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WCU NSG 311 Exam 4 Questions And Answers 2025 Update.

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©THEBRIGHT 2025 ALL RIGHTS RESERVED 1:30PM. 1 WCU NSG 311 Exam 4 Questions And Answers 2025 Update. Factors to include in assessing mental health: Observational - Answer- General Appearance - Motor behaviors - Speech and language - Affect - Thought process - Ability to relate to the evalu...

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  • March 13, 2025
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  • NSG 311
  • NSG 311
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WCU NSG 311 Exam 4 Questions And
Answers 2025 Update.


Factors to include in assessing mental health: Observational - Answer✔- General Appearance
- Motor behaviors
- Speech and language
- Affect
- Thought process
- Ability to relate to the evaluator
- Behaviors displayed during the interview


Factors to include in assessing mental health: Interview Data - Answer✔- Interpersonal
relationships
- Self-concept and image
- Conscience or moral reasoning


What factors influence personality and mental growth potential in a child - Answer✔- genetic
makeup
- cultural background
- family environment
- socioeconomic status
- access to community resources and support


Intellectual Health Disorders - Answer✔- commonly defined based on two factors: intellectual
functioning significantly below average (an IQ of 70 to 75 or lower with onset during the

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, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 1:30PM.


developmental period) and concurrent deficits in adaptive functioning in conceptual, social, and
practical domains


Common Causes of Intellectual Disability - Answer✔- Chromosomal abnormalities such as Down
syndrome and fragile X syndrome
- Infection in utero (rubella or cytomegalic inclusion disease)
- Anoxia at birth from such causes as umbilical cord compression
- Fetal alcohol spectrum disorder
- Inherited metabolic disorders such as phenylketonuria or Tay-Sachs disease
- Head trauma, lead poisoning, or hypothyroidism
- Brain malformations such as anencephaly
- Very low birth weight
- Infections such as measles encephalitis
- Autism spectrum disorder


Common Symptoms in the Child with Autism Spectrum Disorder - Answer✔- Failure to develop
social relations
- Stereotyped behaviors such as hand gestures
- Extreme resistance to change in routine
- Abnormal responses to sensory stimuli
- Decreased sensitivity to pain
- Inappropriate or decreased emotional expressions
- Specific, limited intellectual problem-solving abilities
- Stereotyped or repetitive use of language
- Impaired ability to initiate or sustain a conversation


Autism Spectrum Disorder (ASD) - Answer✔- three main areas marked with difficulties: social
deficits, communication issues, restricted behaviors




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- Children with ASD often lack responsiveness to people around them, display gross impairment
in communication skills, and produce bizarre responses to various aspects of environment
within the FIRST 36 MONTHS
- More common in males
- About 50% also diagnosed with intellectual disability


ADHD: assessment - Answer✔- History: pregnancy, birth, ability to meet developmental
milestones, ***A TYPICAL DAY***
- Ask about activities: excessive and disorganized; repetitive; driven or compulsive
- Variability: behavior has a good and bad moment (rather than days)
- High level of impulsiveness
- "All-or-none" reaction to stimuli
- Difficulty with sequencing or relating thing to one another in time or space
- Difficulty using conjunctions or prepositions correctly; difficulty learning to read words of
more than one syllable
- No intelligence deficit


Attention Deficit Hyperactivity Disorder (ADHD) - Answer✔- Many parents recognize excessive
motor activity when the child is a toddler, although symptoms are difficult to distinguish from
normative behavior until the age of 4 years
- Preschool-aged child often presents with hyperactivity and impulsivity but as the child gets
older, inattention may become the predominant manifestation
- Slightly more common in males
- Generally do not have deficit in intelligence


ADHD Criteria for diagnosis - Answer✔- thorough initial history
- physical examination
- completion of evidence-based rating scales by individual who is familiar with the child (parent,
teacher, etc)
- Family history (more common in first-degree relatives)



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Separation anxiety in the older child: assessment - Answer✔- When separated, nausea,
vomiting or crying
- Familial history
- Temperament may be contributing factor
- unresolved internal conflicts, insecurity in the home environment, parent-induced anxious
attachment are common


Separation anxiety - Answer✔- considered a disorder when an older child shows excessive
anxiety about separation or the possibility of separation from parents (difficulty falling asleep at
night or insist on sleeping with their parents or just outside their parents' bedroom door)
- experience acute distress and perhaps frequent nightmares about separation and, when
separated, show somatic symptoms of nausea, vomiting, or crying to such a degree that it
prevents them from visiting at friends' houses, enjoying a camp experience, or actively
participating in school


Anxiety disorders - Answer✔- Children and teens with anxiety disorders experience severe and
persistent distress that interferes with their daily lives
- Anxiety disorders are associated with other major classes of disorders, including bipolar and
related disorders, depressive disorders, disruptive disorders, eating disorders, and substance
use disorders
- It is important for children and teens with anxiety disorders to receive treatment, as emerging
evidence shows that anxiety disorders may be part of a developmental progression in which
anxiety is expressed early in life, followed by depression in adulthood
- Occur slightly more frequently in girls than in boys


Risk factors for anxiety disorders - Answer✔- family history
- negative experiences
- temperament
- new social or work demands
- health conditions that may draw attention (such a physical disability)


posttraumatic stress disorder (PTSD) - Answer✔- Survived traumatic experience (maltreatment,
domestic violence, natural disaster, harrowing accident, near-fatal illness)

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