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NUR 205 TEST 5
NUR 205 Test 5
Question | Answer |
---|---|
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. |