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2 Behavior Disorders
- ADHD
- OPPOSITIONAL DISORDER
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2 PEVASIVE DEVELOPMENTAL DISORDERS
- AUTISM
- ASPERGER'S DISORDER
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When is ADHD primarily diagnosed
in childhood but may carry over into adulthood
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what are the 3 varieties of ADHD
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Predominately hyperactivimpulsive
- Predominately inattentive
- Combined type
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Who is Hyperactivity-impulsive more predominant in
Males
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Hyperactivity-impulsive is usually diagnosed by who
teacher or parent
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hyperactivity-impulsive is usually symptomatic in what age group
childhood
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what kind of behavior does hyperactivity-impulsive usually display
dusruptive behavior
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Is Hyperactivity-impulsive a family linked problem
Yes!
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Inattentive ADHD is characterized by
poor attention span, and poor task skills, doesn't appear to listen when spoken to, and they are easily distracted.
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Combined type is characterized by
inattention, hyperactivity, impulsicity,
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how long must combined ADHD symptoms be present to be diagnosed with it
6 months
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Treatment for ADHD (Counceling/Therapy)
have a positive behavior or reward system
need highly structured environment with firm, consistent limits with appropriate consequences for disruptive, unruly behavior
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Treatment for ADHD (medication)
These meds are stimulants that instead of creating them more hyperactive they do the opposite effect.
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Stimulant Meds
- Methylphenidate
- (Ritalin, Concerta)
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Nonstimulant meds
Strattera
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what is the goal of strattera
increase attention and goal directed behavior.
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what are the signs of overdose
(mild) restlessness, nervousness, insomnia
(severe) panic, hallucinations, circulatory collapse, seizures.
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what do you as a nurse want to monitor on a pt with ADHD
monitor development, height and weight, subjective/objective data, overdose
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what do you want to teach the client and the parents
to give meds in the am with breakfast and if 2nd dose is required give with lunch
Monitor for vocal and motor tics: meds need to be stopped!!
Avoid chewing time released meds(concerta)
Avoid alcohol OTC and cold or decongestant meds
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Oppositional Defiant Disorder
is a recurrent pattern of antisocial behavior
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what do oppositional defiant disorder usually display
negativity, disobedience, hostility, defiant behaviors toward authority, stubbornness, argumentativeness, limit testing, unwillingness to compromise, refusal to accept responsibility for misbehavior.
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How do Oppositional Defiant clientsusually view themselves
Not self Defiant; and see others as unreasonable
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what gender usually have Oppositional Defiant Disorder
Males; before puberty
Equal in male and females after puberty
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Autism is
an abnormal brain function affecting language, logic and reasoning ability
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Autism impairs communications how
language delay, echolalia, failure to imitate
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Autism impairs social interaction how
lack of responsiveness to and interest in others, lack of eye-to-eye contact, failure to cuddle or be comforthed lack of friendships
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