Pychosocial or Cognitive Condition

Question 1

fear of separation from or losing a caregiver

Answer 1

Separation anxiety disorder (SAD)

Question 2

excessive worry about everything

Answer 2

Generalized anxiety disorder (GAD)

Question 3

unrelenting fear of certain objects

Answer 3

Specific phobia

Question 4

physical symptoms r/t anxiety

Answer 4

Panic disorder

Question 5

fear of situations

Answer 5

Social phobia

Question 6

refusal to speak unrelated to physiologic tissue

Answer 6

Selective mutism

Question 7

recurrent worries or thoughts and repetitive actions or thoughts to bind the anxious thoughts

Answer 7

Obsessive-compulsive disorder (OCD)

Question 8

Signs and symptoms: Somatic complaints: Stomach aches, sleeping problems, nausea, dizziness, palpitations Unfounded fears/worry School refusal What is it?

Answer 8

Anxiety disorder

Question 9

Nursing Care for Anxiety Disorders?

Answer 9

Recognize normal developmental anxieties Need for further intervention when it interferes with daily activities Refer to mental health professional Teach relaxation techniques Cognitive-behavioral therapy – FRIENDS

Question 10

Medications for Anxiety Disorders?

Answer 10

SSRIs, blood pressure meds

Question 11

Physicians prescribe them to control rapid heartbeat, shaking, trembling, and blushing in anxious situations for several hours associated with anxiety.

Answer 11

Beta-blockers

Question 12

Program designed for the parents as well as their children with anxiety disorders, uses cognitive-behavioral techniques to help children and their families cope with anxiety, reduce risk of development of anxiety disorders.

Answer 12

FRIENDS

Question 13

acronym FRIENDS, what does it stand for?

Answer 13

Feeling worried? Relax and feel good. Inner thoughts. Explore plans. Nice work so reward yourself. Don’t forget to practice. Stay calm, you know how to cope.

Question 14

Anxiety Disorder in response to real or perceived threat to life or safety

Answer 14

Posttraumatic Stress Disorder

Question 15

Signs & symptoms: Re-experiencing trauma Flashbacks Avoidance of anything that could trigger a memory Dissociation What is it??

Answer 15

Posttraumatic Stress Disorder

Question 16

Nursing Care for Posttraumatic Stress Disorder?

Answer 16

Referrals, Ensure Safety, SSRIs for adolescents

Question 17

Signs and symptoms: Persistent sad/irritable mood Anhedonia-loss of interest in activities once loved Difficulty sleeping Physical agitation or slowing Fatigue What is it??

Answer 17

Mood disorder - Depression

Question 18

Diagnosis for Depression:

Answer 18

5 key features present for at least 2 weeks

Question 19

Nursing Care for Depression:

Answer 19

Most important-SAFETY School nurses may catch first

Question 20

Medications for Depression:

Answer 20

SSRIs, Wellbutrin, Effexor

Question 21

Type of Bipolar Disorder, presence of depressive and manic episodes

Answer 21

BD-1

Question 22

Type of Bipolar Disorder, episodes of hypomania and depression

Answer 22

BD-2

Question 23

Type of Bipolar Disorder, criteria for I & II are not met but exhibit signs of BPD

Answer 23

BD-NOS

Question 24

Signs and symptoms: Cyclical episodes of major depression and mania What is it??

Answer 24

Bipolar Disorder

Question 25

Nursing Care for Bipolar Disorder:

Answer 25

Education to family – recognizing manic states Mental Health Resources

Question 26

Medications for Bipolar Disorder:

Answer 26

Lithium, Depakote

Question 27

Signs and symptoms: Symptoms of depression Personality changes Alienation Decline in schoolwork Giving away personal items Preoccupation with death Access to method of suicide (medications, weapons) Plan in place What is it?

Answer 27

Suicidal Ideation

Question 28

Proper questioning for Suicidal Ideation:

Answer 28

The nurse must ask about suicide ideation. The nurse can discern: Does the child have a plan? Is that plan possible? Has child attempted suicide before? If any of these factors are present nurse must refer the child to a mental health professional.

Question 29

the process of coming into being or becoming prominent

Answer 29

emergent, nursing care for suicidal ideation

Question 30

(of a state or situation) requiring immediate action or attention

Answer 30

urgent, nursing care for suicidal ideation

Question 31

A serious chronic mental health disorder that is thought to be the result of abnormalities in neurodevelopmental processes that occur early as well as later in life Typically begins in adolescence

Answer 31

Schizophrenia

Question 32

Signs and symptoms: Positive: Hallucinations, disorganized speech/behavior, delusions Negative: flattened affect, speech, or motivation What is it??

Answer 32

Schizophrenia

Question 33

Nursing Care for Schizophrenia:

Answer 33

Safety, treatment is lifelong

Question 34

Medications for Schizophrenia:

Answer 34

Atypical antipsychotics (Risperdal, Seroquel, Zyprexa, Abilify)

Question 35

Autistic disorder Asperger’s disorder Rett’s disorder Childhood disintegrative disorder Pervasive developmental disorder not otherwise specified

Answer 35

Autism Spectrum Disorders, Pervasive developmental disorder

Question 36

Signs and symptoms (three cluster categories): Impaired social reciprocity Communication impairment Restrictive/Repetitive behaviors What is it??

Answer 36

Autism Spectrum Disorders

Question 37

Nursing Care for Autism Spectrum Disorders:

Answer 37

Early interventions are key Structure and predictability ALARM

Question 38

ALARM

Answer 38

- Mnemonic the nurse can use to assist the child and family in coping with autism. - Autism is prevalent. Listen to patients. Act early. Refer. Monitor.

Question 39

Medications for Autism Spectrum Disorders:

Answer 39

traditional antipsychotics

Question 40

who is more likely to have ADHD with hyperactivity; and who is more likely to have ADHD without hyperactivity

Answer 40

boys with ADHD, girls with ADD

Question 41

Signs and symptoms: Hyperactivity Impulsivity Distractibility Inattention What is it??

Answer 41

Attention Deficit Hyperactivity Disorder

Question 42

Nursing Care for ADHD:

Answer 42

changing maladaptive behaviors, school interventions, weight monitoring

Question 43

Medication for ADHD:

Answer 43

stimulants (Adderall, Ritalin, Concerta), non-stimulants (Strattera, Intuniv)

Question 44

Child can not stop the tic permanently but can suppress them Talking about them may trigger the tics More common in boys than girls

Answer 44

Tic Disorders (Tourette's Syndrome)

Question 45

Signs and symptoms: Sudden uncontrollable movement or vocalization Tics occur several times per day What is it??

Answer 45

Tic Disorders (Tourette's Syndrome)

Question 46

Four types of abuse:

Answer 46

phsical, sexual, emotional, neglect.. mandatory reporting

Question 47

Child does not meet age-appropriate weight gain Multifactorial – organic vs. nonorganic

Answer 47

Failure to Thrive

Question 48

Diagnosis of Failure to Thrive

Answer 48

weights below the 3rd percentile or 2 SD below mean

Question 49

purging or withholding eating disorder

Answer 49

anorexia nervosa

Question 50

binging and purging eating disorder

Answer 50

bulimia nervosa

Question 51

binging without purging eating disorder

Answer 51

Binge eating disorder

Question 52

Physical consequences of eating disorders

Answer 52

amenorrhea, weakness, fatigue, electrolyte imbalances, death

Question 53

\>85th percentile BMI

Answer 53

overweight

Question 54

\>95th percentile BMI

Answer 54

obese

Question 55

Physical consequences of Obesity

Answer 55

HTN, Type II diabetes, sleep apnea, CAD

Question 56

Three criteria of Developmental Disabilities

Answer 56

IQ score \<70 Limitations in self care Onset before age 18

Question 57

Four levels of developmental disabilities and the associated IQ scores

Answer 57

Mild – IQ 55-69 Moderate – IQ 40-54 Severe – IQ 25-39 (generally requires institutionalization) Profound – IQ \<25 (total care)

Question 58

Trisomy 21

Answer 58

Down's Syndrome

Question 59

Signs and symptoms: Poor muscle tone, slanting eyes( Epicanthal folds) Hyperflexibility, short, broad hands with a single crease across the palm of one or both hands Flat bridge of the nose, short/low-set ears, macroglossia Heart defects, gastrointestinal anomalies, visual and hearing problems Hypothyroidism Developmental Delays What is it??

Answer 59

Down's Syndrome

Question 60

Diagnosis of Down's Syndrome

Answer 60

prenatal amniocentesiss

Question 61

Teratogenic effects of alcohol

Answer 61

Fetal Alcohol Spectrum Disorderr

Question 62

Signs and symptoms: Small head, low nasal bridge, epicanthal folds, small eye openings, short nose, thin upper lip, flat midface, smooth philtrum, underdeveloped jaw What is it??

Answer 62

Fetal Alcohol Spectrum Disorderr

Question 63

The End

Answer 63

The End