N126 Exam 3 Set 3

Front 1

Children raised in a home with a ______ parent are increased risk for developing a mental disorder

Back 1

depressed

Front 2

Children of ______ are at risk for developing emotional, intellectual, and social problems as a result of their traumatic experiences

Back 2

abuse

Front 3

The goal of treating childhood and adolescent disorders is to intervene ______ and effectively to prevent profound adult problems.

Back 3

early

Front 4

_____ factors cause childhood/adolescent disorders

Back 4

Multiple

Front 5

_________ is often delayed due to the difficulty of distinguishing between normal and abnormal development in very small children

Back 5

Diagnosis

Front 6

Not all vulnerable children develop mental disorders, it is assumed that _______, _______, and ________ play roles in the development of a disorder

Back 6

environment, temperament, and resilience

Front 7

Environmental factors causing stress influence development, examples?

Back 7

traumatic events, abuse, severe marital discord, poverty, large families/overcrowding, parental criminality, maternal psychiatric disorders, foster care

Front 8

Trauma and abuse automatically _______ your brain

Back 8

rewire

Front 9

living in families with consistent _______ makes children most vulnerable to disorders

Back 9

negativity

Front 10

_________ is the child’s style of coping

Back 10

Temperament

Front 11

_________ is the child’s ability to adapt to the environment

Back 11

Resiliency

Front 12

studies indicate that children are born with specific ________ which influences their reaction to the environment.

Back 12

temperaments

Front 13

What 3 temperament styles are there?

Back 13

easy, slow to warm up, and difficult (can also be mixtures of these three)

Front 14

Key factor in how the child adjusts to life has to do with “____ ___ ____” in terms of the parenting syle.

Back 14

Goodness of fit

Front 15

if there is a ______ between the child and its immediate environment, there will be greater stress in the child’s life potentially leading to adjustment problems

Back 15

mismatch

Front 16

Many children who are exposed to stressful lives develop without mental problems. It is believed that that have a ________ which allows them to tolerate these stresses.

Back 16

resiliency

Front 17

Characteristics of a resilient child:(5 things)

Back 17

1. adaptable, 2. forms nurturing relationships with others if parent not available, 3. distance self from emotional chaos of family, 4. good social intelligence, 5. problem-solving skills.

Front 18

SI is the ____ leading cause of death in adolescence

Back 18

3rd

Front 19

Autism spectrum disorders include (3)

Back 19

autism, asbergers, and rett's

Front 20

Autism spectrum disorders key symptoms are _____ and ______

Back 20

socialization and communication

Front 21

Rett’s disorder

Back 21

onset before 4, genetic mutation on X chromosome, inherited, boys that get it die (because 1 X chrom)

Front 22

S/S Rett’s disorder

Back 22

EEG abnormalities, seizures, and profound mental retardation. Child loses psychomotor skills, develops stereotypical hand movements, loses interest in social contact.

Front 23

Asbergers

Back 23

less than autism but still have socialization problems

Front 24

Nursing diagnoses for autism spectrum disorders

Back 24

Impaired social interactions, Impaired verbal communication, Delayed growth and development -->only time this is an appropriate nursing diagnoses.

Front 25

Children with Disabilities Act

Back 25

treatment of childhood disorders mandated- Special pre-schools, day treatment programs, special education classes, parental training to help child’s development be more normal.

Front 26

Medications for autism spectrum disorders

Back 26

antipsychotics- to control behavior
SSRI’s
Inderal- beta blocker to help reduce aggression

Front 27

Attention Deficit Disorders (3)

Back 27

ADHD

Front 28

Characteristics of Attention Deficit Disorders (3)

Back 28

inattention, hyperactivity, impulsivity

Front 29

What causes ADHD

Back 29

understimulation of attention centers (this is why stimulants are used to treat)

Front 30

Children with ADHD 3X’s more likely to have ____ _____and 5 X’s more likely to have ____ ______.

Back 30

nocturnal enuresis

daytime enuresis

Front 31

Meds used to treat Attention Deficit Disorders

Back 31

Ritalin SA, Adderal LA, Concerta LA, Cylert LA

Front 32

ADHD treated with?

Back 32

Behavior modification and meds

Front 33

Nursing diagnoses for Attention Deficit Disorders

Back 33

Risk for violence, Risk for Suicide, Risk for injury (because of impulsivity)

Front 34

Mood Disorders include

Back 34

Tourette’s

Front 35

Tourette’s

Back 35

Onset 7, physical symptoms, vocal and physical tics- compulsions, hyperactivity, waxes and wans

Front 36

How to treat Tourette’s

Back 36

Modifying the environment to reduce triggers for tics, habit reversal, counseling, and medications

Front 37

What medications are used to treat Tourette’s?

Back 37

atypical antipsychotics- dopamine blockers

Front 38

Disruptive, Impulse, Control, and Conduct disorders (2)

Back 38

Oppositional defiant disorder and Conduct disorder

Front 39

Oppositional defiant disorder

Back 39

negativistic, disobedient, hostile, defiant behavior toward authority figures without serious violations of the rights of others (VERBALLY defiant but not physical).

Front 40

Conduct disorder

Back 40

persistent pattern of violating the rights of others, societal norms, or rules. Males more than females. Outcome poor – end up in institutions and later as antisocial personality disorder. (PHYSICALLY and VERBALLY disruptive)

Front 41

Nursing diagnoses for Disruptive, Impulse Control, and Conduct Disorders

Back 41

Risk for violence, Risk for Suicide, Risk for injury

Front 42

Treatment of Disruptive, Impulse Control, and Conduct Disorders includes...

Back 42

Cognitive behavioral therapy to improve coping
Behavior modification
Family Therapy
Medications

Front 43

Medications used for Disruptive, Impulse Control, and Conduct Disorders

Back 43

Antipsychotics, mood stabilizers, other anti-aggression drugs

Front 44

Techniques for managing disruptive child/adolescent behavior on the unit

Back 44

Intervene, move closer to child, redirect attention, use humor, change the group or activity, last resort remove the child "time out"

Front 45

Childhood anxiety disorders

Back 45

Separation anxiety and PTSD

Front 46

Separation anxiety

Back 46

excessive anxiety when separating from parents – refuses to go to school/be home alone- does not resolve over time

Front 47

PTSD

Back 47

preschool children internalize (nightmares, increase in specific fears, sleep difficulties), school-age children externalize (repetitive playing out of event, hypervigilant, belief that lives will be short)

Front 48

Therapies used with children

Back 48

Family
Group
Behavior modification
Bibliotherapy
Removal and restraint

Front 49

Family Therapy with children

Back 49

children are part of a family system. The family needs to in included in the treatment to ensure success. Also family needs to be educated about the disease and how to cope with it.

Front 50

Group Therapy with children

Back 50

helps children learn social skills of taking turns/sharing. Lets them know they aren’t the only one. Can enhance problem solving skills. Key danger is the contagious nature of disruptive behavior. Set up group rules to provide acceptable/safe ways of behaving.

Front 51

Behavior modification with children

Back 51

rewarding positive behavior. Point & level systems

Front 52

Bibliotherapy

Back 52

use children’s literature to provide framework for discussing issue pertinent to child or group

Front 53

Removal/restraint with children

Back 53

usual restraint procedures for adults don’t work as well with children due to the fear they cause. Considered better to use more open room for a time away from too much stimulation. Also hold child if getting out of control. Adolescents fall in middle of this. May need true restraints due to their ability to harm others.

Front 54

Name some risk factors for children to develop a psychiatric disorder.

Back 54

Genetics, environment, foster care, parents in jail or criminals out of jail, traumatic events, overcrowded living situations, severe marital dischord

Front 55

What are the key features of autism?

Back 55

social and communication difficulties

Front 56

How does conduct disorder differ from oppositional defiant disorder?

Back 56

conduct is verbal and physical, oppositional is only verbal

Front 57

Explain the various factors and influences involved in childhood and adolescent disorders.

Back 57

If the parent has a disorder, abuse, drug use, poor parenting, trauma, things are bad at home, low socioeconomic status, overcrowding at home, parents are criminals, placed in foster care

Front 58

Analyze the role of “temperament” in child rearing

Back 58

Have to figure out what type the child is and then adjust parenting style for that type

Front 59

Compare and contrast three treatment modalities for children and adolescents.

Back 59

Play therapy: lets them get out feelings in a constructive way
Time outs: separate from others and let them decide when they are ready to come back
Bibliotherapy: learn morals from books

Front 60

inattention, hyperactivity, impulsivity, treated with Ritalin

Back 60

ADHD

Front 61

fails to be interested in others or be socially responsive. Indifferent or adverse to physical contact

Back 61

Autistic disorder

Front 62

persistent pattern of violating the rights of others, societal norms, or rules. Males more than females. Outcome poor – end up in institutions and later as antisocial personality disorder.

Back 62

Conduct disorder

Front 63

Limit setting

Back 63

set limits for the child and don’t allow them to go beyond those limits

Front 64

Pervasive developmental disorder

Back 64

is characterized by severe and pervasive impairment in social interaction and communication skills. It is usually accompanied by stereotypical behavior. Mental retardation is present in some of these disorders

Front 65

ability to adapt to the environment

Back 65

Resiliency

Front 66

excessive anxiety from separation from parents

Back 66

Separation anxiety

Front 67

Stereotypic movements

Back 67

seen with Rhett’s disorder… a flapping motion of the hands

Front 68

child’s style of coping

Back 68

Temperament

Front 69

Therapeutic play

Back 69

a constructive way for the child to release tension

Front 70

separating the child from the group, allow them to determine when they are ready to come back

Back 70

Time-out

Front 71

vocal tics (grunts), motor tics (blinking), autosomal dominant, compulsions, and hyperactivity

Back 71

Tourette’s disorder

Front 72

usually observed before age 3; the child fails to be interested in others or to be socially responsive. May be indifferent or averse to physical contact.

Back 72

Autism

Front 73

later onset that autism, no significant delay in cognitive or language development. Key issue is severe & sustained social impairment

Back 73

Asperger’s disorder

Front 74

Onset before age 4. Isolated a genetic mutation that is carried on the X chromosome. EEG abnormalities, seizures, and profound mental retardation. Child loses psychomotor skills, develops stereotypical hand movements, loses interest in social contact

Back 74

Rhett’s disorder

Front 75

Childhood disintegrative disorder

Back 75

more common in males, marked regression in multiple areas after at least two years of normal development

Front 76

What are the elderly age groups?

Back 76

65-74 (young old)
75-84 (middle old)
85 and older (old-old)

Front 77

Most adults past the age of 65 are demented. True or False?

Back 77

False

Front 78

Sexual interest declines with age. True or False?

Back 78

False

Front 79

The senses of vision, hearing, touch, taste, and smell decline with age. True or False?

Back 79

True

Front 80

Muscular strength decreases with age. Muscle fibers atrophy and decrease in number. True or False?

Back 80

True

Front 81

Older adults are not able to learn new tasks. True or False?

Back 81

False

Front 82

As individuals age, they become more rigid in their thinking and set in their ways. True or False?

Back 82

False

Front 83

At least 50% of restorative sleep is lost as a result of the aging process. True or False?

Back 83

True

Front 84

The elderly have a high incidence of depression. True or False?

Back 84

True

Front 85

Most elderly are infirm and require help with daily activities.
True or False?

Back 85

False

Front 86

Most older adults are socially isolated and lonely. True or False?

Back 86

False

Front 87

Many individuals experience difficulty when they retire. True or False?

Back 87

True

Front 88

The elderly are prone to become victims of crime. True or False?

Back 88

True

Front 89

Depression is often confused with _______ in the elderly

Back 89

dementia

Front 90

________ among the elderly is closely associated with undiagnosed depression

Back 90

Suicide

Front 91

_____, _____ males have the highest rate of suicide in the US.

Back 91

Elderly, white

Front 92

______ are the first drug choice for elderly depressed patients because of their low side-effect profile.

Back 92

SSRI’s

Front 93

Another mental health issue for the elderly is ________. This is a hidden epidemic.

Back 93

alcoholism

Front 94

Many patients admitted to the hospital with head trauma due to falls are actually _____ who fell while _______

Back 94

alcoholics
intoxicated

Front 95

There are two types of elderly alcoholics

Back 95

The aging alcoholic and the Geriatric problem drinker

Front 96

The aging alcoholic

Back 96

This is a person who has had a life time of alcohol abuse. This person is difficult to treat since alcohol is a long standing part of their life style.

Front 97

Geriatric problem drinker

Back 97

This person coped well in the past but is currently using alcohol deal with losses and loneliness. This person often responds well to intervention. Met a maturational crisis- trial and error brought them to use alcohol to cope at a lower level of functioning

Front 98

Treatment for the elderly alcoholic involves...

Back 98

both self-help groups such a AAA as well as social and emotional support to reduce loneliness and restore self-esteem.

Front 99

Specialized treatment modalities for the elderly (4)

Back 99

partial hospitalization, behavioral health care, day treatment, group therapy

Front 100

Partial hospitalization

Back 100

psychiatric care is provided during the day but the patient returns home in the evening. This type of program addresses medication compliance, health education, relapse prevention, symptom monitoring.

Front 101

Behavioral health care

Back 101

visiting nurses and other health care professionals provide care in the patient’s home. Problems addressed are difficulties with ADL’s, physical illnesses, and chronic mental illnesses.

Front 102

Types of day treatment (3)

Back 102

Social day care, Adult day care, and Maintenance day care

Front 103

Social day care

Back 103

recreation and social activities are provided to elderly patients who need socialization and physical activities.

Front 104

Adult day care

Back 104

requires physician referral and seeks to prevent or slow physical, mental, and/or social decline. Medical, psychiatric, and rehabilitation services are provided to help maximize the functioning of elderly patients at high risk for physical and psychological deterioration.

Front 105

Maintenance day care

Back 105

addresses the needs of patients with dementia and/or chronic mental illnesses. An interdisciplinary team focuses on maintaining the functioning of these patients.

Front 106

3 types of group therapy are useful in addressing the needs of elderly patients.

Back 106

Remotivation therapy, Reminiscence therapy, and Psychotherapy groups

Front 107

Remotivation therapy

Back 107

resocialize regressed and apathetic patients, reawaken interest in the world; focuses on a topic to help patients relate to the world realistically

Front 108

Reminiscence therapy

Back 108

share memories, increase self-esteem & socialization; focuses on remembering life events

Front 109

Psychotherapy groups

Back 109

used to reduce psychiatric symptoms; groups are made up of patients with similar problems and functioning and focus on reducing isolation and functioning in appropriately in roles. Good for chronically mentally-ill- balance to capabilities

Front 110

non residential facility that provides services and activities to elderly or handicapped individuals

Back 110

Adult day care

Front 111

Assisted living

Back 111

facility where the elderly adult lives and has staff there to assist them as needed.

Front 112

Describe common roadblocks to elders receiving mental health services.

Back 112

Ageism: people assume it is because they are getting older and it is a normal part of living.

Front 113

Discuss common manifestations of mental health problems in the aged.

Back 113

Depression, anxiety, delirium, dementia, alcohol abuse