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Questions and Answers
What is a key characteristic of separation anxiety disorder?
What is a key characteristic 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 factor that predisposes a child to separation anxiety disorder?
Which of the following is NOT a factor that predisposes a child to separation anxiety disorder?
Which behavior is commonly associated with a child experiencing separation anxiety disorder?
Which behavior is commonly associated with a child experiencing separation anxiety disorder?
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Which type of therapy is NOT typically used in the treatment of separation anxiety disorder?
Which type of therapy is NOT typically used in the treatment of separation anxiety disorder?
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What common symptom may a younger child demonstrate when experiencing separation anxiety?
What common symptom may a younger child demonstrate when experiencing separation anxiety?
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Which of the following symptoms would most likely be reported by an adolescent with separation anxiety disorder?
Which of the following symptoms would most likely be reported by an adolescent with separation anxiety disorder?
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How might the onset of separation anxiety disorder manifest in young children?
How might the onset of separation anxiety disorder manifest in young children?
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What is a significant nursing diagnosis related to anxiety in clients with attachment issues?
What is a significant nursing diagnosis related to anxiety in clients with attachment issues?
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Which outcome indicates the client is effectively managing anxiety during separations?
Which outcome indicates the client is effectively managing anxiety during separations?
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What aspect of planning implements the goal of developing adaptive coping strategies?
What aspect of planning implements the goal of developing adaptive coping strategies?
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What defines the adaptive functioning aspect of an intellectual developmental disorder (IDD)?
What defines the adaptive functioning aspect of an intellectual developmental disorder (IDD)?
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What characteristic is NOT associated with the diagnosis of IDD?
What characteristic is NOT associated with the diagnosis of IDD?
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How should nursing care be primarily directed in treating separation anxiety?
How should nursing care be primarily directed in treating separation anxiety?
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What is essential for evaluating the effectiveness of treatment in clients with anxiety?
What is essential for evaluating the effectiveness of treatment in clients with anxiety?
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Which outcome reflects improved social interaction for a client with attachment issues?
Which outcome reflects improved social interaction for a client with attachment issues?
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What is the primary goal of nursing care for a client experiencing severe anxiety related to attachment issues?
What is the primary goal of nursing care for a client experiencing severe anxiety related to attachment issues?
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Which outcome would suggest that a client has successfully developed adaptive coping strategies for anxiety?
Which outcome would suggest that a client has successfully developed adaptive coping strategies for anxiety?
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What aspect must be evaluated in clients and their families to assess treatment efficacy?
What aspect must be evaluated in clients and their families to assess treatment efficacy?
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In the context of intellectual developmental disorder (IDD), which feature is essential for diagnosis?
In the context of intellectual developmental disorder (IDD), which feature is essential for diagnosis?
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What behavior might indicate a child has ineffective coping related to unresolved separation conflicts?
What behavior might indicate a child has ineffective coping related to unresolved separation conflicts?
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Which factor is least likely to be a contributing factor to impaired social interaction in a client?
Which factor is least likely to be a contributing factor to impaired social interaction in a client?
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What is a common characteristic of individuals diagnosed with an intellectual developmental disorder (IDD)?
What is a common characteristic of individuals diagnosed with an intellectual developmental disorder (IDD)?
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Which intervention is least appropriate when planning nursing care for a client with severe anxiety?
Which intervention is least appropriate when planning nursing care for a client with severe anxiety?
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Which factor is commonly associated with the development of separation anxiety disorder?
Which factor is commonly associated with the development of separation anxiety disorder?
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What behavior is indicative of separation anxiety disorder in younger children?
What behavior is indicative of separation anxiety disorder in younger children?
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What type of therapy is often utilized in the treatment of separation anxiety disorder?
What type of therapy is often utilized in the treatment of separation anxiety disorder?
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Which symptom is most likely to occur during the anticipation of separation for a child with separation anxiety disorder?
Which symptom is most likely to occur during the anticipation of separation for a child with separation anxiety disorder?
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Which of the following statements best describes a common symptom of separation anxiety disorder?
Which of the following statements best describes a common symptom of separation anxiety disorder?
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How does separation anxiety disorder typically manifest in adolescents?
How does separation anxiety disorder typically manifest in adolescents?
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What is a notable behavioral response of children experiencing separation anxiety disorder?
What is a notable behavioral response of children experiencing separation anxiety disorder?
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In terms of developmental impact, what does separation anxiety disorder primarily interfere with?
In terms of developmental impact, what does separation anxiety disorder primarily interfere with?
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What behavior is commonly seen in children suffering from separation anxiety disorder during periods of separation?
What behavior is commonly seen in children suffering from separation anxiety disorder during periods of separation?
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Which factor primarily contributes to the onset of separation anxiety disorder?
Which factor primarily contributes to the onset of separation anxiety disorder?
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How does separation anxiety disorder typically manifest in adolescents?
How does separation anxiety disorder typically manifest in adolescents?
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Which of the following symptoms could a parent observe in a younger child experiencing separation anxiety disorder?
Which of the following symptoms could a parent observe in a younger child experiencing separation anxiety disorder?
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What is a potential biological influence on the development of separation anxiety disorder?
What is a potential biological influence on the development of separation anxiety disorder?
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Which therapeutic approach is often a key component of treatment for separation anxiety disorder?
Which therapeutic approach is often a key component of treatment for separation anxiety disorder?
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What psychological response might a child exhibit at the anticipation of separation due to separation anxiety disorder?
What psychological response might a child exhibit at the anticipation of separation due to separation anxiety disorder?
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Which of the following statements accurately describes a characteristic behavior of children with separation anxiety disorder?
Which of the following statements accurately describes a characteristic behavior of children with separation anxiety disorder?
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What is a key focus of nursing care for clients with severe anxiety related to attachment issues?
What is a key focus of nursing care for clients with severe anxiety related to attachment issues?
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Which outcome best indicates that a client is developing effective coping strategies for anxiety?
Which outcome best indicates that a client is developing effective coping strategies for anxiety?
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What aspect of adaptive functioning is crucial for the diagnosis of intellectual developmental disorder (IDD)?
What aspect of adaptive functioning is crucial for the diagnosis of intellectual developmental disorder (IDD)?
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Which behavior might indicate ineffective coping related to unresolved separation conflicts?
Which behavior might indicate ineffective coping related to unresolved separation conflicts?
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What is a significant characteristic of anxiety related to family history and overattachment to a parent?
What is a significant characteristic of anxiety related to family history and overattachment to a parent?
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Which intervention is least effective when planning care for a child with severe anxiety regarding separation?
Which intervention is least effective when planning care for a child with severe anxiety regarding separation?
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In the context of nursing care for anxiety, what is emphasized for outcome evaluation?
In the context of nursing care for anxiety, what is emphasized for outcome evaluation?
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Which of the following is NOT an expected outcome of effective nursing interventions for clients with anxiety?
Which of the following is NOT an expected outcome of effective nursing interventions for clients with anxiety?
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Study Notes
Separation Anxiety Disorder
- This disorder involves excessive fear or anxiety about separating from primary attachment figures.
- The anxiety is beyond what's typical for the child's age and interferes with their everyday functioning.
- Most commonly diagnosed between ages 5-6, often coinciding with starting school.
- It can stem from biological factors like genetics and temperament.
- Environmental stressors can also contribute.
- Family influences, particularly overprotective parenting, insecure attachment, and maternal depression, can play a role.
- Treatment includes behavioral therapy, family therapy, group therapy, and medications.
Nursing Assessment for Separation Anxiety Disorder
- Onset is usually in preschool, rarely in adolescence.
- Children often struggle to separate from their mothers or primary parental figures.
- The separation anxiety can extend to fathers, siblings, or significant individuals.
- Separation anticipation often leads to tantrums, crying, physical complaints, and clinging behaviors.
- School refusal is common in teens.
- Younger children may shadow their attachment figure.
- Worrying, nightmares, and phobias are frequent.
- Fear of sleeping away from home is common.
Nursing Diagnoses for Separation Anxiety Disorder
- 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.
Nursing Outcomes for Separation Anxiety Disorder
- Maintain anxiety at a manageable level.
- Demonstrate adaptive coping strategies for dealing with anxiety when separation is anticipated.
- Interact appropriately with others and spend time away from attachment figure to do so.
Nursing Interventions for Separation Anxiety Disorder
- Help the client manage anxiety in the face of separation.
- Assist in developing more adaptive coping strategies.
- Foster trust and promote appropriate social interactions.
Intellectual Developmental Disorder (IDD)
- Characterized by limitations in general mental abilities, reasoning, problem-solving, planning, abstract thinking, judgment, and learning from both academic and life experiences.
- The onset of IDD occurs before the age of 18 years.
Diagnostic Features for IDD
- General Intellectual Functioning: Assessed through clinical evaluation and IQ testing (though IQ tests are not diagnostic).
- Adaptive Functioning: This is the key diagnostic factor. It reflects the individual's ability to adapt to everyday living demands and expectations based on their age and culture.
Separation Anxiety Disorder
- Characterized by excessive fear or anxiety concerning separation from attached individuals.
- This anxiety surpasses typical expectations for the person's age and hinders social, academic, and occupational functioning.
- Most commonly diagnosed between ages 5-6, often coinciding with starting school.
- Predisposing factors include genetics, temperament, stressful life events, parental overprotection, insecure parent-child attachment, and maternal depression.
- Treatment includes behavior therapy, family therapy, group therapy, and psychopharmacology.
Nursing Assessment
- Onset typically occurs in preschool, rarely as late as adolescence.
- Children struggle to separate from their mother or primary caregiver.
- Separation reluctance can also occur with fathers, siblings, or other significant individuals.
- Separation anticipation triggers behaviors like tantrums, crying, screaming, physical complaints, and clinging.
- Common associated behaviors include school refusal in adolescents, younger children following their attachment figure, worrying, nightmares, specific phobias, fear of sleeping away from home.
- Nursing diagnoses include anxiety (severe) related to family history, temperament, overattachment, and negative role modeling; ineffective coping linked to unresolved separation conflicts and inadequate coping skills evidenced by numerous somatic complaints; impaired social interaction stemming from reluctance to be away from the attachment figure.
Nursing Outcomes
- Clients maintain manageable anxiety levels while facing separation.
- Clients demonstrate adaptive coping strategies for handling separation anxiety.
- Clients interact appropriately with others and engage in activities away from their attachment figure.
Nursing Planning and Implementation
- Nursing care focuses on:
- Helping clients maintain anxiety at a manageable level during separation.
- Assisting in developing more adaptive coping strategies.
- Fostering trust and the ability to interact appropriately with others.
Intellectual Developmental Disorder (IDD)
- Characterized by deficits in general mental abilities, affecting reasoning, problem-solving, planning, abstract thinking, judgment, and learning (academic and experiential).
- Onset occurs before 18 years of age.
Diagnostic Features
- General intellectual functioning assessed clinically and through IQ tests (not diagnostic).
- Adaptive functioning (diagnostic) assesses the ability to adapt to daily living demands and age/cultural expectations.
Separation Anxiety Disorder
- Separation Anxiety Disorder (SAD) is characterized by excessive fear or anxiety about separation from attachment figures.
- Most commonly diagnosed between ages 5-6, often when starting school.
- Predisposing factors:
- Genetics/Temperament: These biological influences play a role in developing SAD.
- Stressful life events: Environmental events can trigger anxiety.
- Family influences: Parental overprotection, insecure attachment, and maternal depression are significant risk factors.
- Treatment includes behavioral therapy, family therapy, group therapy, and psychopharmacology.
Nursing Assessment for SAD
- Onset can occur as early as preschool age, rarely as late as adolescence.
- Child typically expresses difficulty separating from the mother or maternal-figure.
- Separation (or anticipation of it) results in tantrums, crying, screaming, physical complaints and clinging behavior.
- Common associated behaviors:
- Reluctance or refusal to attend school is common in adolescents.
- Younger children may "shadow" or follow the person they fear separation from.
- Worrying and nightmares are common.
- Specific phobias and fear of sleeping away from home can occur.
- Nursing diagnoses:
- Anxiety (severe) related to family history, temperament, overattachment, and negative role modeling.
- Ineffective coping related to unresolved separation conflicts and inadequate coping skills, evidenced by somatic complaints.
- Impaired social interaction due to reluctance to be away from the attachment figure.
- Outcomes:
- The client maintains anxiety at a manageable level.
- The client demonstrates adaptive coping strategies for dealing with separation anxiety.
- The client interacts appropriately with others and spends time away from the attachment figure.
- Nursing care aims to:
- Help the client manage anxiety during separation.
- Assist the client in developing adaptive coping strategies.
- Build trust and encourage appropriate interaction with others.
- Evaluation involves reassessing the behaviors for which the family sought treatment, requiring both the client and family members to make behavioral changes.
Intellectual Developmental Disorder (IDD)
- Characterized by deficits in general mental abilities, impacting:
- Reasoning
- Problem-solving
- Planning
- Abstract thinking
- Judgment
- Learning from both academic and experiential sources
- Onset occurs before the age of 18.
- Diagnostic features:
- General intellectual functioning: Determined through clinical assessment and performance on IQ tests (not definitive).
- Adaptive functioning: This is the primary diagnostic criterion. It assesses the individual's ability to adapt to daily living demands and age/cultural group expectations.
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Description
This quiz explores Separation Anxiety Disorder, focusing on its symptoms, diagnosis, and treatment options. It highlights the disorder's onset, typical age range, and factors influencing its development. Understanding this condition is crucial for effective nursing assessments and interventions.
