The Child with an Emotional or Behavioral Condition Chapter 33 Study Guide 2023/2024.

What is Gateway substances? - correct answer Gateway substances is alcohol and common household products that can be abused to achieve an altered state of consciousness. What is Milieu therapy? - correct answer Milieu therapy is physical and social environment provided for the child. What is psychosomatic? - correct answer Psychosomatic is bodily dysfunctions that seem to have an emotional or mental basis. What is suicidal gestures? - correct answer Suicidal gestures are attempt at a suicidal type action that does not result in injury. What are suicidal ideation? - correct answer Suicidal ideation are thoughts about suicide. What are the interventions that may be used in treatment of emotional or behavioral conditions? - correct answer Individual therapy, Family therapy, Group therapy, Behavior modification, Milieu therapy, Art therapy, Music therapy, Play therapy, Recreation therapy, and Bibliotherapy Creating what kind of environment is basic to all forms of therapy? - correct answer Creating an emotionally safe environment is basic to all forms of therapy. What are the 3 deviations parents might watch for in early 12-24 months development that may be red flags for a type of autistic disorder? - correct answer 1. No babbling or pointing by 12 months. 2. No two-word spontaneous phrases by 24 months. 3. Loss of social skills or language previously attained. What therapies may be used to treat the autistic child? - correct answer Treatment of autism involves providing well-structured home and school environments, behavior modification, and in some cases the use of specific drugs to deal with specific behavioral problems. Drug therapy of autism is not curative. A multidisciplinary approach to care is essential. What is the goal of therapy for a child is autistic? - correct answer The goal of therapy is to maximize ability to live independently. The is the nurse's role in treating a child who is autistic? - correct answer The nurse's role is to identify abnormal behavior as early as possible, refer for follow-up care, and monitor the side effects of prescribed medications. In obsessive compulsive disorder "OCD", what is the difference between an obsession and a compulsion? - correct answer With obsessive-compulsive disorder (OCD), a recurrent, persistent, repetitive thought invades the conscious mind (obsession), or a ritual movement or activity (not related to adapting to the environment) assumes inordinate importance (compulsion). The rituals or movements may involve touching an object, saying a certain word, or washing the hands repetitively. How does OCD differed in children versus adults? - correct answer OCD in children differs from OCD in adults in that the symptoms are not usually part of an obsessive personality. Describe the nurse's role in assessing a child with OCD? - correct answer The nurse's role is to assess normal growth and development. Prolonged ritualistic behavior past the age of 3 should be referred for follow-up care. Assessing the response to and side effects of medications used to treat OCD is an important nursing role. How might a nurse reassure parents about the potential normalcy of ritualistic behavior in a 3 year old? - correct answer Ritualistic behavior that is normal at 3 years of age is normally replaced by hobbies of collecting and special interests by 8 years of age. What are some common signs and symptoms experienced by adolescent who are depressed? - correct answer Loss of appetite, Sleep problems, Lethargy, Social withdrawal, Sudden decrease in grades. In young children: head banging, truancy, lying, and stealing may occur. The presence of which 3 factors increase the likelihood that a suicide attempt by an adolescent will be successful? - correct answer 1. Plan of action. 2. Means to carry out the plan. 3. Absence of resources for help. Manifestations of suicidal behavioral includes: - correct answer Flat affect or "fixed" facial expression, Deterioration in school performance, Isolation from friends and family, Changes in physical appearance, Giving away cherished possessions, and Talk of death The nurse must take every threat of suicide seriously. (True or False) - correct answer True. When an adolescent feels hopeless and talks about feeling useless or worthless, it is important to immediately prove him or her wrong. (True or False) - correct answer False.