NUR 104 Final Exam Complete Accurate
Actual Questions With Verified Answers (100%
correct verified solutions) Brandnew Version.
Graded A+
Tic Disorders and Tourette's - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--tic= sudden, rapid, recurrent, nonrhythmic,
stereotyped motor movement or vocalization
-stress exacerbates but diminished or suppressed during sleep blinking,
jerking of the neck, shrugging of the shoulders, grimacing, and
coughing are motor tics
,-
-clearing the throat, grunting, snorting, sniffing, and barking are vocal
ties
-repetitive words out of context (coprolalia= inappropriate language,
pallia= repeating words, echolalia= repeating the last word heard or
phrase)
-abnormal dopamine levels cause tics
-anti-psychotics such as risperidone and olanzapine are used
-anything that you see move is a motor tic
-anything heard or said is a vocal tic
Other Disorders - {✔✔CORRECT VERIFIED ANSWERS✔✔}--learning
-motor skills
-stereotypic movement disorder
-language, speech/sound, stuttering, and social communication
-elimination (encoparesis: feces usually at least 4 years old, enuresis:
urine- can be treated with imipramine which causes urinary retention
and at least 5 years old)
ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}--must have
inattentiveness,
overactivity, and impulsiveness (to be diagnosed)
-occurs more in boys than girls
-the key to this diagnosis is consistency in behavior
needs to be diagnosed by a pediatric neurologist or psychiatrist
,-
Onset/Clinical Course of ADHD - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--infants: fussy, temperamental, and insomnia
-toddlers: "always on the go" and "into everything" - perpetual motion
-by school age, it impairs performance with behavior- fidgets
constantly, making excessive noise, distracts easily, cannot listen, and
interrupts often
-it can cause social disruption because of behaviors
Etiology of ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}--most
likely d/t environment, prenatal influence, hereditary, and damage to
brain function/structures
-alcohol, tobacco, and lead can contribute
-decreased metabolism in the frontal lobes- attention, impulse control,
organization, and sustained goal-directed activity
-there is a link between ADHD and abnormal levels of
norepinephrine/epinephrine and serotonin (responsible for fight or
flight)
-risk factors: family members with ADHD, alcoholism, male gender,
marital discord, abuse, divorce
Treatment of ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}--it is
chronic and will require lifelong management
medications are geared towards increasing attentiveness and
, -
decreasing impulsivity; also decreases mood lability (Methylphenidate
or Ritalin, Amphetamine compound or Adderall)
-side affects include insomnia, weight loss, and loss of appetite
-give during the day to prevent insomnia
-eat a substantial breakfast and stagger snacks throughout the day to
maintain appetite and weight
-if stimulants are ineffective, Atomoxetine (Strattera) is another
optionSNRI
Home and School: ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
-consistent rewards and consequences for behavior
-consistent phrase
-time-out
-daily home report cards for positive/negative behavior
-verbal reminders or reprimand if more serious
-therapeutic play: allow kids to act out anxiety or frustrations in a safe
way
ADHD and the Nursing Process - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--assessment through seeing child or interviewing
parents
-history
-general appearance and motor behavior
Actual Questions With Verified Answers (100%
correct verified solutions) Brandnew Version.
Graded A+
Tic Disorders and Tourette's - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--tic= sudden, rapid, recurrent, nonrhythmic,
stereotyped motor movement or vocalization
-stress exacerbates but diminished or suppressed during sleep blinking,
jerking of the neck, shrugging of the shoulders, grimacing, and
coughing are motor tics
,-
-clearing the throat, grunting, snorting, sniffing, and barking are vocal
ties
-repetitive words out of context (coprolalia= inappropriate language,
pallia= repeating words, echolalia= repeating the last word heard or
phrase)
-abnormal dopamine levels cause tics
-anti-psychotics such as risperidone and olanzapine are used
-anything that you see move is a motor tic
-anything heard or said is a vocal tic
Other Disorders - {✔✔CORRECT VERIFIED ANSWERS✔✔}--learning
-motor skills
-stereotypic movement disorder
-language, speech/sound, stuttering, and social communication
-elimination (encoparesis: feces usually at least 4 years old, enuresis:
urine- can be treated with imipramine which causes urinary retention
and at least 5 years old)
ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}--must have
inattentiveness,
overactivity, and impulsiveness (to be diagnosed)
-occurs more in boys than girls
-the key to this diagnosis is consistency in behavior
needs to be diagnosed by a pediatric neurologist or psychiatrist
,-
Onset/Clinical Course of ADHD - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--infants: fussy, temperamental, and insomnia
-toddlers: "always on the go" and "into everything" - perpetual motion
-by school age, it impairs performance with behavior- fidgets
constantly, making excessive noise, distracts easily, cannot listen, and
interrupts often
-it can cause social disruption because of behaviors
Etiology of ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}--most
likely d/t environment, prenatal influence, hereditary, and damage to
brain function/structures
-alcohol, tobacco, and lead can contribute
-decreased metabolism in the frontal lobes- attention, impulse control,
organization, and sustained goal-directed activity
-there is a link between ADHD and abnormal levels of
norepinephrine/epinephrine and serotonin (responsible for fight or
flight)
-risk factors: family members with ADHD, alcoholism, male gender,
marital discord, abuse, divorce
Treatment of ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}--it is
chronic and will require lifelong management
medications are geared towards increasing attentiveness and
, -
decreasing impulsivity; also decreases mood lability (Methylphenidate
or Ritalin, Amphetamine compound or Adderall)
-side affects include insomnia, weight loss, and loss of appetite
-give during the day to prevent insomnia
-eat a substantial breakfast and stagger snacks throughout the day to
maintain appetite and weight
-if stimulants are ineffective, Atomoxetine (Strattera) is another
optionSNRI
Home and School: ADHD - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
-consistent rewards and consequences for behavior
-consistent phrase
-time-out
-daily home report cards for positive/negative behavior
-verbal reminders or reprimand if more serious
-therapeutic play: allow kids to act out anxiety or frustrations in a safe
way
ADHD and the Nursing Process - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--assessment through seeing child or interviewing
parents
-history
-general appearance and motor behavior
