Test #3 - Family/Child/Adolescent Adjustment Problems Flashcards Preview

Nursing - Semester 2 Baby! > Test #3 - Family/Child/Adolescent Adjustment Problems > Flashcards

Flashcards in Test #3 - Family/Child/Adolescent Adjustment Problems Deck (29):
1

What are the characteristics of a healthy family?

- Have clear Boundaries - Individuation (Each member can be themselves) - Self-Disclosure (Can express feelings freely) - Intimacy exists / Deep Feelings - Predictability - Emotionally Available

2

What are some risk factors for families to become dysfunctional?

- Unresolved Marital/Partner Issues

- Unresolved Sibling Conflict

- Life Stressors (Nsg dx: Ineffective family processes) Inadequate support, food, resources etc

3

When do we diagnose mental disorders in children?

When it interferes with normal function

4

What is the most important intervention for families or children with disorders?

FAMILY THERAPY!!!!

Look at the entire group not just one specific person

Define group as a whole

Never take a person to the side and NEVER point out a sick person

5

What communication/function do they have in severe mental retardation?

Minimal communication and can learn some basic skills

6

What communication/function do they have in profound mental retardation?

Very low functioning

May not speak

Kind of like an Infant

7

What are some causes of mental retardation?

-Heredity (Tasacs, XSyndrome, Lower IQ)

-Pregnancy (Illness during)

-Medical Condition (High fever, certain illnesses)

-Environmental Influences (Not so much now; lead poisoning)

8

What does SAFETY stand for with Mental Retardation?

S - Abuse, Cognitive function, Psychosocial history

A - Make sure you pay attention to all orders

F -SAFETY!

E - Evaluate Pharmacology

T - Teach

Y - Documentation!!!

9

What is the main difference between Autistic and Asperger disorders?

Communication and IQ

10

What are some assessments for Autistic?

- Severe impairment to social interaction

- Communication skills are lacking

- Lack of spontaneous enjoyment

11

What are some assessments for Aspergers?

- Normal IQ's

- Good verbal communication but socially awkward

12

For pervasive developmental disorders (autistic and aspergers) what are some common nursing dx?

- Risk for social isolation -

Risk for impaired family communication

- Altered Sensory Perception

13

What is a goal for PDD?

Increase social interaction

14

What is an intervention for PDD?

Consistency with staff

15

Is there any pharmaceuticals to treat PDD?

No - just treat underlying symptoms

16

What are some assessments for tourettes?

- Motor tics

- Vocal tics

- Coprolalia (uttering of dirty words)

17

What are some interventions/treatments for tourettes?

Tenex (Curbs anxiety)

Outpatient therapy

18

What is the incontinent of bowels with children who have been bowel trained?

Encopresis

19

What is the incontinence of the bladder?

Enuresis

20

What are some factors for separation anxiety disorder?

- Only dx when leads to dysfunction

- Usually do not give anti-anxiety meds

- Use anti-depressants or BUSPAR

- Assess level of anxiety, what level of functioning, ill effects

21

When does reactive attachment disorder occur?

When children have a separation or trauma

They have no personal ties (What can you do for me)

22

What is selective mutism?

Choose not to talk

Ususally caused by trauma

23

What are some assessments for ADHD?

• Misses Details

• Has difficulty sustaining attention

• Easily Distracted

• Fidgets

• Talks excessively

• Interrupts

• Can’t wait turns

• Intrusive

24

What are some assessments for ODD?

• Negativistic

• Defiant

• Disobedient

• Hostile Behavior towards Adults

• Argumentative

• Significant impairment in social and academic functioning

25

What are some assessments for CDD?

• Aggression towards people and animals

• Destruction of Property
• Deceitfulness, “con artist” behavior

• Serious violations of rules and run ins with the law enforcement

• No empathy for others - They have no regard for rules or people

26

What are some interventions for ADHD, ODD, CD?

- Safety

- Decrease Stimuli

- Give Choices

- Remove from environment

- Firm limits

- Consistency

27

What is some pharmacology for ADHD?

Adderrall

Ridilin

Psychostimulants (Clonadine)

Straterra (SNRI antideppressant)

28

What are some side effects of ADHD meds?

Sleep and Nutrition are BIGGEST!!!!
Due to growth and development

Dry mouth, tachycardia, insomnia and dec apetite

29

What kind of meds would you give for CD?

Antipsychotics