Module 3 - Pediatric Mental Health Flashcards Preview

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Flashcards in Module 3 - Pediatric Mental Health Deck (100)
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1

Many __ ___ can lead to or resemble mental health disorders

learning disabilities

2

Many disorders occur ___ making diagnosis difficult

concurrently

3

What are some etiologies for mental health disorders in children?

Physiologic

Chronic Physical Illness or Disability

Family Dynamics

Environment

4

What are some examples of physiologic etiologies for mental health disorders?

Genetics

Structural Brain Abnormalities

Prenatal Influences

5

What are some examples of Family Dynamic etiologies for mental health disorders?

Child abuse

Dysfunctional Family System

Poor Role Modeling

6

What are some examples of environmental etiologies for mental health disorders?

Poverty

Homelessness

7

What are some treatment options for mental health disorders in children?

Cognitive, Behavioral, Group, Family, Play, Art, Music Therapy

Quiet Room

Time Out

Seclusion and/or Restraint

Psychopharmacology

8

What kind of therapy is most commonly used for mental health disorders in children?

Behavioral Therapy - if you start teaching and learning new behaviors early you can change them

9

Early Intervention

A federally mandated program implemented at the state level via LHD

Testing and Services are provided for free to try and prevent further developmental delay (if its already noted)

10

Many outcomes can be significantly improved if ...

treatment is started early ! do not wait !

11

What sort of management can be done to treat mental health issues in children?

Community Based Treatment (Primary, Secondary, Tertiary)

Hospital Based Treatment

Specialized Units for Children and Adolescents

12

Primary Prevention Community based Treatment for Mental health in children

prenatal care

teaching about risk factors

parenting skills classes

13

Secondary Prevention Community based Treatment for Mental Health in children

Early detection and testing

school and community nurses, NPs, and teachers

Pediatricians

14

Tertiary Prevention Community based Treatment for Mental Health in Children

minimizes effect of disorder via individual, family, group therapy and behavioral modification

15

What Assessments should be done by the nurse for a child's mental health status?

H&P - History and Physical (look at stressors and significant data)

PMH

FH

16

What are some examples of things to investigate in child PMH

prenatal and birth history

injuries

mood issues

medications

suicide and self injury

mood and actions at home

mood and action with friends

17

What are some examples of things to investigate in child FH

note strengths and weaknesses of family system

who do they live with

educational level

willingness to learn/participate in services

abuse issues? - Alcohol, physical, emotional

depression/anxiety issues?

18

What is important to do when assessing a child's mental health status?

Become a detective - take things in visually like appearance, behavior, and developmental stage, but also ask open ended questions and learn during play

Try to get the family and the child to open up a little to learn about home life and family situations

Observe behaviors

19

Important Mental Health Disorders in Pediatrics

Developmental Disorders / Learning Disabilities

Pervasive Development Disorders (Autism)

ADD/ADHD/Behavioral Disorders

Mood Disorders

Anxiety Disorders

Intellectual Disabilities

20

What forms can developmental and learning disabilities take

Sensory Integration (Sensory issues)

Auditory Processing Difficulties (trouble hearing words or understanding)

Visual processing difficulties

Dyslexia

Speech/Language Delays etc

21

With developmental and learning disabilities, it is important to know what?

that they exist and can be misdiagnosed as other more common disorders

22

Pervasive Developmental Disorders (PDD)

GROUP of conditions that involve DELAYS in development of many basic skills

It is an umbrella term / group of conditions

Essentially, autism spectrum

23

PDD is more common in what gender?

Male

24

Children with PDD are ...

confused in their thinking and generally have problems understanding the world around them

25

PDD exists as a spectrum of...

autism that goes from mild autism to Asperger's Syndrome

26

PDD is a very large...

umbrella term for many things

27

Autism

A range of complex neurodevelopment disorders

28

What is Autism characterized by (generally)?

1. Social impairments

2. Communication Difficulties

3. (sometimes) Receptive Patterns of Behavior (rocking, twirling, self abuse behavior)

29

S/S Of Autism

can engage in rigid, repetitive, machine like movement/obsessive behavior

Impaired social interaction

Unresponsive to people

unable to respond to social/emotional cues (cant pick up on a situation)

aversion to touch and extreme stimuli

at risk for self injury (hitting head, scratching, etc)

A pattern of restricted interests, activity and behaviors

30

Autistic Disorder

impaired social, communicative, and behavioral development

It is a complex disorder of brain development