week 5.1

Question 1

Autism

Answer 1

obsessive focus
Swaying, clapping
Over adherence to routine
Resistance to change

Question 2

ADHD

Answer 2

Persistent pattern of in attention, increased activity and impulsivity

tx: behavioral therapy and stimulant meds

Question 3

hyper impulse

Answer 3

Fidgets
Talks excessively
problems waiting turn
On the go
Difficult being quiet

Question 4

Inattentiveness

Answer 4

no attention to detail
Repeated careless mistakes
Easily bored
Forgetful

Question 5

what is the benefit of using stimulants with these types of patients?

Answer 5

Improve attention and focus
Decrease hyperactivity
Not weight dependent
Long lasting

Question 6

oppositional defiant disorder

Answer 6

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

Question 7

conduct disorder

Answer 7

Persistent violation of basic rights
Only remorse is being caught
Destruction of property
Starting fires
Knife to a fist fight

Question 8

which disorder is likely to progress to antisocial disorder?

Answer 8

Conduct disorder

Question 9

Intermediate explosive disorder

Answer 9

inability to control aggression impulses

Mean age onset, 13 to 21 years
Overreaction to a situation

tx: NO benzos

Question 10

what is the primary form of childhood abuse?

Answer 10

Neglect

Question 11

reactive attachment disorder

Answer 11

Child rarely/minimally seeks comfort
Limited positive affect
No interest in reaching out as children
Failure to smile

Question 12

disinhibited social engagement disorder

Answer 12

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

Question 13

Adjustment disorder

Answer 13

within three months of exposure to stressor

Reaction is out of proportion

Question 14

PTSD

Answer 14

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

Question 15

acute distress disorder

Answer 15

Occurs within the first month of exposure to extreme trauma, combat, assault, near death

Numbing detachment, decreased awareness, depersonalization, disassociation amnesia

Question 16

what is considered under minding one’s self worth?

Answer 16

Emotional abuse

Question 17

Intimate partner violence

Answer 17

physical violence, rape, stalking and psychological aggression by partner

Question 18

cycle of violence

Answer 18

Acute battering – abuse occurs
Tension building – fear of escalation
Honeymoon – making promises, love, gifts

Question 19

older adult abuse

Answer 19

Intentional actions that cause risk of a vulnerable person

Failure to provide basic needs, or protect them from harm

Question 20

Who is a common victim of older adult abuse?

Answer 20

Greater than 75 years old
Female
Living with a relative
Physical or mental impairment

Question 21

what is the priority outcome for these patients?

Answer 21

Abuse cessation and safety

Question 22

SANE

Answer 22

expert witness in court
Sexual assault response team
Specialized RN training

Consent required

Question 23

Who are more likely to be the perpetrators of sexual assault

Answer 23

Men

Question 24

What medication should be given at bedtime to decrease hyperactivity?

Answer 24

guanfacine

Question 25

which medication is good for tics?

Answer 25

imipramine

Question 26

which medication is good for ADHD and anxiety for kids older than six years old

Answer 26

atomoxetine

Question 27

What is the most severe motor disorder?

Answer 27

Tourette’s