T2 - Childhood and Adolescent Disorders (Josh)

Question 1

Medications approved for Autism:

Answer 1

Risperidone

Aripiprazole

Question 2

Evaluation of the child w/ disability disorder should reflect –

Answer 2

positive behavioral changes

Question 3

— is a precursor to — which is a precursor to —

Answer 3

Oppositional Defiant Disorder (ODD)

Conduct Disorder

Anti-social Behavior Disorder

Question 4

Individuals w/ a history of seizures or eating disorders should not take –

Answer 4

buproprion

• nonselective reuptake inhibitor

Question 5

Which is a potential side effect from the prolonged use of methylphenidate (Ritalin)?

a) Psychosis
b) decreased IQ
c) Weight gain
d) decrease in rate of growth and development

Answer 5

d) decrease in rate of growth and development

- temporary

Question 6

Which of the following activities would be most appropriate for the child w/ ADHD?

a) Monopoly
b) Volleyball
c) Pool
d) Checkers

Answer 6

b) Volleyball

Question 7

Meds for Tourette’s

Answer 7

Haloperidol

Pimozide (>12 yrs)

Risperidone

Olanzapine

Ziprasidone (increased QT interval)

Clonidine

Guanfacine

Question 8

What is the most common cause of disability disorder in children?

Answer 8

Disruptions in embryonic development associated w/…

• maternal illness
• maternal injestion of ETOH or other drugs
• pregnancy complications

Question 9

Which of the following meds is used to treat Tourette’s?

a) Methylphenidate
b) Haloperidol
c) Imipramine
d) Phenytoin

Answer 9

b) Haloperidol

Question 10

Which of the following is thought to predispose adolescents to developing Conduct Disorder?

a) Overprotective parents
b) Parents w/ high expectations
c) Parents who consistently set limits on child’s behavior
d) Parents who are ETOH dependent

Answer 10

d) Parents who are ETOH dependent

Question 11

The essential feature of — is the presence of multiple motor tics and 1 or more vocal tics.

Answer 11

Tourette’s Disorder

• most common ~6-7 yrs
• boys more than girls

Question 12

Conduct disorder may be a precursor to the diagnosis of which personality disorder?

a) Narcissistic personality disorder
b) Antisocial personality disorder
c) Histrionic personality disorder
d) Passive-aggressive personality disorder

Answer 12

b) Antisocial personality disorder

Question 13

Which disorder?

• persistent pattern of inattention
• hyperactivity
• impulsiveness

Answer 13

ADHD

Question 14

An adolescent, diagnosed with ADHD, is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client’s task performance?

a) Mandate that the client remains in his room until all homework is complete.
b) Remove privileges if homework has not been completed within a 2-hour period.
c) Encourage dividing tasks into smaller, attainable steps and reward successful completion.
d) Seek a physician’s order to discontinue the stimulant methylphenidate.

Answer 14

c) Encourage dividing tasks into smaller, attainable steps and reward successful completion.

Question 15

What is the goal in assessment of childhood disorders?

Answer 15

Assess strengths and limitations to encourage the client to be as independent as possible

Question 16

— is persistent pattern of angry mood and defiant behavior

Answer 16

Oppositional Defiant Disorder (ODD)

Question 17

When giving meds, to reduce anorexia, give —

Answer 17

immediately after meals

Question 18

A major portion of the hyperactive child’s problems are related to difficulties —

Answer 18

performing age-appropriate tasks

Question 19

— is characterized by a child’s withdrawal into self and into a fantasy world of own creation

Answer 19

Autism

• 1 in 88 children
• boys more than girls

Question 20

In an effort to help the child w/ mild to moderate intellectual development disorder develop satisfying relationships w/ others, which of the following nursing interventions is most appropriate?

a) Interpret the child’s behavior for others
b) Set limits on behavior that is socially inappropriate
c) Allow the child to behave spontaneously, for he/she has no concept of right/wrong
d) This child is not capable of forming social relationships

Answer 20

b) Set limits on behavior that is socially inappropriate