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Unit 7B - Mental Health Disorders of Childhood and Adoles.
Test 3
46
Nursing
Undergraduate 3
06/24/2014

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Term
What is cognitive impairment?
Definition
Cognitive impairment is when a person has trouble remembering, learning new things, concentrating, or making decisions that affect their everyday life.
Term
What is mental retardation?
Definition
Mental retardation (MR) is a condition diagnosed before age 18, usually in infancy or prior to birth, that includes below-average general intellectual function, and a lack of the skills necessary for daily living.
Term
What is developmental disability?
Definition
" is an umbrella term that includes intellectual disability but also includes other disabilities that are apparent during childhood.
Term
What is ADHD?
Definition
Characterized by difficulties that interfere with effective task-oriented behavior in children.
Often score 7-15 I.Q points below average
Term
Who is diagnosed with ADHD more?
Definition
boys before age 8
Term
What is the diagnostic criterion of ADHD?
Definition
six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
often has difficulty sustaining attention in tasks or play activities
often does not seem to listen when spoken to directly
often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
often has difficulty organizing tasks and activities
often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
is often easily distracted by extraneous stimuli
is often forgetful in daily activities
Term
What is the characteristics of hyperactivity?
Definition
often fidgets with hands or feet or squirms in seat
often leaves seat in classroom or in other situations in which remaining seated is expected
often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
often has difficulty playing or engaging in leisure activities quietly
is often "on the go" or often acts as if "driven by a motor"
often talks excessively
Impulsivity
often blurts out answers before questions have been completed
often has difficulty awaiting turn
often interrupts or intrudes on others (e.g., butts into conversations or games)
Term
What are the causal factors of ADHD?
Definition
Both biological and environmental
Food additive theory unsupported
Home environment may be a link in that some studies show that parents of ADHD children are more likely to have personality disorders
Term
What is used to treat ADHD?
Definition
Behavioral therapy and medications
Term
What diagnostic studies are r/t ADHD?
Definition
Perinatal history
Standardized tests/questionnaires
Direct observation in multiple settings
Term
What are the s/s of ADHD?
Definition
Onset prior to age 7
Lasting at least 6 months
Affecting at least 2 spheres of life

Symptoms can not be attributable to underlying psychiatric disease

Additionally, must have at least 6 symptoms of inattention or hyperactivity/impulsivity
Term
What are the 3 domains that are tested across for cognitive impairment?
Definition
1.) Coceptual
2.) Social
3.) Practical
Term
What is the conceptual domain?
Definition
language, reading, writing, math, reasoning, knowledge, and memory.
Term
What is the social domain?
Definition
refers to empathy, social judgment, interpersonal communication skills, the ability to make and retain friendships, and similar capacities.
Term
What is the practical domain?
Definition
self-management in areas such as personal care, job responsibilities, money management, recreation, and organizing school and work tasks.
Term
What is an intellectual functioning test?
Definition
The IQ test
Term
What indicates a limitation in intellectual fxn?
Definition
A test score below or around 70—or as high as 75—indicates a limitation in intellectual functioning.
Term
What are conceptual skills?
Definition
language and literacy; money, time, and number concepts; and self-direction
Term
What are the social skills?
Definition
interpersonal skills, social responsibility, self-esteem, gullibility, naïveté (i.e., wariness), social problem solving, and the ability to follow rules, obey laws, and avoid being victimized
Term
What are the practical skills?
Definition
activities of daily living (personal care), occupational skills, healthcare, travel/transportation, schedules/routines, safety, use of money, use of the telephone
Term
What is autism spectrum disorder?
Definition
Autism is not a single disorder, but a spectrum of closely-related disorders with a shared core of symptoms. Every individual on the autism spectrum has problems to some degree with social skills, empathy, communication, and flexible behavior.
Term
What is a pervasive developmental disorder?
Definition
Autism
Asperger's Syndrome
Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS)
Term
What are adaptive skills training?
Definition
Examples: anger management, tolerating unexpected changes of daily routine, coping skills for unpredictable situations / environment 
Term
What are examples of daily life skills?
Definition
: personal hygiene, common household duties, budgeting income
Term
What are examples of social skills training?
Definition
: recognition of non-verbal social cues, social interaction, common social scenarios
Term
What are examples of individual behavioral plans?
Definition
includes Level of Functioning Assessment(s) evaluating current self-help/daily living skills, self-stimulatory behavior and    communication skills to assist individuals in acquiring desirable life skills and reducing maladaptive behavior.
Term
What are some examples of individual education plans?
Definition
development and/or consumer advocacy
Term
What are some examples of individual service plans?
Definition
development and/or consumer advocacy
Term
What do parent/sibiling/family need with autism?
Definition
Counseling, education, and training.
Term
What training is needed to professional/para-profess/caregivers?
Definition
- Education and Training Conferences (if less than 15 participants, please call us)
Term
What is anorexia?
Definition
, a condition in which a child refuses to eat adequate calories out of an intense and irrational fear of becoming fat
Term
What is bulimia?
Definition
a condition in which a child grossly overeats (binging) and then purges the food by vomiting or using laxatives to prevent weight gain
Term
What is binge eating?
Definition
a condition in which a child may gorge rapidly on food, but without purging
Term
What are causes of eating disoders?
Definition
suspect a combination of biological, behavioral, and social factors

Also, many children and teens with eating disorders struggle with one or more of the following problems:
distress
fear of becoming overweight
feelings of helplessness
low self-esteem
Term
What are the symptoms of anorexia?
Definition
anxiety, depression, perfectionism, or being highly self-critical
dieting even when one is thin or emaciated
excessive or compulsive exercising
intense fear of becoming fat, even though one is underweight
menstruation that becomes infrequent or stops
rapid weight loss, which the person may try to conceal with loose clothing
strange eating habits, such as avoiding meals, eating in secret, monitoring every bite of food, or eating only certain foods in small amounts
unusual interest in food
Term
What are the health problems associated w/ anorexia?
Definition
damage to major organs, especially the brain, heart and kidneys
irregular heartbeat
lowered blood pressure, pulse, body temperature, and breathing rates
sensitivity to cold
thinning of bones
causes of death include cardiac arrest, electrolyte imbalance, and suicide.
Term
How is anorexia treated?
Definition
-first aim of treatment is to bring the young person back to normal weight and eating habits
-Long-term treatment addresses psychological issues. Treatments include:
-antidepressant medication
-behavioral therapy
-psychotherapy
-support groups
Term
What are the s/s of bulimia?
Definition
abusing drugs and alcohol
abusing laxatives and other treatments to prevent weight gain
anxiety
bingeing on large amounts of food
eating in secret or having unusual eating habits
excessive exercise
mood swings
overemphasis on physical appearance
regularly spending time in the bathroom after eating
sadness
scarring on knuckles from using fingers to induce vomiting
unusual interest in food
vomiting after eating
Term
What are the complications from bulimia?
Definition
Complications can be serious. Stomach acids from chronic vomiting can cause:
damage to tooth enamel
inflammation of the esophagus
swelling of the salivary glands in the cheeks
In addition, bulimia can also lower blood levels of potassium. This can lead to dangerous, abnormal heart rhythms.
Term
What is the treatment of bulimia?
Definition
antidepressants medication
behavior modification
individual, family, or group therapy
nutritional counseling
Term
) Which should be the mjaor consid. When selecting toys for cognitively impaired children?
Definition
SAFETY
Term
A child with autism is admitted w/ pnuemonia. What’s the priority intervention?
Definition
MAINTAIN STRUCTURED ROUTINE AND STIMULATION MINIMUM
Term
6 y/o w/ ADHD is aggressive towards others. The best action for the nurse is to?
Definition
TAKE HIM TO ANOTHER ROOM TO PLAY OUT HIS FEELINGS
Term
What is binge eating?
Definition
. It includes chronic, out-of-control eating of large amounts in a short time, even to the point of discomfort. However, binge eaters do not purge the food through vomiting or other means. As a result, they tend to become overweight or obese.
Term
What causes binge eating?
Definition
struggling to handle their emotions. Anger, worry, stress, sadness, or boredom may trigger a binge. Often, binge eaters are upset about overeating and may become depressed.
Term
What are the complications of binge eating?
Definition
The excess weight caused by binge eating puts your son or daughter at risk of these health problems:
heart disease, high blood pressure, high cholesterol, type 2 diabetes
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