with ADHD

A

help increase the child’s ability to pay attn and decrease the level of impulsive behavior; starting norepinephrine and dopamine

27
Q

methylphenidate, dexmethylphenidate, dextroamphetamine, mixed amphetamine salts, dexamphetamine are what class of medications

A

Stimulant meds

28
Q

atomoxetine (Strattera), and extended-release guanfacine (Tenex) and clonidine (Catapres)
are in what class of meds

A

non-stimulant drugs

29
Q

ADHD medication side effects

A

appetite suppression, insomnia, dry mouth and nausea

30
Q

Physical exam for ADHD

A
  • observe child behavior in both home and classroom
  • vision/ hearing screening; rule out impairments
31
Q

What functions do nurses need to assess in a child w/ ADHD

A
  • eating, sleeping, ability to complete tasks, follow instructions, make and maintain friends
32
Q

Nursing managment for children with ADHD

A
  • provide support
  • assist family to advocate
  • collaboration with other disciplines
33
Q

Common priority concerns in children with developmental delays/ mental health cond.

A
  • risk for injury
  • risk for developmental delays
  • altered thought process and thoughts
  • disturbed sleep
  • disturbed nutrion
  • altered sensory perception
  • social isolation
34
Q

injuries that are intentionally inflicted on a child

A

physical abuse

35
Q

involvement of the child in any activity meant to provide sexual gratification to an adult

A

sexual abuse

36
Q

Verbal denigration of the child, occur as a result of child witnessing domestic violence

A

emotional abuse

37
Q

failure to provide a child with appropriate food, clothing, shelter, medical care, and or schooling

A

neglect

38
Q

Therapeutic management of maltreatment victims includes

A
  • physical treatment of injuries
  • palliative care
  • intervention to preserve/ restore child’s mental well being
39
Q

State lawrequires persons in designated professional occupations to report suspected child abuse or neglect to police or child protection that they suspect has occurred in the past three years. These include people who work with children in health care, social services, education, mental health, child care, law enforcement, the courts, clergy, and corrections settings.

A

Mandated reporters

40
Q

Risk factors for abuse in children

A
  • poverty, prematurity, cerebral palsy, chronic illness, intellectual disability
41
Q

Risk for being abusers in caregivers

A
  • hx of being abused, alcohol/ substance abuse, extreme stress
42
Q

Physical exam for children who have been abused

A
  • perform gentle but thorough exam
  • note LOC
  • inspect skin
  • provide privacy
43
Q
A

Complex Care (10 decks)

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