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ADN 120 Exam 3 – Questions And Complete Answers
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ADN 120 Exam 3 – Questions And Complete Answers
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ADN 120 Exam 3 – Questions And Complete AnswersTrauma-informed care Correct Ans - treatment framework that involves recognizing and responding to the effects of all types of trauma. Integrating trauma-informed care into all healthcare settings can reduce the pervasive and damaging effects of trauma.
Trauma-informed competencies for undergraduate nursing education support
compassionate care for patients. The competencies include enhancing resilience in nurses as well as for patients. While the competencies were developed for undergraduate nursing education, they are foundational for graduate and specialty nursing practice.
Reactive Attachment Disorder Correct Ans - have a consistent pattern of inhibited and emotionally withdrawn behavior. The child rarely seeks comfort or responds to comfort with adult caregivers when distressed.
Disinhibited Social Engagement Disorder Correct Ans - Children with this disorder demonstrate no normal fear of strangers. They seem to be unfazed in response to separation from a primary caregiver. Younger children may allow unfamiliar people to pick them up, feed them, or play with them. These children tend to be overly friendly and are usually willing, or even eager, to go with someone they do not know.
How common are attachment disorders? How are they caused? Correct Ans - Reactive attachment disorder and disinhibited social engagement disorder are rare. The rates of these problems have been estimated at 1% of all children under the age of 5. Even in high-risk situations such as foster care or institutional settings, these conditions are fairly rare. Reactive attachment disorder only occurs in around 10% of these children, and disinhibited social engagement disorder occurs in about 20% of this population.
They are caused by a grossly inadequate nurturing environment deficient in bonding experiences with a primary caregiver by the age of 8 months. Early relationships are particularly important for healthy neural development and lifelong social connection and attachment. Disruption of this process occurs when there is a severe absence of reliable and nurturing caregivers.
Risk factors for attachment disorders Correct Ans - -institutional living
situations, -Frequently changing foster homes or experiencing shifts in primary caregivers also puts a child at risk. -Impaired parenting due to severe psychiatric problems, criminal behavior, or substance use disorders also disrupts essential bonding experiences. -Prolonged separation from caregivers or parents due to such events as extended hospitalization also puts children at risk for attachment disorders.
Treatment for attachment disorders Correct Ans - Without treatment, attachment disorders may have lifelong consequences, including lack of trust or not feeling secure in friendships and partnerships. However, children tend to be naturally resilient and, with support, can learn to develop healthy relationships. Children with attachment disorders benefit from a comprehensive psychiatric assessment. A physical assessment is essential to rule out physical causes of withdrawn or overly outgoing behavior.
Treatment always involves both the child and the caregivers in individual and family therapy. A primary goal of care is to strengthen the relationship between the child and caregiver. A safe and stable living environment is also essential to improving attachment behaviors.
Signs of PTSD in children Correct Ans - -reduction in play—play that includes aspects of the traumatic event, social withdrawal, and negative emotions such as fear, guilt, anger, horror, sadness, shame, or confusion. -Children may blame themselves for the traumatic event. -there may be a feeling of detachment or estrangement from others -diminished interest or participation in significant activities. -Often, there is irritability, aggressive or self-destructive behavior, sleep disturbances, problems concentrating, and hypervigilance.
Epidemiology of ptsd in children Correct Ans - Prevalence in ptsd is not reported in children. Adolescents have a lifetime prevalence of 5%. approximately 15% to 43% of children and teens experience trauma. Of those,
more girls than boys go on to develop PTSD—3% to 15% and 1% to 6%, respectively. Nearly 100% of children who witness their parent's murder or sexual assault will develop PTSD. Other alarming statistical relationships with PTSD are for children who are sexually abused (90%), exposed to a shooting at school (77%), and see community violence in urban settings (35%).
Comorbidity of PTSD in children Correct Ans - Children and adolescents who have suffered toxic stress and trauma often meet the criteria
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