The Child with an Emotional or Behavioral Condition
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Questions and Answers

Which of the following assessment findings would lead a nurse to suspect anorexia nervosa in a 16-year-old female?

  • Lanugo on back (correct)
  • Hypertension
  • Oily skin
  • Amenorrhea (correct)

In a psychiatric facility focusing on obsessive-compulsive disorders, which of the following diagnoses might a nurse expect to encounter?

  • Hoarding disorder (correct)
  • Trichotillomania (correct)
  • Oppositional defiant disorder
  • Anxiety disorder

Which characteristics would the nurse assess in a child diagnosed with attention-deficit hyperactivity disorder (ADHD)?

  • Social anxiety
  • Obsessive thoughts
  • Impulsivity (correct)
  • Hyperactivity (correct)

An adolescent exhibiting severe weight loss and lanugo might be suspected of suffering from which disorder?

<p>Anorexia nervosa (D)</p> Signup and view all the answers

Which of the following symptoms is NOT commonly associated with attention-deficit hyperactivity disorder (ADHD)?

<p>Excessive sleeping (C)</p> Signup and view all the answers

What best describes a learning disability in children?

<p>A child may have difficulty with perception, language, comprehension, or memory. (A)</p> Signup and view all the answers

How should a nurse respond to an adolescent expressing a particularly bad day?

<p>Tell me about the worst day of your life. (C)</p> Signup and view all the answers

What does the adolescent's response to the nurse about their parents indicate?

<p>The adolescent feels their parents are being unfairly targeted. (A)</p> Signup and view all the answers

Which statement from a caller to a suicide prevention hotline indicates the greatest risk of suicide?

<p>I have some pills and I'm not sure if I want to take them. (C)</p> Signup and view all the answers

Which of the following is a common trait among children with learning disabilities?

<p>They exhibit difficulties in perception and language. (C)</p> Signup and view all the answers

What is a potential consequence of discrediting a child's parents during a conversation?

<p>The child may react with anger or anxiety. (B)</p> Signup and view all the answers

What should a nurse avoid saying when discussing negative feelings with an adolescent?

<p>You should focus your mind on positive thoughts. (B)</p> Signup and view all the answers

In assessing the risk of suicide, what is a critical factor for nurses to evaluate?

<p>The specific plans for self-harm. (A)</p> Signup and view all the answers

What is the function of play therapy for children who struggle to express their feelings verbally?

<p>Facilitates acting out feelings through play (A)</p> Signup and view all the answers

What negative effect can stimulants have on an autistic child?

<p>Impair cognition (A)</p> Signup and view all the answers

What behavior might indicate a 9-year-old child has dyslexia while reading aloud?

<p>Reads 'dog' as 'God' (B)</p> Signup and view all the answers

How is a gateway substance characterized?

<p>A drug leading to the use of stronger substances (A)</p> Signup and view all the answers

What is the main risk associated with opiate use?

<p>Increased risk for HIV and hepatitis B (D)</p> Signup and view all the answers

In a dysfunctional family, what role might a child take if they try to be perfect?

<p>The super coper (B)</p> Signup and view all the answers

What common behavioral issues are seen in children from dysfunctional families?

<p>Lack of trust (D)</p> Signup and view all the answers

Which behaviors may signal nervous tension in a young school-age child?

<p>Aggressive behavior and stuttering (B)</p> Signup and view all the answers

What is one characteristic that is NOT considered a cause of anorexia nervosa?

<p>Pervasive high self-esteem (B)</p> Signup and view all the answers

Which member of a child guidance team is typically a medical doctor with specialized training in psychoanalytic theory?

<p>Psychiatrist (B)</p> Signup and view all the answers

What products are commonly inhaled by children to achieve a euphoric high?

<p>Household cleaning products (D)</p> Signup and view all the answers

What is a common misconception about the role of a dietitian in a child guidance team?

<p>They are a regular member of the treatment team (B)</p> Signup and view all the answers

Which role may a child of an alcoholic be likely to adopt if they feel overly responsible?

<p>Super coper (C)</p> Signup and view all the answers

What behavior might NOT be a sign of inhalant abuse in children?

<p>Increased participation in sports (A)</p> Signup and view all the answers

What is a key indicator that a person is at increased risk for suicide?

<p>Making explicit plans to carry out the act with means available (A)</p> Signup and view all the answers

Which behavior is an early sign of depression in adolescents?

<p>Giving prized possessions away (B)</p> Signup and view all the answers

What should a nurse consider when assessing a boy exhibiting anger and frequent fights at school?

<p>He is manifesting antisocial behavior and needs evaluation (B)</p> Signup and view all the answers

What is the most effective classroom intervention for a child diagnosed with ADHD?

<p>Dividing work assignments into shorter periods with breaks in between (D)</p> Signup and view all the answers

How is bulimia typically characterized?

<p>Alternating between binge eating and purging (B)</p> Signup and view all the answers

What risk does an adolescent with obsessive-compulsive disorder (OCD) face?

<p>Greater likelihood of experiencing depression (B)</p> Signup and view all the answers

Which statement about anorexia nervosa shows a parent's understanding of the disorder?

<p>She perceives herself as overweight despite being underweight (A)</p> Signup and view all the answers

Which nursing intervention is appropriate for a hospitalized autistic child?

<p>Organizing care to minimize disruptions to routine (A)</p> Signup and view all the answers

What is a key sign of autism that can manifest by 1 year of age?

<p>Failure to use eye contact (D)</p> Signup and view all the answers

What symptoms indicate that an adolescent has likely used alcohol?

<p>Slurred speech and ataxic gait (B)</p> Signup and view all the answers

What is the street name commonly associated with methamphetamine?

<p>Speed (B)</p> Signup and view all the answers

What condition significantly increases the risk for depressive disorders in adolescents?

<p>Obsessive-compulsive disorder (OCD) (A)</p> Signup and view all the answers

Which behavior is NOT typical of an adolescent with anorexia nervosa?

<p>Prominent binge eating episodes (A)</p> Signup and view all the answers

What is an important aspect of nursing care for children of alcoholics?

<p>To ensure all family members receive immediate intervention (C)</p> Signup and view all the answers

Which resource is primarily used by health professionals to diagnose mental health conditions?

<p>Diagnostic and Statistical Manual of Mental Disorders (C)</p> Signup and view all the answers

What type of therapy involves a child reading stories about others in similar situations?

<p>Bibliotherapy (C)</p> Signup and view all the answers

Which illegal drug is referred to by the street name 'smack'?

<p>Heroin (D)</p> Signup and view all the answers

What eating disorder is characterized by binge eating followed by self-induced vomiting?

<p>Bulimia (D)</p> Signup and view all the answers

Which coping pattern is commonly seen in children of alcoholics?

<p>Excessive role responsibility (D)</p> Signup and view all the answers

Which statement best defines the role of 'milieu therapy'?

<p>Therapeutic interventions that take place in a controlled environment (B)</p> Signup and view all the answers

Which symptom would NOT typically be associated with heroin use?

<p>Increased blood pressure (A)</p> Signup and view all the answers

What is a common physical sign of acute alcohol intoxication in adolescents?

<p>Marked sedation and confusion (A)</p> Signup and view all the answers

Flashcards

Anorexia Nervosa Symptoms in Adolescents

Possible signs include severe weight loss, amenorrhea (absence of menstruation), and lanugo (fine hair) growth on the body.

Obsessive-Compulsive Disorders (OCD) diagnoses

Conditions like Trichotillomania (hair pulling), Hoarding disorder, Body dysmorphic disorder, and Excoriation disorder (skin picking) are included.

Attention-Deficit/Hyperactivity Disorder (ADHD) characteristics

ADHD is characterized by inattention, hyperactivity, impulsivity, and distractibility.

ADHD symptom: Inattention

Difficulty sustaining attention and easily distracted, leading to poor academic performance or difficulty following instructions.

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ADHD symptom: Impulsivity

Acting without thinking, interrupting during conversations, making hasty decisions.

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Learning Disability

Difficulties in areas like perception, language, comprehension, and memory, despite average or above-average intelligence

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Adolescent's statement: "Worst day of my life"

The best response is to acknowledge and listen to show empathy and rapport.

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Adolescent's response to "Do your parents drink every day?"

Refusal to discuss the topic suggests anxiety or concern related to the topic. The nurse should understand the situation doesn't lie solely within the adolescent's control.

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High Suicide Risk

A statement expressing intent to hurt oneself is a clear sign of suicide risk.

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Suicide Prevention Hotline Call

Requires careful attention to the caller's words to ensure immediate life-saving help, such as intent or plan.

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Learning Disability Focus

It's NOT about low intelligence; it's about difficulties in skill areas.

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Adolescent's feelings

Acknowledge and listen to the adolescent's feelings; empathy is crucial.

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Discrediting parents

Threatens security and causes anxiety in children, affecting their reactions to questions.

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Early signs of depression in a teen

Giving away prized possessions, like a guitar, and spending time alone listening to music instead of band activities, signals a potential change from a prior, more active behavior pattern.

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Major depression in children

A significant change in behavior that disrupts school, family life, and activities typical for their age.

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Children of alcoholics

Children of alcoholics sometimes display "acting-out" behaviors as a way to cope with the family situation.

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ADHD classroom intervention

Break down work into smaller assignments with short breaks for a child with ADHD, which is a common suggestion from a nurse.

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Bulimia definition

Bulimia involves alternating episodes of binge eating followed by purging behaviors, such as vomiting.

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OCD and risk for teens

OCD, or obsessive-compulsive disorder, can increase the risk of depression in adolescents.

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Anorexia nervosa body image

Teens with anorexia nervosa have a distorted view of their body, seeing themselves as overweight even when they're underweight.

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Autism intervention (hospital)

Provide a structured and consistent environment with minimal disruptions to maintain a stable routine.

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Autism early signs

Significant signs of autism usually appear within the first year of life, including avoiding eye contact and failing to orient to one's name.

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Alcohol and adolescent behavior

Slurred speech, a short attention span, drowsiness, combative behavior, and aggression may indicate alcohol use.

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Methamphetamine street name

Methamphetamine is sometimes referred to as "speed" in street slang.

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Bulimia and weight

A person with bulimia does not typically have a severely underweight condition, unlike those with anorexia.

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Antisocial behavior

Consistent trouble with fighting at school could be a symptom of antisocial behavior requiring evaluation.

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Psychiatrist's Role in Child Guidance

A medical doctor specializing in psychoanalytic theory for children.

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Play Therapy for Children

Therapeutic intervention for children to express feelings/concerns.

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Stimulant's Negative Effect (Autism)

Stimulants reduce hyperactivity but can impair cognitive function.

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Inhaling Hydrocarbons' Effect

Inhaling hydrocarbons depresses the nervous system and respiratory rate.

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Dyslexia Reading Indication

A dyslexic child might misread words (e.g., 'dog' as 'God').

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Gateway Substance Definition

A substance that can lead to stronger drug use.

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Substance Leading to HIV/Hepatitis Risk

Opiates increase risk due to shared needles.

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Super Coper Child Role

An alcoholic's child who tries to be perfect to avoid trouble.

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Dysfunctional Family Issues

Children from dysfunctional families may have lack of trust, acting out, and often depression.

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School-Age Nervous Tension Signs

Sudden stuttering, aggressive behavior, or nonnutritive sucking might signal increased nervous tension.

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Child Guidance Team Members

Psychiatrist, pediatrician, psychologist, and social worker are key members.

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Inhalant Products

Glue, cleaning fluid, and aerosol sprays are common inhalant substances.

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Anorexia Nervosa Characteristics

Discomfort with sexuality, fear of intimacy, egocentricity, and unmet developmental needs can be involved.

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Nervous Tension Related Behaviors (kids)

Sudden stuttering and aggressive behaviours sometimes result from nervous tension created by young age.

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Inhalants

Substances such as glue, aerosols and cleaning fluids which are inhaled to get high.

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DSM-5-TR

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision, is the standard reference for diagnosing mental health disorders.

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Bibliotherapy

A therapeutic approach where individuals read stories about others facing similar challenges to gain insight and coping strategies.

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What is 'smack'?

'Smack' is a street name for heroin, an illegal opioid drug.

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Bulimia nervosa

A disorder characterized by recurrent episodes of binge eating followed by purging behaviors, such as self-induced vomiting or misuse of laxatives.

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Coping patterns of children of alcoholics

Children of alcoholics may display 'acting-out' behaviors like aggression or defiance as a way to cope with the family situation.

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What is the typical effect of heroin?

Heroin, a highly addictive opioid, can cause physical signs like constricted pupils, decreased breathing, and needle marks.

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Why is inhaling hydrocarbons dangerous?

Inhaling substances like glue, cleaning fluids, or aerosols can depress the nervous system and respiratory rate, leading to serious health risks.

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What is dyslexia?

Dyslexia is a learning disability involving difficulty with reading, especially decoding words and understanding the meaning of text.

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Study Notes

Learning Disabilities

  • Learning disabilities encompass difficulties in various cognitive areas, including perception, language, comprehension, and conceptualization.
  • Individuals with learning disabilities can possess average or above-average intelligence.

Adolescent Statement "Worst Day"

  • When an adolescent says their day was the worst, the most appropriate response is to listen actively and ask "Tell me about the worst day of your life."
  • This approach facilitates a connection with the adolescent by acknowledging their feelings.

Adolescent's Reaction to Question About Parental Drinking

  • If an adolescent reacts angrily and defensively to a question about parental drinking, this behavior suggests the adolescent is trying to shift the focus away from the topic and not engaging with the question.
  • The nurse should remain sensitive and not discredit the adolescent's feelings.

Suicide Risk Factors

  • A significant suicide risk involves a detailed plan, readily available means of harming oneself, and lack of support.

Early Signs of Adolescent Depression

  • Giving away valuable possessions, like a guitar, and spending time alone, are early signs that suggest a potential concern and need for evaluation.
  • This behavioral change from the adolescent's baseline is a significant indicator of depression.

Adolescent Anger and Alcoholism

  • Children of alcoholics frequently display behavioral issues as a way to cope.
  • It's crucial for the nursing staff to recognize and address this aspect rather than focusing only on the adolescent's anger.

Classroom Intervention for ADHD

  • The best course of action for ADHD is to divide assignments into shorter, more manageable blocks with built-in breaks.
  • This is to cater to the specific needs of children with ADHD, whose focus tends to be better maintained with short periods and frequent breaks.

Bulimia Definition

  • Bulimia is characterized by alternating patterns of binge eating and compensatory behaviors (purging).

OCD and Adolescent Risk

  • Obsessive-compulsive disorder (OCD) is associated with increased risks of depression and suicidal behavior.

Understanding Anorexia Nervosa

  • An individual with anorexia nervosa often sees themselves as overweight even when their weight is extremely low, highlighting a disturbed body image.

Nursing Intervention for Autistic Child

  • The key to caring for a hospitalized autistic child is to keep disruptions to their routine to a minimum and provide a structured environment.

Autism Diagnosis

  • Notable indicators of autism are often evident by a child's first year of life.
  • This includes difficulties with eye contact, attention span, and responding to their name.

Adolescent Automobile Accident and Intoxication

  • Indications of alcohol use after an accident include slurred speech, combative behavior, and an unsteady gait.

Adolescent Use of "Speed"

  • "Speed" is a street term for methamphetamine.

Medical Doctor with Psychoanalytic Training

  • Psychiatrists are medical doctors with specialized psychoanalytic training.

Therapeutic Intervention for Young Children

  • Play therapy enables young children to express their feelings and concerns through symbolic play using dolls and figures.

Stimulants and Autistic Children

  • Stimulants, while potentially reducing hyperactivity in autistic children, can also impair cognitive function and increase self-injurious behavior.

Lighter Fluid Inhalation

  • Inhaling lighter fluid (hydrocarbons) will result in depressed respiratory function.

Possible Dyslexia

  • A significant indicator of potential dyslexia is the misreading of a word, like "dog" as "God," which is a frequent characteristic of the disorder.

Gateway Substance

  • A gateway substance is recognized as a substance that can lead to a continued use of more potent substances.

Substance Risk for HIV/Hepatitis B

  • Sharing needles while using opiates significantly increases the risk of contracting HIV and hepatitis B.

Alcoholic's Child Role - "Super Coper"

  • The "super coper" child of an alcoholic tries to be perfect and assumes excessive responsibility to gain approval.

Dysfunctional Families and Associated Problems

  • Children from dysfunctional families often experience a marked lack of trust, exhibit acting-out behaviors, and can suffer from depression.

Early School Years and Nervous Tension

  • Stuttering, aggressive behavior, and non-nutritive sucking/finger/thumb sucking (without a previous history) in children during their early school years can be indicative of heightened nervous tension.

Child Guidance Team Members

  • The child guidance team usually comprises a psychiatrist, pediatrician, psychologist, and social worker.

Substances Inhaled for Intoxication

  • Common substances inhaled for intoxication include glue, cleaning fluids, aerosol sprays, and various solvent-containing products.

Contributing Factors in Anorexia Nervosa

  • Factors associated with anorexia nervosa include discomfort related to emerging sexuality, fear of intimacy, egocentricity, and difficulty effectively meeting developmental needs.

Anorexia Nervosa Assessment Findings

  • Key indicators for anorexia nervosa include amenorrhea, severe weight loss, and the presence of lanugo (fine hair).

Diagnoses Associated with OCD

  • Trichotillomania, hoarding disorder, excoriation disorder, and body dysmorphic disorder are frequently encountered in relation to obsessive-compulsive disorders.

ADHD Characteristics

  • Characteristics of ADHD include hyperactivity, impulsivity, inattention, and distractibility.

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Description

This quiz explores key concepts related to learning disabilities and how adolescents express their feelings. It covers effective communication strategies with adolescents and identifies risk factors associated with mental health issues. Enhance your understanding of these critical topics in psychology.

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