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Childhood Psychiatric DisordersPsychiatric Nursing: Contemporary Practice

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What disorders are commonly seen in children with autism?
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Seizure disorders
What condition is usually comorbid in children with Aspergers?
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Depression
What are the critical elements of a psychological assessment of a child?
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Intellectual ability, communication skills and adaptive functioning
A nurse observes a child demonstrating the stereotypic behavior of rocking. What should she do?
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Ignore it, as long as the behavior has no negative effects it should be ignored.
A nurse observes a child demonstrating the stereotypic behavior of headbanging. What should she do?
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Redirect the child and use positive reinforcement . Environmental alterations or protective head gear may be needed if other interventions are unsuccessful.
How can interaction be promoted for children with pervasive developmental disorders like autism or Aspergers?
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Foster nonverbal interactions like getting the mail, taking turns during a simple game, passing out snacks. Activities that engage the child without speech demands.
What is a nonverbal learning disorder?
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Delays in mathematical functioning
___________ involves the discrimination and interpretation of speech sounds.
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Phonological processing
Damage to the _______ hemisphere is thought to be the cause of a reading disability.
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Left hemisphere
A mathematics disorders appears to be a disorder caused by dysfunction of the ________ hemisphere of the brain.
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Right hemisphere
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Speech refers to the ______aspects of speaking whereas language refers to __________.
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Speech refers to motor aspects, language refers to formulating and comprehending verbal communication.
What can a delay in speech impact?
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A child's socialization and education
ADHD, oppositional defiant disorder and conduct disorder are classified as _______ disorders.
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Disruptive behavior disorders
What does it mean when a disorder is described as externalizing or internalizing?
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Externalizing disorders are those that are characterized by acting out behaviors like ADHD, ODD, and conduct disorder and internalizing disorders those that impact mood like depression and anxiety.
What are the three core symptoms of ADHD?
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Impulsivity, hyperactivity and inattention
What brain abnormalities are present in children with ADHD?
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Frontal lobe and functional connections with subcortical structures are dysregulated.
What are the barriers to mental health care for children?
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Lack of clarity of the screening process, coordination of services, resources, mental health providers and inadequate reimbursement
What neurochemicals are implicated in symptoms like depression and suicidality?
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Decreased levels of norepinephrine and serotonin
What neurochemical is implicated in symptoms like mania?
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Increased levels of norepinephrine
What are family risk factors associated with the development of childhood mental health disorders?
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Severe marital discord, decreased socioeconomic status, overcrowding, parental criminality, foster care, maternal psychiatric disorder, abuse/neglect
Why is assessing for lethality difficult in children?
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Children have a lack of understanding of lethality, may be trying parasuicide and be too successful, distorted understanding of death, an immature way of looking at the world and their role in it and depression presents differently in children than adults
  
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