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Mental Health Assmt ChildrenPsychiatric Nursing: Contemporary Practice

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Developmental changes that occur in adolescent children include:
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Increased self-consciousness, fear of being shamed, and demands for privacy and secrecy.
What is important to share with an adolescent as part of the therapeutic relationship?
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What information will and will not be shared with their parents.
What is thought to contribute to the genetic transmission of psychiatric disorders?
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A phenomenon called assortive mating which is the tendency to select mates who are similar in genetically linked traits such as intelligence and personality style.
Why is it important to note a child's level of attractiveness during the mental status examination?
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Research shows that the appearance and attractiveness of children and adults strongly influence their social relationships.
Assessment of preteens and adolescents should address _________ because responses can provide information about high risk behaviors.
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Sexual activity or substance use
What theorist studied maternal deprivation and laid the initial framework for attachment theory?
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Bowlby
_________'s parent-child interaction model stresses the importance of attachments to parents and other caretakers, and high-quality intense bonds are required for for healthy development.
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Barnard's
What was found to be a unique predictor for a child's attachment to both mother and father to be insecure?
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The mother's anxious attachment style
What does a strong mother-child attachment provide?
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Perceived global self-worth, and perception of physical appearance.
What does a strong father-child attachment provide?
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School competence and global self-worth in older children
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_________ disorder occurs when a child younger than 5 fails to initiate or respond appropriately to social interaction and the caregiver subsequently disregards the child's physical and emotional needs.
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Reactive attachment disorder
____________ is a consequence of extreme insecurity that results from feared or actual separation from the attached figures. In preschoolers, it can manifest as fear, contradictory behavior, disorientation or dissociation in the caregiver's presence.
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Attachment disorganization
How to do children with easy temperaments adapt to change?
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Easily without intense emotional reactions
What are children with difficult temperaments at high risk for?
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Adjustment problems
What temperament problem was found in children with ADHD?
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Low persistence
What temperament characteristic was prevalent in children with oppositional defiant disorder?
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High novelty seeking
How can a nurse elicit a child's view of themselves in order to assess self-concept?
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Ask them what they would wish for if they have three wishes. Wishing for nothing can indicate hopelessness, wishes to conquer the world could indicate grandiosity, etc.
What community based factors have been shown to place a child at risk for mental health problems?
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Economic status, access to medical care, home environemtn, exposure to environmental toxis, neighborhood safety, and exposure to violence.
What are some protective factors for children at risk for developing mental health problems?
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Individual attributes like reilience, problem-solving skills, a supportive family environment, and environmental supports.
How can a child's temperament be evaluated?
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Assessing the child's sleep and eating habits, mood, emotional intensity and responses to new stimuli.
  
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