Childhood Disorders
This is one of the most common childhood disorders
Must name ONE of the following:
Anxiety
Disruptive disorders
Mood disorders
Interventions for a delirious client (MUST name at least 2!)
Have client wear glasses
Have client wear hearing aids
Provide continuity of personnel
Clarify reality if hallucinations/illusions persist
Ignore insults
Set limits on physically abusive behavior
Fluctuating levels of attention, consciousness, inability to focus, possible agitation, may not recognize people or be oriented to situation, and approximately 25% of cases result in death when gone untreated.
Delirium
This class of medications can aid with obsessional behaviors and perceptual distortions that occur in anorexia
Antipsychotics
Neglecting physical, emotional, educational needs, not protected from harm, medical and dental neglect
Act(s) of Omission
These neurotransmitter levels are abnormal in ADHD
Dopamine & GABA
The focus of nursing interventions when caring for a client with dementia are always... (name 2)
Physical safety, maintaining dignity, preserving functional status, promotion of well-being
At this stage in Alzheimer's disease, an individual will likely lose the ability to complete ADL's and their reasoning & verbal communication will be poor
Stage 3 (severe): Ambulatory Dementia
Name 2 significant side effects associated with the use of psychostimulants and name 1 specific medication within this class
Sleep and appetite disturbances
Ritalin, Concerta (Methylphenidate)
Adderall (Amphetamine Salts)
Focalyn (Dexmethylphenidate)
The 3 most common forms of abuse
Neglect/omission
Physical Abuse
Sexual Abuse
Includes major depressive disorder, dysthymic disorder, bipolar disorder...
Mood disorders in adolescents
Your patient presents with the following findings:
P 38BPM, BP 68/49, K+ of 2.6 mEq/L, prolonged QT interval, reports of inability to gain weight at home. What diagnosis do you suspect? What will be the identified priorities in the nursing care plan (name 2)?
Anorexia Nervosa
Teaching
Counselling
Psychotherapy (CBT, DBT, exposure therapy)
Close monitoring in milieu and during meal times
Originally known as Pick's disease, describes a clinical syndrome associated with shrinking of the frontal and temporal anterior lobes of the brain
Frontotemporal Dementia
This medication is used in autism spectrum disorder to reduce rage outbursts
Propranolol (Inderal)
children appear undernourished, dirty, poorly clothed, lack of medical & dental care, lack of immunizations
Neglect
Which childhood disorder would be treated with Lithium as a first-line treatment?
Bipolar
What is one type of therapy that may be used for various childhood disorders?
Family Therapy
Group Therapy
Behavior Modification Therapy
Cognitive-Behavioral Therapy
Play Therapy
Art Therapy
Lewy bodies are... and are located....
Accumulated bits of alpha-synuclein protein inside the nuclei of neurons in areas of the brain that control aspects of memory and motor control
Used in treatment of mild to moderate dementia, improves functioning, slows progression of disease, DOES NOT cause liver toxicity
Aricept (Donepezil)
Failure to provide funds to pay for the above; issues of lack of heat, electricity, housing, food
Economic abuse
What is the black box warning for SSRI use in children/adolescents?
The "Black Box Warning," the strongest warning the FDA can issue, reported that "antidepressants increase the risk of suicidal thinking and behavior in children and adolescents with major depressive disorder (MDD) and other psychiatric disorders."
Name 5 interventions for children with autism spectrum disorder
Speech/language therapy
Physical therapy
Tasks to enhance problem solving skills
Tasks to enhance social and cognitive skills
Assist in the development of self control
Building self-esteem
Tasks to enhance psychomotor skills
Family therapy
Facilitate development of specialized education plan in public school (once school-aged)
The receptors associated with the amino acid glutamate are ____ and ____
Name the association to mental health of ONE of the receptors
NMDA and AMPA
NMDA- decrease causes psychosis, prolonged increase can cause neurotoxicity and degeneration in Alzheimer's disease
AMPA- increase can cause an improvement in cognitive performance in behavioral tasks
Works on n-methyl-d-aspartate receptors, normalizes levels of glutamate and is good for memory
Namenda (Memantine)
Name 4 characteristics of abusive parents
Low self-esteem
Poor coping skills
Social Isolation
History of severe mental illness
Low frustration tolerance
Poor impulse control
Inability to seek help from others