Behavioral Therapy and Medication Quiz

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Questions and Answers

What is the drug of choice for a child with inattentiveness to increase attention span and concentration?

Lorazepam

Diphenhydramine

Methylphenidate (Ritalin) (correct)

Ibuprofen

What environmental measure can be taken to address a child's hyperactivity?

Increase stimulus

Decrease stimulus (correct)

Not childproofing the house

Provide more distractions

What is a recommended intervention for a child with impulsivity?

Ignoring all impulsive behaviors

Positive reinforcement through behavioral therapy (correct)

Adding more stimuli

Punishment for every impulsive action

How can parents promote self-esteem in a child with attention issues?

Providing positive reinforcement and encouragement Signup and view all the answers

What nursing intervention can help manage the side effect of insomnia in a child taking Ritalin?

Give the drug in the morning or 6 hours before sleep Signup and view all the answers

What is the focus of behavioral therapy for children with undesirable behavior?

Preventing undesirable behavior Signup and view all the answers

What is one possible cause of childhood problems like lowered intellectual development and behavioral disorders?

Poor development of the frontal lobe in the brain Signup and view all the answers

What is a typical characteristic of a child with neurologic and cognitive disorders?

Difficulty following through on instructions Signup and view all the answers

Why is early diagnosis of childhood neurologic and cognitive disorders important?

To prevent impaired emotional and psychological development Signup and view all the answers

Which assessment tool might be used to diagnose neurologic and cognitive disorders in children?

Self-reports, parent and teacher reports Signup and view all the answers

What is a priority intervention for children with attention issues to keep them safe?

Keeping the child under constant supervision Signup and view all the answers

What is a recommended intervention for children with neurologic and cognitive disorders?

Support groups for parents Signup and view all the answers

What is the main difference between intellectual disability and mental retardation?

Intellectual disability involves deficits in adaptive skills, while mental retardation is based solely on intellectual functioning. Signup and view all the answers

What are some deficits typically seen in children with intellectual disability?

Independence in activities of daily living (ADLs), socialization, communication, and nonresponsiveness. Signup and view all the answers

What is a common characteristic of children with Down's syndrome?

Extra chromosome 21 leading to moderate to severe intellectual disabilities. Signup and view all the answers

Which intervention approach is essential for children with neurologic and cognitive disorders?

Utilize a multidisciplinary approach involving both medical strategies and community services. Signup and view all the answers

What should be the primary focus of medical interventions for children with behavioral issues?

Medication to address underlying neurological causes. Signup and view all the answers

In the context of self-injurious behaviors such as head banging, what is the recommended safety precaution for primary caregivers?

Sandwich hugs to prevent harm. Signup and view all the answers

Study Notes

Treatment and Management of ADHD

Treatment includes behavioral therapy, medication, maintaining a consistent environment, and appropriate classroom placement.
Behavioral therapy focuses on preventing undesirable behavior.
Maintaining a consistent home and classroom environment and providing environmental and physical safety measures are crucial.

Medication for ADHD

The drug of choice is Methylphenidate (Ritalin), an amphetamine used as a performance enhancer to increase attention span and concentration while decreasing hyperactivity and impulsivity.

Side Effects and Intervention of Ritalin

Side effects include sympathetic nervous system stimulation, insomnia, anorexia, and growth restriction.
Nursing care includes educating parents about possible side effects and interventions.

Managing Symptoms of ADHD

For inattentiveness: decrease stimulus, use KISS (Keep it short and simple) principle.
For hyperactivity: improve ability to "stop, look, and listen" and childproof the house.
For impulsivity: use behavioral therapy like operant conditioning through positive reinforcement.

Promoting Self-Esteem and Medication Administration

Promote self-esteem in the child.
Instruct the child and parents about medication administration and the need for regular follow-up.

Childhood Problems Associated with ADHD

Childhood problems include lowered intellectual development, minor physical abnormalities, sleeping disturbances, behavioral or emotional disorders, and difficulty in social relationships.

Etiology and Diagnosis of ADHD

The exact cause is unknown, but possible etiology may be attributed to poor development of the frontal lobe in the brain.
Diagnosis is established on the basis of self-reports, parent and teacher reports, and use of assessment tools.

Assessment of ADHD

Assessment includes fidgeting with hands or feet, easily distracted, difficulty following instructions, poor attention span, shifting from one activity to another, talking excessively, interrupting or intruding on others, and engaging in physically dangerous activities without considering consequences.

Interventions for ADHD

Priority intervention is to keep the child safe (Risk for Injury).
Provide parents with information about the disorder and treatment plan; encourage support groups for parents.
Implement safety precautions as necessary for self-injurious behaviors.

Intellectual Disability

Intellectual disability manifests subaverage intellectual functioning along with deficits in adaptive skills.

Assessment of Intellectual Disability

Assessment includes deficits in level of adaptive functioning, intellectual functioning, fine and gross motor skills, speech, and socialization.

Interventions for Intellectual Disability

Medical strategies focus on correcting structural deformities and treating associated behaviors.
Implement community and educational services, using a multidisciplinary approach.

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Description

This quiz covers topics related to the treatment of children with behavioral issues, including behavioral therapy, medication, maintaining a consistent environment, and appropriate classroom placement. It also touches on strategies for managing inattentiveness in children. Test your knowledge on these treatment approaches!