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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 factor is NOT mentioned as a predisposing factor for separation anxiety disorder?
Which factor is NOT mentioned as a predisposing factor for separation anxiety disorder?
What type of therapy is commonly used to treat separation anxiety disorder?
What type of therapy is commonly used to treat separation anxiety disorder?
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What common behavior may indicate a child is experiencing separation anxiety?
What common behavior may indicate a child is experiencing separation anxiety?
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What symptom is frequently associated with separation anxiety disorder in older children?
What symptom is frequently associated with separation anxiety disorder in older children?
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Which emotional issue is most strongly linked to family influences on separation anxiety disorder?
Which emotional issue is most strongly linked to family influences on separation anxiety disorder?
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Which of the following behaviors may occur due to separation anxiety disorder?
Which of the following behaviors may occur due to separation anxiety disorder?
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Which nursing diagnosis is related to a severe form of anxiety due to family dynamics?
Which nursing diagnosis is related to a severe form of anxiety due to family dynamics?
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Which outcome indicates that a client has successfully managed their anxiety levels?
Which outcome indicates that a client has successfully managed their anxiety levels?
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What is the primary focus of nursing care when addressing a client with ineffective coping related to separation conflicts?
What is the primary focus of nursing care when addressing a client with ineffective coping related to separation conflicts?
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In the context of intellectual developmental disorder (IDD), which aspect is crucial for diagnosis?
In the context of intellectual developmental disorder (IDD), which aspect is crucial for diagnosis?
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What age criterion is associated with the onset of intellectual developmental disorder (IDD)?
What age criterion is associated with the onset of intellectual developmental disorder (IDD)?
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Which behavior change is essential for effective treatment of anxiety regarding separation?
Which behavior change is essential for effective treatment of anxiety regarding separation?
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Which of the following is not considered a diagnostic feature of intellectual developmental disorder (IDD)?
Which of the following is not considered a diagnostic feature of intellectual developmental disorder (IDD)?
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What is a significant outcome expectation for a client struggling with impaired social interaction?
What is a significant outcome expectation for a client struggling with impaired social interaction?
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Study Notes
Separation Anxiety Disorder
- Excessive fear or anxiety concerning separation from those the individual is attached to.
- Anxiety exceeds what is expected for the person's developmental level.
- Interferes with social, academic, occupational, or other areas of functioning.
- Most commonly diagnosed at age 5-6 when children start school.
- Predisposing factors:
- Biological influences: genetics and temperament
- Environmental influences: stressful life events
- Family influences: parental overprotection, insecure parent-child attachment, and maternal depression
- Treatment: behavior therapy, family therapy, group therapy, psychopharmacology
- Nursing Assessment:
- Onset is common in preschool age, rarely in adolescence.
- Children struggle to separate from their mother or primary caregiver.
- Separation, or anticipation of separation, leads to:
- Tantrums, crying, screaming, complaints of physical problems, and clinging behaviors.
- Associated Behaviors and Symptoms:
- Reluctance or refusal to attend school (especially common in adolescence).
- 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 Diagnoses
- 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.
- Nursing Outcomes
- The client:
- Is able to maintain anxiety at a manageable level.
- Demonstrates adaptive coping strategies for dealing with anxiety when separation from attachment figure is anticipated.
- Interacts appropriately with others and spends time away from attachment figure to do so.
- The client:
- Nursing Planning and Implementation
- Care is aimed at:
- Helping the client maintain anxiety at a manageable level in the face of separation from a significant other.
- Assisting with the development of more adaptive coping strategies.
- Developing trust and demonstrating the ability to interact appropriately with others.
- Care is aimed at:
- Evaluation requires reassessment of the behaviors for which the family sought treatment.
- Both the client and family members will have to change their behavior.
Intellectual Developmental Disorder (IDD)
- Characterized by deficits in general mental abilities, reasoning, problem-solving, planning, abstract thinking, judgment, learning in both academic and from experience.
- Onset prior to age 18 years.
- Diagnostic 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 covers the key aspects of Separation Anxiety Disorder, including its symptoms, common onset age, predisposing factors, and treatment options. Learn how this condition affects children and the nursing assessment necessary for diagnosis and management.
