Children Psych

Front 1

Suicide is the ________ leading cause of death in ages 15-24

Back 1

third

Front 2

____________ __________ has comorbidity with ODD, CD, anxiety, and ADHD

Back 2

Childhood depression

Front 3

Identify: Child raised by parent with depression

Back 3

Risk Factors for Mental Illness

Front 4

What is the most prevlaent form of child abuse in the US?

Back 4

NEGLECT

Front 5

All instances of child abuse are __________ to be reported by nurses.

Back 5

REQUIRED

Front 6

Attention deficit problems have an ________ percentage heritability.

Back 6

80

Front 7

Genetic factors are implicated in _________, __________, _______, ____________, and ___________ (5)

Back 7

autism, bipolar, schizophrenia, AD disorders, mental retardation

Front 8

Depression causes a decrease in which 2 neurotransmitters?

Back 8

Norepi & Serotonin

Front 9

Which neurotransmitter is affected in a child with ADHD?

Back 9

Dopamine

Front 10

The process of dendrite and axon branches of neruons removing old connections and establishing new ones is called _____________.

Back 10

PRUNING

Front 11

Changes in _______ areas of the brain during teens are reflected in emotional/behavioral fluctuations.

Back 11

frontal

Front 12

____________ & ____________ the brain is pre-programmed for pruning.

Back 12

Adolescence and early adulthood

Front 13

The style of behavior used by a child to cope with the demands and expectations of the environment.

Back 13

TEMPERAMENT

Front 14

Temperament is __________ determined and modifiied by _____________ relationship.

Back 14

genetically; parent-infant

Front 15

__________ __________ temperament occurs when the caregiver does not respond positively to the child

Back 15

Difficult child

Front 16

The relationship between a child's temperament and enviornmental factors is known as _______________.

Back 16

Resiliency

Front 17

1. Adapts to enviornmental change.
2. Forms nurturing relationships
3. Able to distance self from emotional chaos
4. Good social intelligence (development of empathy with others)
5. Uses problem-solving skills

Back 17

Criteria for a resilient child

Front 18

Resilience can be a "____________ __________" of family stability even when poverty and adversity occurs.

Back 18

cushioning effect

Front 19

Identify and foster qualities to assist at-risk children

Back 19

Responsibilities of RN

Front 20

What is a cultural and ethnic risk to children?

Back 20

Lack of cultural role models for minority children

Front 21

In assessing a child: what category would chief complaint, and development and duration of problems be categorized as?

Back 21

Hx of Present Illness

Front 22

In assessing a child: what category would developmental milestones, attachment behaviors, types of play and social skills and friendships be found under?

Back 22

Developmental Hx

Front 23

In assessing a child: what category would psychomotor skills, language skills, cognitive skills, academic achievement and energy level and motivation be found under?

Back 23

Developmental Assessment

Front 24

In assessing a child: what category would cerebral functions, cerebellar functions, sensory functions and reflexes be found under?

Back 24

Neurological Assessment

Front 25

In assessing a child: what category would review of body systems, medications (past & current), allergies, and any operations be found under?

Back 25

Medical Hx

Front 26

In assessing a child: what category would illnesses in related family members, background of family members, and family relationship be classified under?

Back 26

Family Hx

Front 27

In assessing a child: what category would activity level, affect, speech, gait, thought processes, and characteristics of play be classified under?

Back 27

Mental Status Assessment

Front 28

Severe, pervasive impairment in social interaction and social skills, behavior, interests and activities is classified as ______ _____ ___________ (PDD)

Back 28

Pervasive Developmental Disorders

Front 29

What 3 main diagnosis are classified as PDDs?

Back 29

1. Autistic d/o
2. Asperger's d/o
3. Rett's d/o

Front 30

The prevelance of autism is ______.

Back 30

HIGH

Front 31

Autistic children have problems with their _______ brain hemisphere that deals with language, logic & reasoning.

Back 31

LEFT

Front 32

Failure in social responsiveness seen in an infant with __________.

Back 32

AUTISM

Front 33

______ & ____-_________ activites enhanced in children with autisum.

Back 33

Music & visual-spatial

Front 34

20% of autistic children have an __________ in brain size.

Back 34

INCREASE

Front 35

DSM-IV criteria symptoms for Autism (3)

Back 35

1. Impairment in communication
2. Impairment in social interactions
3. Marked restricted, stereotypical patterns of behavior, interests & activities

Front 36

Impaired communication, language delay or absent, repetitive words or odd sounds, lack of imaginative play, INDIFFERENCE TO AFFECTION, FAILURE TO BE COMFORTED, rigid adherence to routines and rituals

Back 36

S/Sx of Autism

Front 37

Has a later onset than autism & no significant delay in language or cognition

Back 37

Asperger's d/o

Front 38

Problems with empathizing with others, social relationships are difficult, repetitive behaviors, and has an average or above average intellect.

Back 38

Asperger's d/o

Front 39

Which d/o is more prevelant in males, Autism or Asperger's?

Back 39

Asperger's d/o

Front 40

3 Major Components of ADHD

Back 40

1. Inattention
2. Impulsivity
3. Hyperactivity

Front 41

What is the basic concept for ADHD medications?

Back 41

To balance dopamine levels which may help supress impulses.

Front 42

In what d/o is nocturnal enuresis common?

Back 42

ADHD

Front 43

What distinguishes Oppositional Defiant Disorder from Conduct Disorder?

Back 43

In ODD, there is no serious violations of the rights of others, where in CD, the rights of other or rules of society are broken.

Front 44

What are 2 predisposing factors for Conduct Disorder?

Back 44

1. ADHD 2. ODD

Front 45

Type of therapy using children's literature to help them express feeling and gain insight, as well as cope with difficulties.

Back 45

Bibliotherapy

Front 46

Type of therapy where there is a reward for desired behavior to reduce maladaptive behaviors (operant conditioning)

Back 46

Behavioral Therapy

Front 47

This type of therapy uses an evidence-based tx approach; replace negative and self-defeating thoughts with realism and accurate appraisals to improve function.

Back 47

Cognitive-Behavioral Therapy

Front 48

This therapy is used to treat OCD, depression, and aversion to school.

Back 48

Cognitive-Behavioral Thearpy

Front 49

Drugs used to treat PDDs

Back 49

Antipsychotics-Risperidone (Risperdal), Olanzapine (Zyprexa)

Front 50

Drugs used to treat Autistic d/o

Back 50

1. Antipsychotics-Haloperidol (Haldol)
2. Propanolol (Inderal)
3. SSRI-Clomopramine (Anafranil)

Front 51

Meds used to treat ADHD

Back 51

Stimulants-Methylphenidate (Ritalin)
Antidepressants-Bupropion (Wellbutrin), Fluoxetine (Prozac)
Alpha-adrenergic agonists-Clonidine (Catapres)

Front 52

Meds used to treat Conduct d/o

Back 52

Antipsychotics-Risperidone (Risperdal)
Stimulants-Methylphenidate (Ritalin)
Antidepressants-Bupropion(Wellbutrin)
Mood stabilizers-Carbamazepine (Tegretol)
Alpha-adrenergic agonists-Clonidine (Catapres)

Front 53

Meds used to treat Anxiety d/o

Back 53

SSRIs-Citalopram (Celexa)
TCAs-Imipramine (Tofranil)
Atypical anxiolytics-Buspirone (BuSpar)
Atypical antipsychotics-Riseridone (Risperdal)

Front 54

Meds used to treat Depressive SYMPTOMS

Back 54

SSRIs-Fluoxetine (Prozac)
Atypical antidepressants-Nefazodone (Serzone)
Antipsychotics-Quetiapine (Seroquel), Risperidone (Risperdal)

Front 55

Nursing Dx: A lack of responsiveness or interest in others, empathy or sharing

Back 55

Impaired social interaction; Risk for impaired attachment

Front 56

Nursing Dx: Severe behavior problems creating stress on family members

Back 56

Caregiver role strain; Interrupted family processes; Chronic sorrow; Spiritual distress

Front 57

Nursing Dx: Lack of cooperation or impaginative play with peers

Back 57

Activity intolerance; Situational low self-esteen

Front 58

Nursing Dx: Disruptive, hostile behavior leading to difficult with making or keeping friends.

Back 58

Activity intolerance; Situational low self-esteen

Front 59

Nursing Dx: Language delay or absence, stereotyped or repetivite use of language

Back 59

Impaired verbal communication

Front 60

Nursing Dx: Inability to feed, bathe, dress, or toilet self at age-appropriate level

Back 60

Delayed growth and development

Front 61

Nursing Dx: Heda banging, face slapping, hand biting

Back 61

Risk for trauma

Front 62

Nursing Dx: Catastrophic reactions

Back 62

Risk for other-directed violence

Front 63

Nursing Dx: Impulsiveness, anger and aggression

Back 63

Risk for self-mutilation

Front 64

Nursing Dx: Thoughts or verbalizations regarding self harm

Back 64

Risk for self-directed violence

Front 65

Nursing Dx: Frequent disregard for bodily needs

Back 65

Self-care deficit; Risk for situational low self-esteem

Front 66

Nursing Dx: Conflict with authority, refusal to comply with requests

Back 66

Powerlessness; Readiness for enhanced power

Front 67

Nursing Dx: Failure to follow age-appropriate social norms

Back 67

Ineffective coping

Front 68

Nursing Dx: Blaming of others for problems or for causing his or her actions

Back 68

Defensive coping; Imapried individual resilience

Front 69

Nursing Dx: Fear of being spearated from parent

Back 69

Anxiety; Relocation stress syndrome

Front 70

Nursing Dx: Depression

Back 70

Stress overload; Spiritual distress

Front 71

Nursing Dx: Refusal to attend school

Back 71

Ineffective coping; Readiness for enhanced parenting

Front 72

Nursing Dx: Inability to concnetrate, withdrawl, difficulty in functioning, feeling down, change in vegetative symptoms

Back 72

Risk for suicide

Front 73

Nursing Dx: Re-experiences of past trauma (dreams, illusions, flashbacks)

Back 73

Post-trauma syndrome; Rape-trauma syndrome

Front 74

Fear of objects, people or situations

Back 74

Anxiety