Mental Health Chapter 11

Which is association with Tourette's disorder from a biochemical perspective?

Abnormal levels of several neurotransmitters.

The nurse on an in-patient pediatric psychiatric unit is admitting a client diagnosed with an autistic disorder. Which would the nurse expect to assess?

Absence of language

Therapeutic Games

Games the nurse can play with the child to facilitate the development of a therapeutic relationship and provide an opportunity for conversation.

A child diagnosed with an autistic disorder makes no eye contact; is unresponsive to staff members; and continuously twists, spins, and head bangs. Which nursing DX would take priority?

Risk for injury R/T head banging

A child diagnosed with Tourette's disorder has a nursing diagnosis of impaired social interaction R/T aggressive behaviors. The child is currently interaction appropriately with staff and peers. Which statement accurately evaluated this child's behavior?

The child is demonstrating appropriate behavior with staff and peers, which indicates improvement in social interaction.

Which statement demonstrates that a parent understands the diagnosis of attention deficit hyperactivity disorder?

"My child's performance will improve in a structures setting that provides rewards for appropriate behavior."

Which child would be most difficult to diagnose for a neurodevelopment disorder?

3 year old

Motor Disorders

A key feature of childhoods growth and development is the acquisition of gross and fine motor skills and coordination. The ability to practice, exposure to new tasks, experience, and environment are factors that play a role in motor development.

Which statement about attention deficit hyperactivity disorder (ADHD) is true?

ADHD is characterized by a persistent pattern of inattention.

Play Therapy

An intervention that allows a child to symbolically express feelings such as aggression, self- doubt, anxiety, and sadness through the medium of play.

Early intervention Programs

Children with autism spectrum disorders are referred to these programs once communication and behavioral symptoms are identified, typically in the second to third year of life.

Autism Spectrum Disorders

Complex neurobiological and development disabilities that typically appear during a child's first 3 years of life.

Which is a predisposing factor in the diagnosis of autism?

Congenital Rubella

Communication Disorders

Deficits in language skills acquisition that create impairments in academic achievement, socialization, or self-care. These include speech disorders in which people have problems in making sounds or may stutter. Language disorders result in difficulty understanding or in using words in context and appropriately.

Specific Learning Disorders

Identified during the school years. A learning disorder is diagnosed when a child demonstrates persistent ant difficulty in the acquisition of reading (dyslexic), mathematics (dyscalculia), and or writing expression (dysgraphia) and his or her performance is well below the expected performance of peers.

Attention Deficit Hyperactivity Disorder

Individuals with this disorder show an inappropriate degree of inattention, impulsiveness, and hyperactivity before the age of 12.

Intellectual Development Disorder

Previously called mental retardation, this is a disorder characterized by deficits in three areas: intellectual, functioning, social functioning, and practical functioning. Impairments must be evidenced during childhood development, range from mild to severe, and include consideration of the persons level of dependence on others for ongoing care and support.

Resilience

The ability to adapt and cope that helps people to face tragedies, loss, trauma, and severe stress.

Principle of Least Restrictive Disorders

Techniques are selected to ensure that the civil and legal rights of individuals are maintained.

A 4 year old frequently lashes out in anger at adults and other children. This child's style of behavior is an aspect of

Temperament

Temperament

The style of behavior a child habitually uses to cope with the demands and expectations of the environment.

Bibliotherapy

The use of literature to assist an individual to express feelings, gain insight into feelings and behavior, and learn new ways to cope with difficult situations.