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NUR 205 TEST 5

NUR 205 Test 5

QuestionAnswer
Abuse The wrongful use and maltreatment of another person.
Family violence Encompasses spouse battering; neglect and physical, emotional, or sexual abuse of children; elder abuse; and marital rape.
Intergenerational transmission process patterns of violence are perpetuated from one generation to the next through role modeling and social learning.
Intimate partner violence The mistreatment or misuse of one person by another in the context of an emotionally intimate relationship.
The maltreatment is generally defined as the intentional injury of a child. Child Abuse
What is the most prevalent type of maltreatment of a child? Negligence
What is Negligence Malicious or ignorant withholding of physical, emotional, or educational necessities for the child’s well-being.
What is the most prevalent form of child abuse? Negligence
Elder abuse The maltreatment of older adults by family members or others in a caregiver role. It may include physical and sexual abuse, psychological abuse, neglect, self-neglect, financial exploitation, and denial of adequate medical treatment.
True or False: The honeymoon period often occurs before the first episode of violence. FALSE Violent episode-Honeymoon phase-tension phase-violent episode
True or False: Adults who were abused a s children are more likely to abuse their own children. TRUE
What behavior would alert a school nurse or teacher to suspect sexual abuse in a 7-year old child? The child tells sexually explicit stories to peers.
Encopresis The repeated passing of feces in inappropriate place by a child that is at least 4 years of age.
Enuresis The repeated voiding of urine during the day or night in bed or in clothing by a child that is at least 5 years of age.
Echolalia Repeating the last heard sound, word or phrase.
Palilalia Repeating one's own words or sounds.
Phonologic Disorder Involves problems with articulation.
What is an option a parent can use when dealing with the tantrums of a child on the autism spectrum? Explore the use of antipsychotic medications to control tantrums.
True or False: Parents of a child with ADHD feel empowered an relieved to have specific strategies that can help them and their child be more successful. TRUE
At what age does Autism Spectrum disorder present? 18 mth to 3 yrs
What factors must a person have to be diagnosed with Tourette's Disorder? Multiple motor tics AND 1 or more vocal tics.
What are some goals in managing ADHD? Managing symptoms. Reducing hyperactivity and impulsivity. Increasing the child's attention.
What type of medications are given to manage ADHD? Stimulants: Ritalin, Adderall, Dexedrine and Cylert Antidepressants: (second choice): Stratera
True or False: Atomoxetine is a stimulant used to treat ADHD. FALSE
Which finding would a nurse most likely assess in a child with ADHD? Impulsiveness
True or False: A treatment option for ADHD includes educational interventions. TRUE
Why is it crucial for nurses to advocate for children and adolescents regarding psychiatric disorders? It is more difficult to diagnose psychiatric disorders in children and adolescents.
Why is it more difficult to diagnose psychiatric disorders in children than in adults? 1-children usually lack the abstract cognitive abilities and verbal skills to describe what is happening. 2-Children are constantly changing and developing, children are unable to tell the difference between unusual, unwanted symptoms and normal feelings and sensations. 3-Behaviors that are appropriate for a child of one developmental level, may not be appropriate for a child in a different developmental level.
Disruptive Behavior Disorders characterized by persistent patterns of behavior that involve Anger, Hostility and Aggression., toward people and property.
Oppositional defiant disorder defiant, hostile behavior towards authority figures.
What is used to treat ODD? Parental Management
Intermittent Explosive disorder Repeated episodes of impulsive, aggressive violent behavior with verbal angry outburst that usually only last for 30 minutes.
What medication are used to treat Intermittent Explosive disorder? Lithium or Depakote (used secondary if Lithium, doesn't work)
Which description is characteristic of IED? Injury to self others or property
Conduct disorders Persistent behavior that violates social norms, callous and unemotional traits, associated with reckless./risky behaviors and can be classified as mild, moderate or severe.
What would a nurse most likely top asses in a child with a Conduct disorder? Aggression towards animals.
Which steps are involved in limit-setting? State the expected behavior. Inform the client of the rule or limit . Explain the consequences if the client exceeds the limit.
What is the most important reason for the nurse who cares for children with conduct disorders to discuss feelings, fears, or frustrations with colleagues? To keep negative emotions from interfering with the ability to provide care to the clients with problems with aggression,.
The nurse is feeling frustrated because the parents refuse to implement effective parenting skills the nurse has taught for a child with ODD. What would be the best nursing action at this time? Try to remember that the parents are trying to the best of their ability to carry out the suggestions.
What is Cognition? The brain's ability to process, retain, and use information.
Neurocognitive disorders include: Delirium, major ncds, minor ncds an d dementia.
Delirium Disturbance of consciousness with changes in cognition.
Treatment for delirium: Is based on the issue identified S CAUSING THE DELIRIUM.
True or False: There is usually an identifiable cause for the development of Delirium,. TRUE
Dementia Progressive cognitive impairment, multiple cognitive deficits, and initially memory. Aphasia, Apraxia, Agnosia, and disturbances in executive functioning may be seen later.
True or False: Clients with dementia experiences changes in their level of consciousness. FALSE
When a client makes up answers to fill in memory gap is called: Confabulation
Role of caregiver Majority Women
Aphasia unable to speak
Apraxia impaired motor functions
Agnosia inability to recognize or name objects despite intact sensory abilities.
What is believed to be a risk factor specific for the development of delirium? Older age
What distinguishes delirium from dementia? Dementia has a gradual onset and is progressive in course.
Reminiscence Therapy thinking about or relating personably significant experiences
What is the most effective intervention for clients with delirium? Managing environmental stimuli.
Created by: shondell1971
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