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Questions and Answers
What is a key characteristic of separation anxiety disorder?
At what age is separation anxiety disorder most commonly diagnosed?
Which of the following is considered a predisposing factor for separation anxiety disorder?
What is a common behavior exhibited by younger children with separation anxiety disorder?
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Which intervention is NOT typically included in the treatment for separation anxiety disorder?
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What symptom is least likely to be associated with separation anxiety disorder in children?
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Which of the following is an environmental influence that may contribute to separation anxiety disorder?
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What type of attachment is often linked to the development of separation anxiety disorder?
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What is a primary goal of nursing care for a client with severe anxiety related to attachment issues?
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Which outcome indicates effective coping strategies in a client dealing with anxiety related to separation?
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How is 'Impaired social interaction' defined in a nursing diagnosis context?
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What behavior should be evaluated to assess the progress of a child with an intellectual developmental disorder (IDD)?
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Which statement correctly describes a characteristic of intellectual developmental disorder (IDD)?
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What is essential when planning care for a client with anxiety related to attachment figures?
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In the evaluation process of a client with separation anxiety, what must be reassessed?
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What forms the basis of the diagnostic features in determining intellectual developmental disorder (IDD)?
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Study Notes
Separation Anxiety Disorder
- Characterized by excessive fear or anxiety concerning separation from those to whom the individual is attached.
- Anxiety exceeds what is expected for the person’s developmental level.
- Interferes with social, academic, occupational, or other areas of functioning.
- Most commonly diagnosed between ages 5-6 years old.
- Predisposing factors may include:
- Biological influences such as genetics and temperament
- Environmental influences like stressful life events
- Family influences such as parental overprotection, insecure parent-child attachment, and maternal depression.
- Treatment options include behavioral therapy, family therapy, group therapy, and psychopharmacology.
- Nursing assessment:
- Onset may occur between preschool age and adolescence
- Child has difficulty separating from their primary caregiver or maternal-rolled parent.
- Separation (or anticipation of separation) results in tantrums, crying, screaming, complaints of physical problems, and clinging behaviors.
- Frequently associated behaviors & symptoms:
- Reluctance or refusal to attend school is especially common in adolescents.
- Younger children may shadow or follow around the person they are afraid to be separated from.
- Worrying is common.
- Nightmares may occur.
- Specific phobias are not uncommon.
- Fear of sleeping away from home is experienced.
- Nursing dx:
- Anxiety (severe) related to family history, temperament, overattachment to parent, 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 attachment figure.
- 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 attachment figure is anticipated.
- The client interacts appropriately with others and spends time away from attachment figure.
- Planning/Implementation:
- Nursing care is aimed at:
- Helping the client maintain anxiety at a manageable level in the face of separation from a significant other.
- Assisting with development of more adaptive coping strategies.
- Developing trust and demonstrating the ability to interact appropriately with others.
- Nursing care is aimed at:
- Evaluation requires reassessment of the behaviors for which the family sought treatment.
- Changes in both the client and family member behaviors are needed.
Intellectual Developmental Disorder (IDD)
- Characterized by deficits in general mental abilities, reasoning, problem solving, planning, abstract thinking, judgment, and learning from both academic and practical experiences.
- Onset prior to age 18 years.
- Dx features:
- General intellectual functioning
- Clinical assessment
- Performance on IQ tests (not diagnostic)
- Adaptive functioning (diagnostic)
- Ability to adapt to requirements of activities of daily living and the expectations of their age and cultural group.
- General intellectual functioning
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Description
This quiz explores the characteristics, predisposing factors, and treatment options for Separation Anxiety Disorder. It focuses on understanding the developmental implications and effective nursing assessments for children experiencing separation anxiety. Gain insights into both biological and environmental influences affecting this condition.
