Test 2: Blueprint (3)

Question 1

What is Tourette’s Syndrome?

Answer 1

presence of multiple motor tics and one or more vocal tics

Question 2

What are common motor tics seen with Tourette’s?

Answer 2

• eye blinking
• neck jerking
• shoulder shrugging
• facial grimacing
• squatting, hopping, skipping, tapping, retracing

Question 3

What are common vocal tics seen with Tourette’s?

Answer 3

words or sounds such as squeaks, grunts, barks, sniffs, snorts, coughs, and uttering obscenities

Question 4

Common nursing diagnoses associated with Tourette’s:

Answer 4

• Risk for self-directed or other-directed violence r/t low tolerance for frustration
• Impaired social interaction r/t impulsiveness and to oppositional and aggressive behavior
• Low self-esteem r/t embarrassment associated with tic behaviors

Question 5

Desired outcome for “Risk for self-directed or other-directed violence”?

Answer 5

has not harmed self or others

Question 6

Desired outcomes for “Impaired social interaction”?

Answer 6

• interacts with staff and peers in an appropriate manner
• demonstrates self-control by managing tic behavior
• follows rules without becoming defensive

Question 7

Desired outcome for “Low self-esteem”?

Answer 7

verbalizes positive aspects about self

Question 8

Drugs used to manage Tourette’s:

Answer 8

haloperidol
pimozide
atypical antipsychotics
alpha agonists

Question 9

What should be remembered about haloperidol for Tourette’s?

Answer 9

only used with children who have SEVERE symptoms or symptoms that IMPEDE FUNCTIONING

Question 10

What should be remembered about pimozide for Tourette’s?

Answer 10

only for SEVERE cases

not recommended for under 12 years old

Question 11

What are 3 atypical antipsychotics used for Tourette’s?

Answer 11

1) risperidone
2) olanzapine
3) ziprasidone

Question 12

What are 2 alpha agonists used for Tourette’s?

Answer 12

clonidine

guafacine

Question 13

What is Oppositional Defiant Disorder (ODD)?

Answer 13

persistant pattern of angry mood and defiant behavior (occurring more frequently than usual in comparison to individuals of same age/developmental level)

Question 14

ODD can interfere with _____, _____, or _____ activities.

Answer 14

social
educational
vocational

Question 15

What are symptoms with ODD?

Answer 15

• stubbornness
• procrastination
• disobedience
• negativism
• carelessness
• testing of limits
• resistance to directions
• unwillingness to cooperate
• running away
• school avoidance/underachievement
• temper tantrums
• fighting
• argumentativeness

Question 16

Common nursing diagnoses associated with ODD:

Answer 16

• NONCOMPLIANCE with therapy r/t negative temperament, denial of problems, underlying hostility
• DEFENSIVE COPING r/t retarded ego development, low self-esteem, unsatisfactory parent/child relationship
• LOW SELF-ESTEEM r/t lack of positive feedback, retarded ego development
• IMPAIRED SOCIAL INTERACTION r/t negative temperament, underlying hostility, manipulation of others

Question 17

What is the desired outcome for “Noncompliance with therapy”?

Answer 17

complies with treatment by participating in therapies w/o negativism

Question 18

What are the desired outcomes for “Defensive coping”?

Answer 18

• takes direction from staff w/o becoming defensive

- does not manipulate others

Question 19

What is the desired outcome for “Low self-esteem”?

Answer 19

verbalizes positive aspects about self

Question 20

What is the desired outcome for “Impaired social interaction”?

Answer 20

interacts with others in an appropriate manner

Question 21

What is Conduct Disorder?

Answer 21

persistant pattern of behavior in which the basic rights of others and major-age-appropriate societal norms or rules are violated

Question 22

Conduct Disorder is a precursor to ____ ____ ____.

Answer 22

antisocial personality disorder

Question 23

Symptoms of conduct disorder:

Answer 23

• physical aggression
• use of drugs/alcohol
• sexual permissiveness
• low self-esteem but portrays “tough-guy” image
• inattentive
• impulsiveness
• hyperactvity
• lack of feelings of guilt or remorse
• use of projection as a defense mechanism
• inability to control anger
• low academic achievement

Question 24

Nursing diagnoses for ODD:

Answer 24

• Risk for OTHER-DIRECTED VIOLENCE r/t characteristics of temperament, peer rejection, negative parental role models, dysfunctional family dynamics
• IMPAIRED SOCIAL INTERACTION r/t negative parental role models, impaired peer relations leading to inappropriate social behaviors
• DEFENSIVE COPING r/t low self-esteem and dysfunctional family system
• LOW SELF-ESTEEM r/t lack of positive feedback and unsatisfactory parent/child relationship

Question 25

Desired outcomes for “Risk for other-directed violence”:

Answer 25

has not harmed self or others

Question 26

Desired outcomes for “Impaired social interaction”:

Answer 26

interacts with others in a socially appropriate manner

Question 27

Desired outcomes for “Defensive coping”:

Answer 27

accepts direction w/o becoming defensive

Question 28

Desired outcomes for “Low self-esteem”:

Answer 28

demonstrates evidence of increased self-esteem by discontinuing exploitative and demanding behaviors towards others