PMHNP REVIEW- Disorders of children and Adolescents questions with verified solutions

List the DSM 5 Criteria for Autism Disorder - A. persistent deficits in social communication and social interactions across multiple contacts as manifested by the following: 1. Deficits in social-emotional reciprocity 2. deficits in non-verbal communicative behaviors 3. Deficits in developing, maintaining, and understanding relationship B. Restricted, repetitive patterns of behavior, interest, or activities, as manifested by at least 2: 1. stereotyped or repetitive motor movements, use or objects or speech (echolalia). 2. insistence on sameness inflexible adherence, or ritualized patterns 3. highly restricted, fixated interest 4. restricted, fixated interest that are abnormal in intensity or focus C. Symptoms present in early dev. pd. D. Cause significant impairment. E. Not better explained by ID or global dev delayer other prob. What are the biological factors of Autism? - Genetic- 50-100 fold increase in rate with 1st degree relative parental age, particularly older father environmental influences, teratogens What is the work up for ASD? - lead screening, testing for fragile X, inborn errors of metabolism, referral to genetic lab for FISH if ID identified, EEG for sz What are the intervention for ASD? - 1. prevention of self-directed violence 2. resources for Autism 3. structured and intensive skills oriented training sessions 4. family counseling to assist with coping 5. Improve- social interaction, communication, sense of self