Child Mental Health E4

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  1. During care of an adolescent, is it okay to include family in treatment process?
  2. Which technique is this for managing disruptive behavior?

    An agreement between patient and nurse about behaviors, expectations, and needs.
    Behavioral contract
  3. Which technique for managing disruptive behaviors is this:

    Verbal interactions, role laying, and modeling to teach, coach, or maintain adaptive behavior and provide positive reinforcement.
  4. Which technique for managing disruptive behaviors is this:

    A method of learning behaviors or skills by observation and imitation that can be used in a wide variety of situations.
  5. Which technique for managing disruptive behaviors is this:

    A technique in which the nurse, patient, or group of youngsters acts out a specified script to enhance understanding, learn, and practice new behaviors.
    Role playing
  6. Which technique for managing disruptive behaviors is this:

    When behaviors are determined by staff to be attention seeking and not dangerous, they may be dismissed. Additional interventions may be used in conjunction.
    Planned ignoring
  7. Which technique for managing disruptive behaviors is this:

    Use a word or eye contact to remind the child to use self-control. example: placing your fingers to lips and make eye contact to remind to be quiet
    Use of signals or gestures
  8. Which technique for managing disruptive behaviors is this:

    Changing an activity in a way that will decrease the stimulation or frusteration (shorten a story or change to a physical activity)
  9. Which technique for managing disruptive behaviors is this:

    Refers to a procedure in which an individual is required or expected to correct the adverse environmental or relational effects of his/her misbehavior by restoring the environment to its prior state. (apologizing, fixing chairs that were upturned)
    simple restitution
  10. The phenomenon of _____ has been used to describe the relationship between a child's inborn strengths and that child's success in handling stressful environmental factors
  11. What is the most prevalent form of child abuse in the US?
  12. What age does autism spectrum disorders usually appear?
    first 3 years of life
  13. What s/s will you see a child or infant with ASD?
    Infant and small child often stiffen when being held, do not smile or make eye contact with parent or caregiver
  14. Which of the following symptoms do autistic children often display?

    A. poor hearing and eye sight
    B. severe screaming and crying
    C. severe sleep deprivation
    D. poor communication and social interaction skills
    (this multiple choice question has been scrambled)
  15. T of F: ASD is more likely in girls (4x)
  16. What age do number of synapses peak at?
  17. Which medications an be used for ASD to reduce harmful behaviors?
    • Risperidone
    • Olanzapine
    • Quetiapine
    • Ariprazole
  18. Which class of medication can be used for mood and anxiety reduction in ASD?
    SSRIs - increases tolerance of stimuli
  19. A child who has ADHD mainly needs:

    A. a medical checkup
    B. skills to boost willpower
    C. more discipline
    (this multiple choice question has been scrambled)
  20. T or F: ADD is more frequent on girls
  21. ADHD is frequently dx with what 2 other disorders?
    • 1. oppositional defiant disorder
    • 2. conduct disorder
  22. Which coping skills will help with ADHD interventions?
    Adaptive and mature coping skills
  23. What psychostimulants are used for ADHD?
    • Methylphenadate (Ritalin) 
    • Aphetamine salts (Adderall)
  24. ADHD are best used in AM or PM? why?
    AM: d/t insomnia
  25. ADHD are evidenced by what?
    s/s of inattentiveness, hyperactivity, impulsivity
  26. The nurse is preparing to assess a child who primarily speaks Spanish but is fluent in English. Which is the appropriate method for gathering information?

    A. Obtain an interpreter who is fluent in Spanish
    B. Ask the child if he understands English.
    C. Utilize a Spanish dictionary to ask questions of the child.
    D. Begin the assessment in English.
    (this multiple choice question has been scrambled)
  27. The nurse educator is teaching a new nurse about seclusion and restraint. Order the following interventions from least (1) to most (4) restrictive:

    a. Allowing the patient to sit in the sensory room
    b. Placing the patient in physical restraints
    c. Placing the patient in a locked seclusion room
    d. Offering a PRN medication by mouth
    • a = 1
    • b = 4
    • c = 3
    • d = 2
  28. A 7-year-old male without any other diagnosed problem engages in jaw clenching and rocking back and forth. Which condition should the nurse anticipate?
    A. Attention deficit hyperactivity disorder
    B. Tourette’s disorder
    C. Stereotypic movement disorder
    D. Autism spectrum disorder
    (this multiple choice question has been scrambled)
  29. Which children with ADHD are hyperactive:

    A. boys are more likely than girls
    B. boys and girls 
    C. only boys over 12
    D. only boys 
    (this multiple choice question has been scrambled)
  30. A nurse working in a peds clinic is caring for a preschool age child who has a new dx of ADHD. 

    When teaching the parent about this disorder, which of the following statements should the nurse include in the teaching?

    A.“Below-average intellectual functioning is associated with ADHD.”
    B.“Because of this disorder, your child has an increased risk for injury.”
    C.“This disorder is characterized by argumentativeness.”
    D.“Behaviors associated with ADHD must be present prior to age 3.”
    (this multiple choice question has been scrambled)
Card Set:
Child Mental Health E4
2017-03-12 22:59:18
Psych child mental health
Psych exam 4
lecture notes
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