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ADN005 Pediatrics > Week 5 Chapter 50 Psych > Flashcards

Week 5 Chapter 50 Psych Flashcards

1
Q

Factors influencing Children’s Behavior

A

Biology or genetic characteristics
Nutrition
Physical Health
Developmental Ability
Environmental and Family Interactions
Child’s individual Temperament
Parent’s or caregiver’s responses to child’s behavior

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2
Q

Child with behavioral problems or mental health issues often have difficulty in the areas of school, peer relationships, and family.

All which may worsen the child’s self concept, further hindering his/her emotional health

A

True

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3
Q

Deep relaxation with suggestibility remarks

A

Hypnosis

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4
Q

Child and therapist work together to solve conflicts

A

Individual Therapy

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5
Q

Specially structured setting designed to promote child’s adaptive and social skills

A

Milieu Therapy

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6
Q

In school or hospital with a group of participants

A

Group Therapy

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7
Q

Exploration of child’s emotions and effect on family

A

Family Therapy

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8
Q

Group and individual sessions to treat chronic suicidal thoughts in borderline personality disorders

A

DBT Therapy

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9
Q

Teaches children to change negative thoughts and replaced with alternative ones

A

CBT Therapy

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10
Q

Designed to change emotional status

A

Play Therapy

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11
Q

Use stimulus and response conditioning to manage and alter behavior

A

Behavioral Therapy

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12
Q

Behavior Management Techniques

A

Set limits and hold child responsible behavior

Do not argue, bargain or negotiate the limits

Provide consistent caregivers and establish daily routine

Use a low pitched voice

Redirect child’s attention when needed

Ignore inappropriate behaviors

Paise the child’s self control efforts

Use restraints only when necessary

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13
Q

Healthy History for a Child with a Mental Health Disorder

A

Health History noting prenatal and birth history `

Family history of any mental health disorders

Past medical history

History of neurologic injury or disease

Developmental History

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14
Q

Behaviors related to Mental health Disorders

A

Hallucinations
Aggression
Distractibility
Inhibition
Poor attention span
Unusual motor activities
Changes in behavior or activity level

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15
Q

Psychostimulants

A

Methylphenidate dextroamphetamines

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16
Q

Antianxiety

A

Buspirone

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17
Q

Antimanic

A

Lithium

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18
Q

SSRI

A

Fluoxetine

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19
Q

Atypical Depressants

A

Trazodone

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20
Q

NNRI

A

Atomoxtrine

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21
Q

a Agonist Antihypertensive Agents

A

Clonidine

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22
Q

Atypical Antipsychotics

A

Risperidone

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23
Q

Tricyclic Antidepressants

A

Amitriptyline

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24
Q

Difficulty with reading, writing, and spelling

A

Dyslexia

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25
Q

Problems with mathematics and computation

A

Dyscalculia

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26
Q

Problems with manual dexterity and coordination

A

Dyspraxia

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27
Q

Difficulty producing the written word

A

Dysgraphia

28
Q

Neurologic disorder in which child can not organize sensory input used in daily living

A

Sensory Processing Disorder

29
Q

Hyposensitivity or hypersensitivity to sensory input

Results in overreaction to different textures, decreasing the child’s ability to participate in the world

Pre term and low birth weight more increased risk

Occupational and other therapies may increase child’s ability to function

A

Sensory Processing Disorder

May be mistaken for learning disorder but it much different

30
Q

Criteria for Diagnosis for Intellectual Ability

A

Deviations in IQ of two or more standard deviations

Coexisting deficits in at least two adaptive skills

Communication
Community Use
Functional Academics
Health and Safety
Home Living
Leisure
Self Care
Self Direction
Social Skills
Work

Disability occurring before age of 18 years

31
Q

50-55 to 70

A

Mild IQ disability

32
Q

35-40 to 50-55

A

Moderate IQ disability

33
Q

IQ 20-25 to 35-40

A

Severe IQ disability

34
Q

IQ less than 20-25

A

Profound

35
Q

Dysmorphic features consistent with certain syndromes

A

Fetal Alcohol Syndrome

One of the disorders that will lifelong consequences for the child.

36
Q

Results from utero alcohol exposure

Low nasal bridge with short upturned nose
Flattened midface
Long philtrum with narrow upper lip

A

Fetal Alcohol Syndrome

37
Q

Poor coordination and skeletal abnormalities
Microcephaly
Failure to thrive
Hearing loss

A

Fetal Alcohol Syndrome

38
Q

Pervasive developmental disorder has its onset in infancy or early childhood

1 in 150 affected children

A

Autism Spectrum Disorder

ranges from mild to severe

39
Q

Routine screening begins in toddler years with screening tools completed by parents at well child visits

A

True

ASD

40
Q

Ranges from mild to severe
Many children are intellectual disabled; lifelong supervision
Most display normal to high intelligence levels

Possible etiology
Genetics
Brain abnormalities
Altered Chemistry
Virus
Toxic Chemicals

A

ASD

41
Q

Common Screening Tools for Autism

A

CHAT
M CHAT
SCQ
PDDST -II

42
Q

Common Screening tools for children with Anxiety

A

Beck Anxiety Inventory for Youth
MASC
Preschool Anxiety Scale
SACS

43
Q

Does not imitate
Lack of interest in joint attention
Eye contact abnormalities
Delayed language development
Failure to develop symbolic imaginative play
Losing language or social skills at any age

A

Warning signs of Autism

44
Q

Nursing interventions for families of children with autism

A

Provide emotional support
Provide professional guidance and education
Assess the fit with developmental of child and treatment plan
Help parents overcome barriers
Stress importance of rigid and unchanging routines
Assess the parents’ need for respite care and make referrals
Provide positive feedback to parents for their perseverance
If in hospital keep noise distractions to a minimum

45
Q

Most common neurodevelopmental disorder

Characterized by inattention, impulsivity, distractibility, and hyperactivity

A

ADHD

46
Q

Treatment includes psychostimulants

3 Subtypes
1. Hyper active impulse
2. Inattentive
3. Combined

A

ADHD

Psychostimulants should be taken in the morning to decrease effect of insomnia

47
Q

Affects 7-10% of all children

Educate caregivers amphetamines prescribed to treat this and may be diverted for illicit purposes

A

ADHD

48
Q

Dramatic weight loss as a result of decreased food intake and increased physical exercise

A

Anorexia Nervosa

49
Q

Cycle of normal food intake, followed by binge eating and purging

A

Bulimia

50
Q

Ingests paint, clay, or sand over at least one month and frequently in 2-3 year old’s

A

Pica

51
Q

Baby regurgitates partially digested food or formula and expels or swallows it

A

Rumination

52
Q

Eating disorders are common in what gender and age group

A

Female adolescents

53
Q

Complications of Anorexia Nervosa and Bulimia

A

Fluid and Electrolyte imbalance
Decreased blood volume
Cardiac Arrythmias
Esophagitis
Rupture of the esophagus or stomach
Tooth Loss
Menstrual Problems
Mortality as high as 18%

54
Q

Depression : Comorbid Disorders

A

Suicide
Anxiety Disorders
Substance Abuse
Eating Disorders
Self- Harm
Disruptive Behavioral Disorders

55
Q

Previous Suicide Attempt
Change in performance
Loss of interest
Feelings of hopelessness
Statements of suicide
Having a plan or self harm

A

Risk Factors for Suicide

56
Q

Mood disorders are biologic conditions

Administer antidepressant medication safely and monitor for adverse effects

Encourage and praise the child after therapies

Support family through process

Refer the family to local support resources

A

Teaching topics and Psychosocial Interventions : Mood Disorders

57
Q

Most common diagnosed psychiatric conditions among children and adolescents

Reactions to perceived or actual threat

A

Anxiety Disorders

58
Q

Unrealistic concerns over past behavior, future events, and personal experience

A

GAD

59
Q

Fear of speaking in front of others, using public restrooms or speaking to authorites

A

Social Phobia

60
Q

Persistent failure to speak

A

Selective Mutism

61
Q

May need to remain close to parents

A

Separation Anxiety

62
Q

Obsessions unwanted and intrusive thoughts and repetitive behaviors (compulsions)

A

OCD

63
Q

Occurs after a child experiences a traumatic evet, later experiences physiological arousal when a stimulus triggers memories of the event

A

PTSD

Will not develop into personality disorder

64
Q

Types of Abuse/ Violence Leading to Mental Illness in Children

A

Children maltreatment
-Physical Abuse
-Sexual Abuse
- Neglect

Medical Child Abuse- Munchausen Syndrome
Substance Abuse

65
Q

Child with one or more illnesses that does not respond to treatment or that follow a puzzling course

Symptom do not make sense or disappear when perpetrator is around or not present

Physical and Lab findings do not fit with reported history

Repeated hospitalizations failing to produce a medical diagnosis

Parent who refuse to accept that the diagnosis is not medical

A

Warning Signs of Medical Child Abuse

ADN005 Pediatrics (21 decks)

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