Podcast
Questions and Answers
What is a common behavioral symptom in children suffering from depression?
What is a common behavioral symptom in children suffering from depression?
- Elation and energy
- Persistent happiness
- Aggression and withdrawal (correct)
- Increased sociability
Why is it important to recognize differences in behavioral conditions between children and adults?
Why is it important to recognize differences in behavioral conditions between children and adults?
- Children and adolescents may present symptoms differently (correct)
- Behavioral conditions are less severe in children
- There are no differences between adult and child behavior
- Children are simply small adults
What developmental impact can early life events have on behavioral conditions?
What developmental impact can early life events have on behavioral conditions?
- They are irrelevant to future conditions
- They may influence future problems (correct)
- They cause permanent conditions
- They only affect later adolescent behavior
What is a potential outcome of effective intervention in children's emotional problems?
What is a potential outcome of effective intervention in children's emotional problems?
In what context might children with depression exhibit somatic symptoms?
In what context might children with depression exhibit somatic symptoms?
How many academic hours are allocated for the lesson on emotional and behavioral conditions in pediatric nursing?
How many academic hours are allocated for the lesson on emotional and behavioral conditions in pediatric nursing?
What overarching theme is taught in this lesson regarding children and adolescents?
What overarching theme is taught in this lesson regarding children and adolescents?
What is not a requirement for students taking this lesson?
What is not a requirement for students taking this lesson?
What is the primary focus of therapies for infants and toddlers with emotional or behavioral issues?
What is the primary focus of therapies for infants and toddlers with emotional or behavioral issues?
Which type of therapy involves modifying behaviors by means of stimulus and response conditioning?
Which type of therapy involves modifying behaviors by means of stimulus and response conditioning?
What is a significant characteristic of dysfunctional families?
What is a significant characteristic of dysfunctional families?
Which diagnostic manual is used to aid in the diagnosis of mental health conditions in children?
Which diagnostic manual is used to aid in the diagnosis of mental health conditions in children?
What is the main goal of all forms of therapy provided to children with behavioral conditions?
What is the main goal of all forms of therapy provided to children with behavioral conditions?
What is dyslexia primarily associated with?
What is dyslexia primarily associated with?
Which statement reflects a behavior often associated with nervous tension and anxiety stemming from a dysfunctional family?
Which statement reflects a behavior often associated with nervous tension and anxiety stemming from a dysfunctional family?
Which of the following is NOT a suspected cause of dyslexia?
Which of the following is NOT a suspected cause of dyslexia?
What is implied by the term 'knowledge inferred from cognitive learning activities' in the evaluation context?
What is implied by the term 'knowledge inferred from cognitive learning activities' in the evaluation context?
Which tool is primarily used to evaluate the performance of skills in a lab setting?
Which tool is primarily used to evaluate the performance of skills in a lab setting?
Early signs of dyslexia can include which of the following?
Early signs of dyslexia can include which of the following?
Which of the following management strategies is NOT recommended for autism spectrum disorders (ASD)?
Which of the following management strategies is NOT recommended for autism spectrum disorders (ASD)?
What is a common misunderstanding about the role of behavior modification therapy?
What is a common misunderstanding about the role of behavior modification therapy?
What is the impact of early childhood experiences on personality development?
What is the impact of early childhood experiences on personality development?
What defines obsessive-compulsive disorder (OCD)?
What defines obsessive-compulsive disorder (OCD)?
Attention deficit/hyperactivity disorder (ADHD) often includes which of the following characteristics?
Attention deficit/hyperactivity disorder (ADHD) often includes which of the following characteristics?
Which of the following is NOT typically a condition resulting from a dysfunctional family?
Which of the following is NOT typically a condition resulting from a dysfunctional family?
In what environment is skills learning primarily practiced and evaluated?
In what environment is skills learning primarily practiced and evaluated?
Which of the following is an appropriate medication for managing ADHD?
Which of the following is an appropriate medication for managing ADHD?
Which condition can commonly co-occur with ADHD?
Which condition can commonly co-occur with ADHD?
Which of the following statements about assessments is FALSE?
Which of the following statements about assessments is FALSE?
What is a common early sign of autism spectrum disorders (ASD)?
What is a common early sign of autism spectrum disorders (ASD)?
What is NOT a characteristic of obsessive-compulsive disorder?
What is NOT a characteristic of obsessive-compulsive disorder?
What type of environment is recommended for children with ADHD?
What type of environment is recommended for children with ADHD?
How does dysgraphia primarily manifest in children?
How does dysgraphia primarily manifest in children?
What is a key goal of therapy for children diagnosed with ASD?
What is a key goal of therapy for children diagnosed with ASD?
What is a misconception about ADHD?
What is a misconception about ADHD?
What specific information should the nurse gather from Christopher's mother during the admission process?
What specific information should the nurse gather from Christopher's mother during the admission process?
Which strategy is effective when interacting with Christopher, who has anxiety about his surgery?
Which strategy is effective when interacting with Christopher, who has anxiety about his surgery?
Why may other children in Christopher's family feel resentment toward him?
Why may other children in Christopher's family feel resentment toward him?
During the summary, which point is NOT a focus of the main discussion?
During the summary, which point is NOT a focus of the main discussion?
What is one method instructors used to evaluate student understanding?
What is one method instructors used to evaluate student understanding?
Which factor is important to consider when interacting with Christopher in a surgery unit?
Which factor is important to consider when interacting with Christopher in a surgery unit?
What should the nurse do if Christopher is anxious about the medical equipment?
What should the nurse do if Christopher is anxious about the medical equipment?
What may young siblings of children with autism struggle to understand?
What may young siblings of children with autism struggle to understand?
Which substance is commonly associated with the street name 'smack'?
Which substance is commonly associated with the street name 'smack'?
What is a common effect of bath salts when abused?
What is a common effect of bath salts when abused?
Which of the following statements about alcoholism is accurate?
Which of the following statements about alcoholism is accurate?
What is a first step in preventing substance abuse among children?
What is a first step in preventing substance abuse among children?
What is the student to instructor ratio for the Registered Nurse (RN) Instructor Supervisor?
What is the student to instructor ratio for the Registered Nurse (RN) Instructor Supervisor?
Which coping pattern is characterized by a child trying to be the perfect child for parental approval?
Which coping pattern is characterized by a child trying to be the perfect child for parental approval?
Which equipment is required for instruction in the training program?
Which equipment is required for instruction in the training program?
What is a typical characteristic of children of alcoholics?
What is a typical characteristic of children of alcoholics?
What is one of the essential skills nurses must develop when working with children and adolescents?
What is one of the essential skills nurses must develop when working with children and adolescents?
How do strict family environments commonly affect adolescents?
How do strict family environments commonly affect adolescents?
What is the total man hours required for the Registered Nurse (RN) Instructor Supervisor?
What is the total man hours required for the Registered Nurse (RN) Instructor Supervisor?
Which program is specifically designed to support young people affected by another's drinking?
Which program is specifically designed to support young people affected by another's drinking?
What classroom environment is specified for the training?
What classroom environment is specified for the training?
Which of the following is NOT a student material required for the lesson?
Which of the following is NOT a student material required for the lesson?
Which of the following is a risk of siblings of children with emotional disorders?
Which of the following is a risk of siblings of children with emotional disorders?
What type of instruction method is utilized in this training program?
What type of instruction method is utilized in this training program?
What is an immediate priority in caring for children of alcoholics?
What is an immediate priority in caring for children of alcoholics?
What is a long-term impact on siblings of children with emotional disorders?
What is a long-term impact on siblings of children with emotional disorders?
What is the Risk Assessment Level mentioned for the training environment?
What is the Risk Assessment Level mentioned for the training environment?
How many hours is the time of instruction set for?
How many hours is the time of instruction set for?
Which substance is often referred to as a 'gateway substance'?
Which substance is often referred to as a 'gateway substance'?
What strategy is NOT recommended for preventing substance abuse in children?
What strategy is NOT recommended for preventing substance abuse in children?
Which of the following is a duty required of the RN Instructor Supervisor?
Which of the following is a duty required of the RN Instructor Supervisor?
What is an effect of emotional neglect in children of alcoholic parents?
What is an effect of emotional neglect in children of alcoholic parents?
What is the importance of early intervention with children and adolescents?
What is the importance of early intervention with children and adolescents?
What environmental consideration must instructors keep in mind during training?
What environmental consideration must instructors keep in mind during training?
What is the primary focus of the nursing care to be performed upon completing the lesson?
What is the primary focus of the nursing care to be performed upon completing the lesson?
What special instructions for the instructor are mentioned?
What special instructions for the instructor are mentioned?
Which of the following characteristics is typically associated with ADHD?
Which of the following characteristics is typically associated with ADHD?
What indicates that a child might struggle with a learning disability?
What indicates that a child might struggle with a learning disability?
What is a common physical symptom observed in adolescents with anorexia nervosa?
What is a common physical symptom observed in adolescents with anorexia nervosa?
Which of the following is NOT a characteristic of bulimia?
Which of the following is NOT a characteristic of bulimia?
What would be the most appropriate response to a parent concerned about their child's ADHD potentially improving with age?
What would be the most appropriate response to a parent concerned about their child's ADHD potentially improving with age?
Which factor is commonly found in adolescents who develop eating disorders?
Which factor is commonly found in adolescents who develop eating disorders?
What is a critical nursing consideration when working with adolescents displaying signs of eating disorders?
What is a critical nursing consideration when working with adolescents displaying signs of eating disorders?
Which treatment approach might be utilized for adolescents struggling with anorexia nervosa?
Which treatment approach might be utilized for adolescents struggling with anorexia nervosa?
Which statement about depression in childhood is accurate?
Which statement about depression in childhood is accurate?
What could be a long-term complication of untreated anorexia nervosa?
What could be a long-term complication of untreated anorexia nervosa?
Which behavior is commonly a contributing factor to bulimia?
Which behavior is commonly a contributing factor to bulimia?
Which psychological factors are often seen in individuals with anorexia nervosa?
Which psychological factors are often seen in individuals with anorexia nervosa?
In managing children with learning disabilities, what is a key role of school nurses?
In managing children with learning disabilities, what is a key role of school nurses?
What is a common method for treating children with ADHD?
What is a common method for treating children with ADHD?
What is a characteristic behavior of children with depression?
What is a characteristic behavior of children with depression?
What is a significant risk factor for suicidal behavior among children?
What is a significant risk factor for suicidal behavior among children?
Which of the following symptoms must be present for at least one year to establish a diagnosis of major depressive disorder in children?
Which of the following symptoms must be present for at least one year to establish a diagnosis of major depressive disorder in children?
What nursing consideration is essential for managing depressed children?
What nursing consideration is essential for managing depressed children?
Which one of the following behaviors is categorized as a suicidal ideation?
Which one of the following behaviors is categorized as a suicidal ideation?
What differentiates abuse from dependence in substance use?
What differentiates abuse from dependence in substance use?
Which characteristics can indicate a child may be at high risk for suicide?
Which characteristics can indicate a child may be at high risk for suicide?
What is a common symptom seen when children experience changes in appetite due to depression?
What is a common symptom seen when children experience changes in appetite due to depression?
What is the primary focus of cognitive behavioral therapy in treating depression?
What is the primary focus of cognitive behavioral therapy in treating depression?
What is a behavioral sign of a depressed child in school?
What is a behavioral sign of a depressed child in school?
Which of the following is a primary nursing consideration for children at risk for self-harm?
Which of the following is a primary nursing consideration for children at risk for self-harm?
What is the mental state associated with depression as per reported signs?
What is the mental state associated with depression as per reported signs?
What signifies a potential acute risk of suicidality in children?
What signifies a potential acute risk of suicidality in children?
Flashcards
Child with an Emotional or Behavioral Condition
Child with an Emotional or Behavioral Condition
The study of providing safe and effective care to children and families dealing with specific emotional and behavioral conditions.
Children are not little adults
Children are not little adults
Children and adolescents are not just small adults; their development and experiences influence how they express and manage emotional and behavioral issues.
Developmental differences in disorders
Developmental differences in disorders
While some disorders are present throughout life, their manifestation can differ based on a person's stage of development.
Early life influences on adult problems
Early life influences on adult problems
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Recovery from emotional and behavioral challenges
Recovery from emotional and behavioral challenges
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Practical Nurse Skills
Practical Nurse Skills
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Academic Hours
Academic Hours
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Prerequisite Lessons
Prerequisite Lessons
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DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition)
DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition)
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Method of Instruction
Method of Instruction
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Instructor to Student Ratio
Instructor to Student Ratio
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RDC-PA (Research and Diagnostic Criteria – Preschool Age)
RDC-PA (Research and Diagnostic Criteria – Preschool Age)
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Zero to Three Diagnostic Classifications of Mental Health and Developmental Disorders of Infancy and Early Childhood – Revised
Zero to Three Diagnostic Classifications of Mental Health and Developmental Disorders of Infancy and Early Childhood – Revised
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Time of Instruction
Time of Instruction
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Media
Media
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Intellectual Disability
Intellectual Disability
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Intervention
Intervention
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Motivator
Motivator
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Individual, Family, or Group Therapy
Individual, Family, or Group Therapy
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Lead-In
Lead-In
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Terminal Learning Objective
Terminal Learning Objective
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Behavior Modification
Behavior Modification
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Action
Action
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Milieu Therapy
Milieu Therapy
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Dysfunctional Family
Dysfunctional Family
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Conditions
Conditions
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Standards
Standards
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Learning Disability
Learning Disability
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Safety Requirements
Safety Requirements
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Child Guidance Clinic
Child Guidance Clinic
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Role of the Nurse
Role of the Nurse
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Risk Assessment
Risk Assessment
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Emotionally Safe Environment
Emotionally Safe Environment
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DD Form 2977
DD Form 2977
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Risk Assessment Level
Risk Assessment Level
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Goal of Therapy
Goal of Therapy
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Environmental Considerations
Environmental Considerations
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Manifestations of Nervous Tension and Anxiety
Manifestations of Nervous Tension and Anxiety
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What is dyslexia?
What is dyslexia?
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What are autism spectrum disorders?
What are autism spectrum disorders?
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What is obsessive-compulsive disorder?
What is obsessive-compulsive disorder?
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What is attention deficit/hyperactivity disorder?
What is attention deficit/hyperactivity disorder?
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What is receptive language impairment?
What is receptive language impairment?
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What is expressive language impairment?
What is expressive language impairment?
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What is an information processing impairment?
What is an information processing impairment?
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What is a memory impairment?
What is a memory impairment?
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What is a motor coordination impairment?
What is a motor coordination impairment?
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What is an orientation impairment?
What is an orientation impairment?
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What is a behavioral problem?
What is a behavioral problem?
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What is the relationship between ADHD and dyslexia/dysgraphia?
What is the relationship between ADHD and dyslexia/dysgraphia?
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What type of classroom environment is best for children with ADHD?
What type of classroom environment is best for children with ADHD?
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What medications are often prescribed for ADHD?
What medications are often prescribed for ADHD?
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How is ADHD different from learning disabilities?
How is ADHD different from learning disabilities?
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What information about Christopher should the nurse elicit during admission?
What information about Christopher should the nurse elicit during admission?
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How should the nurse interact with Christopher?
How should the nurse interact with Christopher?
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Why might Christopher's siblings resent him?
Why might Christopher's siblings resent him?
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What is DSM-5?
What is DSM-5?
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How is ADHD different from a learning disability?
How is ADHD different from a learning disability?
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What is ADHD?
What is ADHD?
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What are the key characteristics of ADHD?
What are the key characteristics of ADHD?
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Can a child outgrow ADHD?
Can a child outgrow ADHD?
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What is Anorexia Nervosa?
What is Anorexia Nervosa?
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What is a major factor driving Anorexia Nervosa?
What is a major factor driving Anorexia Nervosa?
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What is Amenorrhea in the context of Anorexia Nervosa?
What is Amenorrhea in the context of Anorexia Nervosa?
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What is Bulimia Nervosa?
What is Bulimia Nervosa?
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What are some potential consequences of purging behavior?
What are some potential consequences of purging behavior?
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What is the psychological component of Bulimia Nervosa?
What is the psychological component of Bulimia Nervosa?
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How can depression in children be difficult to detect?
How can depression in children be difficult to detect?
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What are some factors that can trigger depression in children?
What are some factors that can trigger depression in children?
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Why is family involvement important in the care of a child with an emotional or behavioral issue?
Why is family involvement important in the care of a child with an emotional or behavioral issue?
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How are children different from adults in terms of emotional and behavioral issues?
How are children different from adults in terms of emotional and behavioral issues?
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What are some ways to help children cope with emotional and behavioral issues?
What are some ways to help children cope with emotional and behavioral issues?
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Gateway drug
Gateway drug
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Bath salts
Bath salts
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Fentanyl
Fentanyl
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Methamphetamine
Methamphetamine
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Alcohol (Ethanol)
Alcohol (Ethanol)
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Al-Anon / Alateen
Al-Anon / Alateen
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Alcoholics Anonymous (AA)
Alcoholics Anonymous (AA)
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Flight (coping pattern)
Flight (coping pattern)
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Fight (coping pattern)
Fight (coping pattern)
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Perfect child (coping pattern)
Perfect child (coping pattern)
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Super coper or family savior (coping pattern)
Super coper or family savior (coping pattern)
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Early recognition and intervention
Early recognition and intervention
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Low self-esteem
Low self-esteem
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Mental health interventions
Mental health interventions
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D-TECKT (Developmental Troubleshooters Eclectic Checklist for Kids and Teenagers)
D-TECKT (Developmental Troubleshooters Eclectic Checklist for Kids and Teenagers)
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Major Depressive Disorder in Children
Major Depressive Disorder in Children
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Chronic Depression in Children
Chronic Depression in Children
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Suicide
Suicide
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Suicidal Ideations
Suicidal Ideations
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Suicidal Gestures
Suicidal Gestures
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Suicidal Attempt
Suicidal Attempt
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Substance Abuse
Substance Abuse
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Experimentation with Substances
Experimentation with Substances
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Controlled Use of Substances
Controlled Use of Substances
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Substance Abuse
Substance Abuse
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Substance Dependence
Substance Dependence
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Drug Tolerance
Drug Tolerance
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Physical Dependence on Substances
Physical Dependence on Substances
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Psychological Dependence on Substances
Psychological Dependence on Substances
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Craving for Substances
Craving for Substances
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Study Notes
Child Needing Nursing Care III: Emotional/Behavioral Conditions
-
Scope: This lesson covers providing safe, effective care for children and families facing emotional/behavioral issues. Key point: Childhood disorders differ from adult disorders in presentation and require specific treatment approaches.
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Administrative Data:
- Course: Practical Nurse (300-68C10), Version 2.0, 2023
- No prerequisites: No prior knowledge or lessons required.
- Academic Hours: 4 hours for resident; 2 hours for formal testing (test review included).
- Clearance: No security clearance or access requirements. Releaseable to students globally.
- References: Introduction to Maternity and Pediatric Nursing, 8th Ed. (2019).
- Student Assignments: Read Chapter 33 of the textbook; complete handouts and VCLASS quizzes.
- Instructor Requirements: Align with Texas Board of Nursing qualifications; records maintained by Program Director.
- Support Personnel: Registered Nurse (RN) Instructor Supervisor (Officer) ratio 1:55; 1 supervisor needed; 5 hours of support.
- Equipment: Classroom, projector, monitor, pen display, camera, instructor laptop.
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Introduction:
- Instruction Method: Lecture
- Instructor-to-Student Ratio: 1:55
- Instruction Time: 5 mins
- Media: Lecture.
- Motivator: Working with children is challenging yet rewarding; early intervention makes a large difference in their lives. Successful interventions create stronger emotional, psychological, and physical growth.
- Lead-In: Nurses need to establish rapport, observe behaviors in the psychosocial context, and collect comprehensive assessments. Establishing trust is vital for successful collaboration.
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Terminal Learning Objective: Upon completion, students will perform safe, effective nursing care for children with emotional/behavioral disorders without causing harm.
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Safety: Risk assessment (DD Form 2977) is mandatory; focus on low-risk activities like trips, falls, and ergonomic hazards.
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Environmental Considerations: Risk assessment and environmental hazard awareness required; compliance with environmental protection regulations and guidelines.
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Evaluation Method: Three arenas for evaluation: cognitive (written exams), skills (skills lab), and clinical (patient care).
Enabling Learning Objective
- Action: Perform nursing care for a child
- Conditions: In a clinical environment, given a scenario of a child experiencing different emotional or behavioral conditions
- Standards: Provide safe and effective care for a child facing emotional/behavioral conditions.
Learning Step / Activity 1: Role of Nurses and Treatment Settings
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Instruction Method: Large group discussion; time: 15 mins
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Nurse Role: Nurses are often the primary point of contact for families. Assessing parent-child relationships is critical. Understanding typical behaviors in children of different ages is essential for intervention.
- Diagnostic Resources: DSM-5 (Mental Disorders), RDC-PA, Zero to Three Diagnostic Classifications for infants and children.
- Intellectual Disability: Impaired general mental function impacts daily tasks (language, reading, communication, etc.).
- Infants/Toddlers: Focus on parent-child relations and behavior modification.
-
Treatment Settings/Types:
- Settings: Child guidance clinics—multi-disciplinary teams.
- Types: Direct/indirect interventions, individual, family, or group therapy, behavior modification, milieu therapy, family-focused approaches, emotionally safe environments
- Causes: Dysfunctional families (conflict, chaos, lack of structure, indifference) may lead to impaired trust, fear, anger, feeling out of control or negative feelings about self..
Learning Step / Activity 2: Organic Behavioral Disorders in Children
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Instruction Method: Large group discussion; time: 35 mins
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Learning objectives:
- Learning Disabilities: Impact information acquisition, retention, understanding, and organization. (Dysgraphia, dyslexia, dyscalculia)
- Suspected Causes: Perinatal issues (low birth weight, prenatal exposure, genetics, abuse)
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Autism Spectrum Disorder (ASD): Neurodevelopmental disorder marked by social/communication challenges, repetitive behaviors, and specific interests. Diagnosis may occur between 1–2 years to 18 years old.
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Obsessive-Compulsive Disorder (OCD): Repetitive thoughts (obsessions) and ritualistic behaviors (compulsions); impact on cognitive or social functioning is not apparent.
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Attention-Deficit/Hyperactivity Disorder (ADHD): Developmentally inappropriate inattention, impulsivity, and hyperactivity. Possible causes include prenatal diet and genetics.
- Symptoms: Inattention, impulsivity, hyperactivity
- Management: Family education, medication (common stimulants: Ritalin, Concerta), classroom accommodations, behavioral therapy, environmental manipulation.
- Nursing Considerations: Classroom strategies, medication management, instruction to schools and families, tutoring, and computer assistance.
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Eating disorders: (Anorexia, Bulimia); risks related to body image.
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Nursing considerations: Prevention of eating disorders, and establishing trust in the adolescent. Recognizing early warning signs such as body image issues, amenorrhea, social isolation.
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Long-term consequences: untreated eating disorders can cause gastritis, cardiac dysrhythmias, intestinal inflammation, kidney issues, and even death from electrolyte imbalances.
Learning Step / Activity 3: Environmental/Biochemical Disorders in Children
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Instruction Method: Large group discussion; time: 35 mins
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Mood Disorders (e.g., Depression): Difficulty expressing feelings, acting out, varied symptoms in children. Chronic versus temporary depression
- Symptoms: Sadness, lack of interest in activities, changes in appetite and sleep patterns, and possible suicidal thoughts.
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Suicide: Third leading cause of death in adolescents. Suicidal ideation, gestures, attempts. Risk factors: loss, family disruption, history of mental health problems, abuse.
- Risk Factors: Parental loss, family disruption, family history, abuse (physical and emotional).
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Substance Abuse: Alcoholism (gateway substance), substance abuse, drug tolerance, dependence, risk factors for developing problems.
- Alcoholism: A preventable and treatable disease; various resources are available for support and recovery(Al-Anon and Alcoholics Anonymous).
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Impact on Growth and Development: Stress, coping skills, family support.
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Effect on Siblings: Rivalry, guilt, protective coping, long-term peer relationship challenges.
Case Study: Discussion
- Patient Situation: Nine-year-old Christopher with autism facing a hospital experience.
Summary/Review
- Instruction Method: Lecture; time: 10 mins
- Review: Recap key points discussed.
Student Evaluation
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Testing Requirements: Individual Student Assessment Plan provides specific details for testing via written exams, oral exams, simulations, and/or clinical performance assessments.
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Feedback: Timely feedback on evaluations for remedial training and questions.
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