Practical Nurse: Emotional/Behavioral Care

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Questions and Answers

What is a primary characteristic of how emotional and behavioral conditions present differently in children compared to adults?

Children are less likely to experience depression compared to adults.

Children often remain completely composed under stress.

Children may exhibit more physical agitation than adults. (correct)

Children typically show more verbal expressions of their feelings.

Which of the following symptoms are more commonly associated with depressed adolescents than with younger children?

Aggression and antisocial behavior (correct)

Somatic complaints

Increased playfulness

Desire for social interaction

What is a significant outcome of effective intervention and treatment for children with emotional and behavioral conditions?

It typically results in a need for extended hospitalization.

It guarantees that the child will not exhibit any further problems.

It may lead to complete recovery from their issues. (correct)

It only alleviates immediate symptoms without long-term benefits.

Which of the following is a common misconception about pediatric nursing and children’s emotional disorders?

Children experience emotional disorders similar to adults. Signup and view all the answers

What aspect of pediatric nursing differentiates the care for children and adolescents from adults?

Children's responses are based solely on developmental stages. Signup and view all the answers

What is one reason why emotional disorders in children might be overlooked compared to adults?

Children cannot articulate their feelings as effectively. Signup and view all the answers

In the context of emotional and behavioral conditions in children, what role do early life events play?

They can significantly influence the onset of some disorders. Signup and view all the answers

What instructional method is primarily outlined in the lesson plan focused on children's emotional conditions?

Combination of lectures and student assignments. Signup and view all the answers

What specific information should be elicited from Christopher’s mother during his admission to understand his needs better?

How he copes with changes in schedule and surroundings. Signup and view all the answers

What approach should the nurse take when interacting with Christopher to ease his anxiety?

Ask his permission before touching him. Signup and view all the answers

Why might Christopher's siblings resent him, according to his mother's concerns?

Christopher's care demands much of the parent's time. Signup and view all the answers

Which strategy can the nurse use to familiarize Christopher with medical equipment?

Let him handle the equipment like a blood pressure cuff. Signup and view all the answers

How should the nurse respond to Christopher’s mother's statement about her other children's feelings?

Inquire about how Christopher plays with his siblings. Signup and view all the answers

What is an important role of the nurse in a day surgery unit regarding patients like Christopher?

To customize approaches based on individual patient needs and anxieties. Signup and view all the answers

Which of the following is NOT a common concern mentioned related to Christopher's condition?

His love for playing video games. Signup and view all the answers

What types of evaluations are used in this course to assess students' competencies?

Simulated performance exercises and clinical performance assessments. Signup and view all the answers

Which of the following drugs is commonly associated with the street name 'smack'?

Heroin Signup and view all the answers

What is a potential effect of bath salts when abused?

Euphoria Signup and view all the answers

What is a characteristic of children of alcoholics due to their home environment?

Emotional neglect Signup and view all the answers

Which program is designed specifically for young people affected by someone else's drinking?

Al-Anon Signup and view all the answers

What is considered a primary factor in preventing substance abuse in children?

Positive self-image Signup and view all the answers

How are synthetic cannabinoids commonly referred to on the street?

Spice Signup and view all the answers

Which coping pattern involves a child becoming overly responsible in a dysfunctional family?

Super coper Signup and view all the answers

Which of these is NOT a common effect of alcohol abuse on children?

Increased family bonding Signup and view all the answers

What is a significant risk factor for children living in a home with alcohol abuse?

Lack of trust Signup and view all the answers

What is a potential influence on children's reaction to stressful situations like a hospital visit?

Unfamiliar surroundings Signup and view all the answers

Which of these substances is referred to as a gateway drug?

Alcohol Signup and view all the answers

What is a common behavior exhibited by children of alcoholics in response to family dynamics?

Acting out Signup and view all the answers

Which factor is vital for the treatment of children with behavioral disorders?

Understanding care from the family Signup and view all the answers

What aspect of developmental impact is influenced by the child's coping skills during a stressful event?

Emotional resilience Signup and view all the answers

Which learning disorder is primarily associated with difficulties in reading?

Dyslexia Signup and view all the answers

What is a suspected cause of autism spectrum disorders (ASD)?

Close spacing of pregnancies Signup and view all the answers

What is a common early sign of dyslexia?

Difficulties in recognizing letters Signup and view all the answers

Which of the following is NOT a component of therapeutic management for ADHD?

Physical therapy Signup and view all the answers

How is obsessive-compulsive disorder (OCD) characterized?

Ritualistic behavior and obsessive thoughts Signup and view all the answers

Which symptom is associated with impulsivity in ADHD?

Interrupting others Signup and view all the answers

What is a primary goal of managing autism spectrum disorders?

Maximizing independent living skills Signup and view all the answers

Dysgraphia primarily affects which of the following?

Spelling and writing Signup and view all the answers

What role do parents play in the management of children with learning disorders?

They are part of multidisciplinary care teams Signup and view all the answers

What aspect differentiates ADHD from learning disabilities?

Degree of inattention and impulsivity Signup and view all the answers

Which factor is linked to both dyslexia and ADHD as comorbid conditions?

Genetics Signup and view all the answers

What type of medication is commonly prescribed to children with ADHD?

Stimulants Signup and view all the answers

What is a key characteristic of ADHD seen in children?

Difficulty in concentrating Signup and view all the answers

What treatment option is focused on environment adjustments for children with ADHD?

Environmental manipulation Signup and view all the answers

What is the instructor to student ratio for this lesson?

1:55 Signup and view all the answers

Which equipment is required for instruction according to the provided details?

Camera, Digital Still: Eye-10 Wolfvision Signup and view all the answers

What should instructors do before presenting the lesson?

Identify and review the lesson plan and reference material Signup and view all the answers

What is one of the responsibilities of nurses working with children and adolescents?

Develop rapport through engagement with clients and families Signup and view all the answers

What is the terminal learning objective for students in this lesson?

Perform nursing care for a child in a clinical environment Signup and view all the answers

What type of training environment risk is noted?

Excessive electrical cords leading to tripping hazards Signup and view all the answers

Which characteristic is NOT typically associated with children experiencing major depressive disorder?

Heightened optimism and enthusiasm for school. Signup and view all the answers

Which materials are included among the instructor materials?

Emotional & Behavioral Conditions in Children Lesson Plan Signup and view all the answers

What is emphasized as a skill for nurses working with children and adolescents?

Ability to discreetly observe mood and behavior Signup and view all the answers

What is a common risk factor for suicidal behavior among adolescents?

Family history of emotional disturbance. Signup and view all the answers

Which statement about the treatment of depressed children is INCORRECT?

Medications are always the first line of treatment. Signup and view all the answers

What is NOT a component of the risk assessment during training?

Domestic situations Signup and view all the answers

Which behavior is indicative of suicidal ideation in adolescents?

Preoccupation with thoughts of suicide. Signup and view all the answers

Which classroom requirement is specified in the details provided?

Classroom with desks and chairs Signup and view all the answers

Which nursing consideration is critical for a child expressing suicidal feelings?

Ensuring constant monitoring of the child's behavior. Signup and view all the answers

What is stated about effective early intervention for children?

It can make a dramatic difference in a child's life. Signup and view all the answers

What environmental requirement is mentioned for training?

Conduct a risk assessment according to guidelines Signup and view all the answers

What is a primary characteristic of psychological dependence on a substance?

Sudden cravings and a compulsive need to use. Signup and view all the answers

What type of behavior is a 'suicidal gesture'?

An action that does not result in injury. Signup and view all the answers

Which of the following is included in the required student materials?

Emotional & Behavioral Conditions in Children PowerPoint Presentation Signup and view all the answers

Which of the following is NOT a warning sign of suicide?

Increased social engagement. Signup and view all the answers

Which statement about drug tolerance is true?

Increased doses are needed to achieve previous effects. Signup and view all the answers

Which of the following factors can contribute to the development of major depressive disorder in children?

Chronic illness or medical conditions. Signup and view all the answers

What is one of the first steps in managing a child diagnosed with depression?

Conduct a thorough assessment and refer to specialists. Signup and view all the answers

Which symptom is typically associated with substance abuse but NOT substance dependence?

Regular controlled use. Signup and view all the answers

Which type of therapy focuses on problem-solving and emotional management for depressed children?

Cognitive behavioral therapy. Signup and view all the answers

What is the primary characteristic of attention deficit hyperactivity disorder (ADHD)?

Hyperactivity Signup and view all the answers

Which nursing action is most appropriate for a parent concerned that their child will outgrow ADHD?

Inform them that ADHD is not curable but may persist Signup and view all the answers

What is one of the defining criteria for anorexia nervosa?

Failure to maintain a minimum normal weight Signup and view all the answers

Which of the following is NOT a common complication associated with bulimia?

Gastritis caused by over-exercising Signup and view all the answers

What symptom is primarily associated with anorexia nervosa?

Amenorrhea Signup and view all the answers

Which psychological characteristic is often observed in adolescents with anorexia nervosa?

Perfectionism Signup and view all the answers

Which nursing intervention is essential for managing bulimia?

Establishing trust with the adolescent Signup and view all the answers

Which finding is indicative of severe physiological effects in a patient with anorexia nervosa?

Low blood pressure and cold intolerance Signup and view all the answers

What type of therapy is commonly used in the treatment of anorexia nervosa?

Family psychotherapy and medication Signup and view all the answers

What is a major psychological factor contributing to bulimia?

Use of binge-purge as a coping mechanism for low self-esteem Signup and view all the answers

Which of the following behaviors may indicate a risk for developing an eating disorder in adolescents?

Desiring to become a model or athlete Signup and view all the answers

What is an important nursing consideration when working with children having learning disabilities?

Utilize diverse instructional techniques to meet their needs Signup and view all the answers

Which of the following symptoms is NOT typically associated with childhood depression?

Increased physical aggression Signup and view all the answers

Which of the following findings may signal the need for early recognition of anorexia nervosa?

Dissatisfaction with body image Signup and view all the answers

What is the primary focus of therapies for infants and toddlers with emotional or behavioral conditions?

Enhancing parent-child relationships and behavior modification Signup and view all the answers

Which of the following tools is specifically designed for diagnosing mental health disorders in preschool-aged children?

Research and Diagnostic Criteria – Preschool Age (RDC-PA) Signup and view all the answers

What is the best description of a dysfunctional family?

A family that struggles with conflict and inability to meet needs Signup and view all the answers

Which of the following interventions is considered a direct approach to therapy?

Confrontational interventions for addiction Signup and view all the answers

What is the minimum passing requirement for cognitive and skills evaluations?

A cumulative passing score detailed in the Individual Student Assessment Plan Signup and view all the answers

Which of the following behaviors may indicate emotional distress in children stemming from a dysfunctional family?

Finger sucking and excessive fears Signup and view all the answers

Which of the following best describes milieu therapy?

Creating a supportive physical and social environment Signup and view all the answers

What type of learning disability affects a child's ability to organize and comprehend information?

Neurodevelopmental disorder Signup and view all the answers

What does the Clinical Evaluation Tool checklist assess during patient care?

Cognitive and skills learned in training Signup and view all the answers

What is one key characteristic of behavior modification as a therapy type?

Conditioning behaviors through stimulus-response techniques Signup and view all the answers

Which type of therapy may involve parents actively participating in the treatment process?

Family therapy Signup and view all the answers

What common outcome can children from dysfunctional families experience?

Excessive fears and feelings of inadequacy Signup and view all the answers

What approach does the large group discussion method of instruction involve?

Facilitated conversation among a large audience Signup and view all the answers

What role does the nurse play in the context of diagnosing child behavioral conditions?

Assessing child-parent relations and understanding behaviors Signup and view all the answers

Study Notes

Child Needing Nursing Care III: Emotional/Behavioral Conditions

Nurse Role & Treatment Settings

Nurse's Role:
- DSM-5: The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, is a comprehensive classification system that outlines the criteria and characteristics of mental disorders. This tool is critical in providing a standardized approach for clinicians to diagnose mental health conditions.
- Diagnostic Tools: Age-appropriate diagnostic instruments, such as the Research Diagnostic Criteria for Pediatrics (RDC-PA) and the Zero to Three assessments, are specifically designed for evaluating infants and children. These tools help healthcare practitioners understand developmental milestones and potential mental health issues in younger populations.
- Intellectual Disability: This term refers to a range of cognitive deficits that manifest early in life, impacting an individual’s ability to perform daily tasks. Challenges include difficulties in communication, social interaction, and adaptive functioning, which can significantly hinder personal and academic growth.
- Infant/Toddler Therapies: Early interventions emphasize the importance of fostering healthy parent-child relationships. Therapies often incorporate behavior modification techniques such as positive reinforcement to encourage desirable behavior patterns and enhance development during these formative years.
Treatment Settings & Types:
- Settings: Proven treatment settings for children facing mental health challenges include child guidance clinics, where a multidisciplinary team—including psychiatrists, psychologists, social workers, pediatricians, and nurses—work collaboratively to monitor and address the psychological needs of these young patients.
- Therapy Types: Therapeutic approaches can be categorized into several types, such as direct interventions with the child, indirect modes involving parent education or referrals, and various formats like individual, family, or group therapy. Further, behavior modification techniques and milieu therapy play crucial roles in cultivating therapeutic environments that are emotionally safe and conducive to healing.

Learning Step 2: Common Organic Behavioral Disorders

Learning Disabilities: These disorders significantly impede an individual's ability to acquire, retain, comprehend, and organize information, both verbal and non-verbal. Specific learning disabilities, like dysgraphia (difficulty with writing), dyslexia (reading challenges), and dyscalculia (issues with math), often have multifaceted origins, including perinatal risks (e.g., low birth weight, prenatal exposure to toxins), genetic predispositions, and a history of environmental or familial abuse.
Autism Spectrum Disorder (ASD): As a complex neurodevelopmental disorder, ASD is characterized by significant challenges in social interaction and communication, alongside repetitive patterns of behavior and distinct interests. Emerging research suggests various factors contributing to its development, such as closely spaced pregnancies, advanced parental age, prematurity, and genetic influences that may combine to increase a child's susceptibility to this condition.
Obsessive-Compulsive Disorder (OCD): This disorder is typified by the occurrence of intrusive thoughts known as obsessions, often accompanying ritualistic behaviors, referred to as compulsions. In children, OCD can severely disrupt academic performance, social relations, and daily functioning, underscoring the need for early identification and management strategies.
Attention-Deficit/Hyperactivity Disorder (ADHD): Marked by patterns of profound inattention, hyperactivity, and impulsivity, ADHD can adversely impact a child's academic achievements and social interactions. Contributing factors to its development may include aspects of prenatal nutrition and genetic factors, suggesting that both biological and environmental elements play roles in its onset.
Eating Disorders:
- Anorexia: A severe psychological condition characterized by self-imposed starvation and an intense fear of gaining weight. Individuals with anorexia often exhibit low self-esteem and distorted body image perceptions, leading to drastic weight loss, alongside physical symptoms like dry skin, amenorrhea (absence of menstrual cycles), lanugo (fine hair growth), cold intolerance, and low blood pressure.
- Bulimia: This disorder involves episodes of binge eating followed by purging behaviors such as self-induced vomiting. Complications associated with bulimia can include significant dental issues like tooth enamel erosion, dangerous electrolyte imbalances, and muscle weakness, highlighting the severe health risks tied to uncontrolled eating behaviors.

Learning Step 3: Common Environmental/Biochemical Disorders

Mood Disorders (Depression): Mood disorders, particularly depression, present in various forms among children and can manifest as either temporary reactions or chronic issues. These disorders often result in prolonged behavioral changes that can disrupt a child’s functioning across multiple life areas, such as school performance, family relationships, and social activities. Symptoms typically include persistent sadness, withdrawal from social engagement, loss of interest in previously enjoyable activities, and alterations in appetite and sleep patterns.
Suicide: The act of suicide is an intentional effort to inflict self-harm with the ultimate aim of ending one's life. Various risk factors contribute to suicidal ideation and behavior in children, including parental loss, family disruptions, a history of abuse, and unrealistic expectations placed upon the child. Warning signs may feature withdrawal from social interactions, noticeable declines in academic performance, distributing belongings, or expressing thoughts about death.
Substance Abuse: This category encompasses a wide range of issues related to the use and misuse of both legal and illegal substances, including alcohol and drugs. Substance abuse often evolves through stages—initial experimentation, followed by regulated use, leading potentially to abuse and eventual dependence on these substances.
Children of Alcoholics: Children raised in households with alcohol dependence often develop distinctive coping mechanisms in response to their environment. These strategies may manifest as behaviors such as fleeing from family issues (flight), taking control in chaotic situations (fight), achieving perfection in their own lives (perfect child), or acting as the family savior, assuming responsibilities beyond their years to maintain stability.

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Description

Assess your understanding of safe and effective care for children facing emotional and behavioral conditions. This quiz emphasizes the importance of recognizing developmental differences in presenting disorders and the need for age-appropriate interventions. Be prepared to explore early intervention strategies critical for child and family support.