Podcast
Questions and Answers
What is a likely indicator of separation anxiety disorder in children?
What is a likely indicator of separation anxiety disorder in children?
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 predisposing factor for separation anxiety disorder?
Which of the following is NOT a predisposing factor for separation anxiety disorder?
What common behavior might indicate a child has separation anxiety disorder?
What common behavior might indicate a child has separation anxiety disorder?
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Which of the following symptoms is commonly associated with separation anxiety disorder?
Which of the following symptoms is commonly associated with separation anxiety disorder?
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What type of therapy might be beneficial for treating separation anxiety disorder?
What type of therapy might be beneficial for treating separation anxiety disorder?
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In younger children, what behavior often indicates separation anxiety?
In younger children, what behavior often indicates separation anxiety?
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What is one of the physical symptoms that may result from separation anxiety in children?
What is one of the physical symptoms that may result from separation anxiety in children?
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What behavior might a teenager with separation anxiety disorder show?
What behavior might a teenager with separation anxiety disorder show?
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What emotional response is most likely to occur during separations in children with this disorder?
What emotional response is most likely to occur during separations in children with this disorder?
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What is a key nursing diagnosis for a client with severe anxiety?
What is a key nursing diagnosis for a client with severe anxiety?
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Which of the following is NOT an outcome for the client?
Which of the following is NOT an outcome for the client?
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What should nursing care primarily focus on for clients experiencing anxiety?
What should nursing care primarily focus on for clients experiencing anxiety?
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Which statement about intellectual developmental disorder (IDD) is true?
Which statement about intellectual developmental disorder (IDD) is true?
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What aspect is essential for determining the diagnosis of IDD?
What aspect is essential for determining the diagnosis of IDD?
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What behavior may indicate ineffective coping in a client?
What behavior may indicate ineffective coping in a client?
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Which outcome indicates successful intervention for impaired social interaction?
Which outcome indicates successful intervention for impaired social interaction?
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What is necessary for effective evaluation of nursing interventions?
What is necessary for effective evaluation of nursing interventions?
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What is a common emotional response related to separation from an attachment figure?
What is a common emotional response related to separation from an attachment figure?
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In what way might a client with unresolved separation conflicts exhibit behavior?
In what way might a client with unresolved separation conflicts exhibit behavior?
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Study Notes
Separation Anxiety Disorder
- Excessive fear or anxiety concerning separation from attached individuals.
- Anxiety exceeds developmental level and interferes with functioning.
- Most commonly diagnosed at age 5-6, often when starting school.
- Predisposing factors include genetics, temperament, stressful life events, parental overprotection, insecure attachment, and maternal depression.
- Treatment includes behavioral therapy, family therapy, group therapy, and psychopharmacology.
Nursing Assessment
- Onset often in preschool age, rarely in adolescence.
- Difficulty separating from mother or maternal-role parent.
- Separation (or anticipation) leads to tantrums, crying, screaming, physical complaints, and clinging behavior.
- Common associated behaviors include school refusal in adolescents, "shadowing" in younger children, worrying, nightmares, specific phobias, and fear of sleeping away from home.
Nursing Diagnoses
- 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 somatic complaints.
- Impaired Social Interaction related to reluctance to be away from attachment figure.
Nursing Outcomes
- Maintain anxiety at a manageable level.
- Demonstrate adaptive coping strategies for dealing with anxiety during separation.
- Interact appropriately with others and spend time away from attachment figure.
Nursing Interventions
- Help the client maintain anxiety at a manageable level.
- Assist in developing adaptive coping strategies.
- Promote trust and the ability to interact appropriately with others.
Evaluation
- Reassess behaviors for which the family sought treatment.
- Both the client and family members will need to change their behaviors.
Intellectual Developmental Disorder (IDD)
- Characterized by deficits in general mental abilities, reasoning, problem-solving, planning, abstract thinking, judgment, and learning from both academic and experiential contexts.
- Onset before age 18 years.
Diagnosing IDD
- General intellectual functioning is assessed through clinical assessment and IQ testing (not diagnostic).
- Adaptive functioning (diagnostic) is based on the individual's ability to adapt to the requirements of daily living and age and cultural group expectations.
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Description
This quiz covers key concepts related to Separation Anxiety Disorder, including symptoms, causes, and treatments. It explores nursing assessments and diagnoses pertinent to this condition, particularly in children. Gain a deeper understanding of this disorder and its impact on developmental functioning.