Characterized by a whithdraw of the child into the self and into a fantasy world of his or her own creation.

Abnormal development in social interaction and communication

Activities and interests are bizarre

Define Attention Deficit Hyperactivity Disorder

(ADHD)

Repetitive and persistent behavior in which the basic rights of others are violated

Eg. Lying, truancy, fights, thefts, animal abuse before 15 years old.

  Poor peer relations -cause aggression

Family Influences

parental rejection

inconsistent management with harsh discipline

early institutional living

shift in parental figures

large family size

absent father

parents with alcohol dependency/APD

Biological Influences -perinatal smokers

Enviornmental Influences-lead, dye

Psychosocial-Chaotic environments, disruption in family

THe client has...

experienced no physical harm

interacts with others appropriately

verbalizes positive aspects of self

demonstrates fewer demanding behaviors

cooperates with staff in effort to complete assigned tasks.

The Client....

• Has not harmed self or others
• interacts with others in a socially appropriate manner
• accepts direction without becoming defensive
• Demonstrates evidence of increased self-esteem by dicontinuing exploitative and demanding behaviors towards others

• Have the nursing actions directed toward preventing mutilative behaviors been effective in protecting the client from self harm?
• Has the child established a means of communicating his/her needs and desires to others?
• Have all self-care needs been met?
• Can he/she accept touch from others?

Risk for self-mutilation r/t neurological alterations

Impaired social interaction r/t inability to trust

Impaired verbal communication

r/t withdrawal from self;inadequate sensory stimulation

Disturbed personal identity r/t inadequate sensory stimulation;neurological alterations

Risk for Injury r/t impulsive and accidental prone behavior and inability to perceive self-harm

Impaired social interaction r/t intrusive and immature behavior

Low self-esteem r/t dysfunctional family system and negative feedback

Noncompliance with task expectations r/t low frustration tolerance and short attention span.

Risk for other-directed violence r/t characteristics or temperament, peer rejection, negative parental role, dysfunctional family

Impaired social interaction r/t negative parental role models and impaired peer relations

Low self-esteem r/t lack of positive feedback and unsatisfactory parent/child relationship

methylphenidate (Ritalin)

dextroamphetamine (adderall)