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Questions and Answers
What is the essential feature of separation anxiety disorder?
What is the essential feature of separation anxiety disorder?
At what age is separation anxiety disorder most commonly diagnosed?
At what age is separation anxiety disorder most commonly diagnosed?
Which of the following is NOT a common symptom of separation anxiety disorder?
Which of the following is NOT a common symptom of separation anxiety disorder?
What factors can predispose a child to develop separation anxiety disorder?
What factors can predispose a child to develop separation anxiety disorder?
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What behavioral therapy is often used in the treatment of separation anxiety disorder?
What behavioral therapy is often used in the treatment of separation anxiety disorder?
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Which of the following typically occurs during separation or anticipation of separation?
Which of the following typically occurs during separation or anticipation of separation?
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Separation anxiety disorder can manifest as a reluctance to attend which place, especially in adolescents?
Separation anxiety disorder can manifest as a reluctance to attend which place, especially in adolescents?
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Which of the following conditions is often associated with separation anxiety disorder?
Which of the following conditions is often associated with separation anxiety disorder?
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What is a nursing diagnosis related to anxiety in the provided context?
What is a nursing diagnosis related to anxiety in the provided context?
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Which outcome indicates effective coping strategies for the client?
Which outcome indicates effective coping strategies for the client?
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What aspect of planning/implementation focuses on client interaction?
What aspect of planning/implementation focuses on client interaction?
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What defines Intellectual Developmental Disorder (IDD)?
What defines Intellectual Developmental Disorder (IDD)?
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What is essential for diagnosing IDD?
What is essential for diagnosing IDD?
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Which of the following is a potential outcome for a client with anxiety?
Which of the following is a potential outcome for a client with anxiety?
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What is a characteristic of the nursing care plan for anxiety management?
What is a characteristic of the nursing care plan for anxiety management?
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What is necessary for the family involved in the treatment of anxiety?
What is necessary for the family involved in the treatment of anxiety?
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Study Notes
Separation Anxiety Disorder
- Separation anxiety disorder is characterized by excessive fear or anxiety related to separation from attachment figures.
- This anxiety surpasses what is expected for the individual's developmental level and interferes with various aspects of their life, including social, academic, occupational, and other areas of functioning.
- The disorder is most commonly diagnosed between the ages of 5 and 6, often coinciding with the start of school.
- Predisposing factors include genetics, temperament, stressful life events, parental overprotection, insecure parent-child attachment, and maternal depression.
- Treatment options include behavior therapy, family therapy, group therapy, and psychopharmacology.
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Nursing assessment:
- The onset of separation anxiety disorder can occur as early as preschool age, but rarely as late as adolescence.
- Children with this disorder typically have difficulty separating from their mother or the parent who assumes a maternal role.
- Separation, or even the anticipation of separation, can trigger tantrums, crying, screaming, complaints of physical problems, and clinging behaviors.
- Common associated behaviors and symptoms include reluctance or refusal to attend school, especially during adolescence.
- Younger children might "shadow," or follow around the person they fear being separated from.
- Worrying is common, as are nightmares, specific phobias, fear of sleeping away from home, etc.
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Nursing diagnosis:
- Anxiety (severe) related to family history, temperament, overattachment to parent, and negative role modeling.
- Ineffective coping related to unresolved separation conflicts and inadequate coping skills evidenced by numerous somatic complaints.
- Impaired social interaction related to reluctance to be away from an attachment figure.
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Outcomes:
- The client is able to maintain anxiety at a manageable level.
- The client demonstrates adaptive coping strategies for dealing with anxiety when separation from an attachment figure is anticipated.
- The client interacts appropriately with others and spends time away from their attachment figure to do so.
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Planning/Implementation:
- Nursing care focuses on helping the client maintain anxiety at a manageable level when separated from significant others, assisting with the development of adaptive coping strategies, and fostering trust and the ability to interact appropriately with others.
- Evaluation requires reassessment of the behaviors that prompted the family to seek treatment. Both the client and family members need to adjust their behavior.
Intellectual Developmental Disorder (IDD)
- IDD is characterized by deficits in general mental abilities, including reasoning, problem-solving, planning, abstract thinking, judgment, and learning in both academic and experiential settings.
- The onset of IDD occurs before the age of 18.
- Diagnostic features include:
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General intellectual functioning:
- Clinically assessed
- Performance on IQ tests (not diagnostic)
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Adaptive functioning (diagnostic):
- Ability to adapt to the demands of daily living and the expectations of their age and cultural group.
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General intellectual functioning:
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Description
This quiz provides an in-depth look at separation anxiety disorder, highlighting its characteristics, diagnostic age, and possible predisposing factors. Explore treatment options and nursing assessment methods for children displaying symptoms of this disorder.
