NUR 340- Childhood & Impulse Control
Disorders (Exam #2) Questions and
Answers
Etiology of Childhood Disorders ✅1) *Biological*
• Genetic
• Neurobiological (neurotransmitters)
2) *Psychological*
• Temperament
• Resilience
3) *Environmental*
4) *Cultural*
*Psychological* Causes (of childhood disorders) ✅born with the individual
Temperament can be: ✅easy or challenging
Resilience ✅*ability to recover from stressor*
how we "get back on our feet" after we are knocked down)→ enhances adaptability
*Environmental* Causes (of childhood disorders) ✅stability in home
*Cultural* Causes (of childhood disorders) ✅*expectations & roles of children in their
home & environment*
• Stigma of mental disorders
• Ability to seek TX
General *Assessment* (in Child & Adolescent Mental Health Nursing) ✅1. *What data
is important?*
• Ask children more direct questions (hone in):
- Why are you here?
- What happened yesterday?
- Tell me what's going on.
2. *How do I get this data?*
• Tailored interview
, • PLAY THERAPY!
3. *Mental Status Exam (MSE)*
• speech
• concentration
• thought process to observe mental status
Children are more _________ to interview. ✅difficult
General *Assessment* -- look at: ✅actual age vs. presentation
General *Interventions* (in Child & Adolescent Mental Health Nursing) ✅1) Family
therapy
2) Group therapy
3) Behavioral therapy
4) CBT
5) Disruptive Behavior Management
6) Others
7) Psychopharmacology (meds)
Family therapy ✅interview family
Group therapy ✅• Observe interactions
• Universality
*Used at Acadia:*
- kids may be more willing to talk
- provides a sense of universality (you're not alone→ people the same age are going
thru the same struggles)
Goal of CBT ✅change negative thoughts
Disruptive Behavior Management ✅Restraints may be necessary→ last resort & use
as short-term as possible
*Other Interventions* (in Child & Adolescent Mental Health Nursing) ✅• Play therapy
• Bibliotherapy (writing)
• Drawing
• Journaling
• Music
Neurodevelopmental Disorders (list) ✅1) Communication Disorders
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