Chapter 28: Mental Health Issues of Children and Adolescents
Terms in this set (48)
What depressive disorders can appear during childhood and adolescence?
major depressive disorder, dysthymic disorder
What anxiety disorders can manifest during childhood/adolescence?
separation anxiety disorders, panic disorder
What trauma-stressor related disorder can manifest during childhood/adolescence?
What substance abuse disorders can manifest during childhood/adolescence?
alcohol, tobacco, and cannabis disorders
What feeding and eating disorders can manifest during childhood/adolescence?
anorexia nervorsa, bulimia nervosa, and binge eating disorder
What disruptive. impulse control and conduct disorders can manifest during childhood/adolescence?
oppositional defiant disorder, disruptive mood disorder. dysregulation disorder, conduct disorder
What neurodevelopmental disorders can manifest during childhood/adolescence?
ADHD, autism spectrum disorder, intellectual developmental disorder, specific learning disorder
What other possible disorders can appear during childhood/adolescence?
bipolar and related disorders, schizophrenia spectrum and other psychotic disorders, non-suicidal injury and suicidal behavioral disorder, impulse control control disorder (ex. intermittent explosive disorder)
What is the leading cause of death for youth between the ages of 10 and 24?
What factors can delay diagnosing disorders in children?
-children may not have the ability or skill to describe what is happening.
-children demonstrate a wide variation of "normal behavior", this makes it hard to diagnose if there is a problem going on
What are characteristics of good mental health?
-ability to cope
-mastery of developmental tasks
-positive self concept
-ability to appropriately interpret reality
-ability to express oneself spontaneously, creatively
-ability to maintain relationships
What are characteristics of pathologic behaviors?
-not age appropriate
-deviate from cultural norms
-create deficits or impairments in adaptive functioning
What disorders have a genetic link or chromosomal abnormality?
schizophrenia, bipolar disorder, autism spectrum disorder, ADHD, intellectual developmental disorder
What are some risk factors for depressive disorder?
-history of depression
-physical, sexual abuse, neglect
-high risk behaviors
pg. 170 in ATI
What are expected findings of depressive disorder?
pg. 170 in ATI
What are expected findings found in anxiety disorders and trauma-and stressor related disorders?
anxiety, or stress level interfere with normal growth and development.
Child is unable to function normally at home, school etc.
What are expected findings found in separation anxiety disorder?
-excessive anxiety when a child is separated from or anticipating separation from home or parents. This can develop into a phobia.
-depression is common
-anxiety can develop after a specific stressor
-anxiety can progress to panic disorder, phobia
What are expected findings found in PTSD? (in children/adolescents)
-traumatic event occurs
-children/adolescents display anxiety, depression, phobia or conversion reactions.
-irritability, aggression, poor academic performance, somatic reports, they believe that life will be short and have difficulty sleeping
What are expected findings found in disruptive, impulse control and conduct disorders?
-problems can worsen over time
What are the anti-social behaviors that are recurrent with oppositional defiant disorder?
-defiant behaviors (especially toward authority)
-unwillingness to compromise
-refusal to accept responsibility for misbehavior
What are expected findings found in oppositional defiant disorder?
-children/adolescents do not see themselves as defiant. They view their behavior as a response to unreasonable demands and/or circumstances
-exhibit low self esteem, mood lability, low frustration threshold.
-This disorder can develop into conduct disorders
What are expected findings found in disruptive mood dysregulation disorder?
-recurrent temper outbursts that are severe and do not correlate w/ situation.
-aggression, outbursts are not appropriate for clients developmental level
-Temper outbursts are present 3 or + times per week, observable in at least two settings.
-manifestations are NOT due to bipolar disorder.
What is the age of onset for disruptive mood dysregulation disorder?
onset of this disorder is between the ages of 6 and 18.
What are expected findings found in intermittent explosive disorder?
-recurrent episodic violent and aggressive behavior w/ possibility of hurting people, property, animals.
-client is 18yrs or older
-aggressive overreaction to normal events, followed by feelings of shame and regret.
What chronic disease can intermittent explosive disorder lead to?
it can lead to hypertension or diabetes mellitus
What medications are given for ADHD?
psychostimulant drugs (methylphenidate and amphetamine salts) and non-stimulant selective norepinephrine reuptake inhibitor (atomoxetine)
What is antidepressant therapy given for?
-it is given for disruptive mood dysregulation disorder
Are medications given for oppositional defiant disorder?
meds are not generally prescribed
Selective serotonin reuptake inhibitors and antipyschotic medications are given for what disorder?
Selective serotonin reuptake inhibitors and antipsychotics medication (risperidone, olanzapine, quetiapine, aripiprazole) are given for Autism Spectrum Disorders
What medication is given for intermittent explosive disorder?
selective serotonin reuptake inhibitors (Fluoxetine), mood stabilizers (lithium) antipsychotics (clozapine and haloperidol) beta blockers
What medications are given for anxiety disorders?
no FDA approved anxiety medications for children. Selective serotonin reuptake inhibitors may be prescribed
What do medications target when dealing with PTSD?
medications are given to target the depression and ADHD that may be present with PTSD
What medications are given for Conduct disorders?
2nd and 3rd generation antipsychotic medications (risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole). Tricyclic antidepressants, anti-anxiety medications, mood stabilizers. Anti pyschotic meds are given to manage aggression
What kind of therapeutic care can the nurse recommend to the patient dealing with mental health disorders?
-Family, group, music therapy.
Cognitive-behavioral therapy is useful to change negative thoughts to positive outcomes.
-Grief and trauma intervention (GTI)
What is Grief and trauma intervention and what is it used for?
its for children, it is effective for clients who have trauma and stressor related disorder. It encourages narrative expression ex. drawing, writing, play regarding the traumatic event
What is cognitive behavioral therapy used to treat?
It is useful in clients with depressive, disruptive, impulse control and conduct disorders.
What are expected findings found in specific learning disorder?
-persistent difficulty in acquiring reading, writing, or math skills
-clients may benefit from an individualized education program
-performance is very low for clients age, level of intelligence, and educational level.
What are expected findings found in intellectual developmental disorder?
-onset of deficits and impairments during the developmental period of infancy/childhood
-deficits can be mild-severe
-intellectual deficits with reasoning, abstract thinking, academic learning, learning from prior experiences
-impaired ability to the maintain personal independence and social responsibility
What is the age of onset for conduct disorder?
-Childhood onset develops before the age of 10, w/males being more prevalent. Adolescent onset occurs after the age of 10. the ratio of males-to females is equal.
What are some manifestations of conduct disorder?
-lack of remorse
-aggression, cruelty to others
-signs of suicidal ideation
-low self esteem, irritability, temper outbursts, reckless behavior
What are the different types of ADHD?
-ADHD predominately inattentive
-ADHD predominately hyper active impulsive
-Combined type: clients exhibits both inattentive and hyperactive impulsive
What are some characteristics seen in autism spectrum disorder?
cognitive and language development are delayed. Inability to maintain eye contact, repetitive actions, strict observance of routines.
What is the age of onset of autism spectrum disorder?
present in early childhood and is more common in boys than girls
What physical difficulties are associated with autism spectrum disorder?
sensory integration dysfunction, sleep, digestive, feeding disorders, epilepsy, allergies
is evidenced by a difficulty in paying attention, listening and focusing
evidence by fidgeting, an inability to sit still, running and climbing inappropriately, difficulty with playing quietly and talking excessively.
is evidenced by difficulty waiting for turns, constantly interrupting others and acting without the consideration of consequences
What is the age of onset of ADHD?
behaviors associated with this disorder must be present prior to the age of 12 and must be present in more than one setting to be diagnosed as ADHD. This disorder puts a child at risk for injury.
YOU MIGHT ALSO LIKE...
Psychology | Sdorow, Rickabaugh, Betz
OTHER SETS BY THIS CREATOR
Medications specific to maternal/newborn nursing
OB Medication Card
Chapter 20: Somatic Symptom and Related Disorders
Chapter 19: Eating Disorders
THIS SET IS OFTEN IN FOLDERS WITH...
Family and Community Violence (ATI Ch. 32)
ATI Chapter 33 sexual assault
ATI Chapter 25 Medications for Children and Adolescents Who Have Mental Health Issues
Crisis Management ATI chapter 29