week 5.1 Flashcards
Autism
obsessive focus
Swaying, clapping
Over adherence to routine
Resistance to change
ADHD
Persistent pattern of in attention, increased activity and impulsivity
tx: behavioral therapy and stimulant meds
hyper impulse
Fidgets
Talks excessively
problems waiting turn
On the go
Difficult being quiet
Inattentiveness
no attention to detail
Repeated careless mistakes
Easily bored
Forgetful
what is the benefit of using stimulants with these types of patients?
Improve attention and focus
Decrease hyperactivity
Not weight dependent
Long lasting
oppositional defiant disorder
Pattern of irritable and angry mood
Blames others
No guilt or remorse
Stubbornness
Don’t think of themselves as angry
Angry outbursts
tx: therapy, divalproex sodium
conduct disorder
Persistent violation of basic rights
Only remorse is being caught
Destruction of property
Starting fires
Knife to a fist fight
which disorder is likely to progress to antisocial disorder?
Conduct disorder
Intermediate explosive disorder
inability to control aggression impulses
Mean age onset, 13 to 21 years
Overreaction to a situation
tx: NO benzos
what is the primary form of childhood abuse?
Neglect
reactive attachment disorder
Child rarely/minimally seeks comfort
Limited positive affect
No interest in reaching out as children
Failure to smile
disinhibited social engagement disorder
Within the first two years of life
Decreased reservation about approaching unfamiliar adults
Caused by social neglect of basic needs, repeated changes of caregivers, unstable attachments
Adjustment disorder
within three months of exposure to stressor
Reaction is out of proportion
PTSD
Greater than one month
Caused by direct exposure to traumatic event or witnessing
Reexperiencing, flashbacks
Avoidance
Arousal and reactivity
Cognitive guilt or blame
tx: SSRI, EMDR
acute distress disorder
Occurs within the first month of exposure to extreme trauma, combat, assault, near death
Numbing detachment, decreased awareness, depersonalization, disassociation amnesia
what is considered under minding one’s self worth?
Emotional abuse
Intimate partner violence
physical violence, rape, stalking and psychological aggression by partner
cycle of violence
Acute battering – abuse occurs
Tension building – fear of escalation
Honeymoon – making promises, love, gifts
older adult abuse
Intentional actions that cause risk of a vulnerable person
Failure to provide basic needs, or protect them from harm
Who is a common victim of older adult abuse?
Greater than 75 years old
Female
Living with a relative
Physical or mental impairment
what is the priority outcome for these patients?
Abuse cessation and safety
SANE
expert witness in court
Sexual assault response team
Specialized RN training
Consent required
Who are more likely to be the perpetrators of sexual assault
Men
What medication should be given at bedtime to decrease hyperactivity?
guanfacine
