NUR 384 BEHAVIORAL HEALTH EXAM 2 STUDY
GUIDE
Developmental Norms - Answers - Typical milestones in cognition, social-emotional
skills, language, and motor skills by age.
Intellectual Disabilities (ID) - Answers - Deficits in intellectual and adaptive functioning,
onset before 18.
-Genetic, perinatal injury, environmental factors
-Delayed milestones, difficulty with prob-solving, poor adaptive functioning
-Interventions-promote independence, provide structured routine, support families,
education.
Autism Spectrum Disorder (ASD) - Answers - Social communication deficits,
restricted/repetitive behaviors, sensory sensitivities
-genetic and environmental
-repetitive motions, limited eye contact, difficulty with social interactions
-Interventions-structured environment, behavioral therapy support, fam edu,
-Meds- SSRIs for anxiety/ocd; antipsychotics (risperidone/aripiprazole) for irritability
-aggression, self-injury, anxiety, sleep probmens
Attention-deficit/hyperactivity disorder (ADHD) - Answers - Inattention, hyperactivity,
impulsivity
-genetic, neurobiologic, environmental factors
-meds-stimulants (methylphenidate, amphetamines), non-stimulants (atomoxetine)
-low frustration tolerance, academic dificulties.
Tourette's Disorder - Answers - motor and vocal tics, onset in childhood
-meds- antipsychotics (SGAs), alpha-agonists (clonidine, guanifacine)
-therapy management-behavioral therapy (habit reversal), supportive counseling.
Oppositional Defiant Disorder (ODD) - Answers - Angry/irritable mood, argumentative,
defiant behavior toward authority.
-Interventions-consistent limits, behavioral contracts, pt edu
-Cognitive-behavioral therapy, family therapy
Conduct Disorder (CD) - Answers - Aggression to people/animals, destruction of
property, deceit/theft, serious rule violations
-genetic and environmental, inconsistent discipline, trauma exposure.
-Child onset- more severe, persistent, poor prognosis
-Adolescent-onset- often situational, better prognosis
-interventions-behavior management, social skills training, family support
-meds-SGA (risperidone, aripiprazole) to manage aggression/irritability; Mood
stabilizers (lithium, valproate) to manage mood dysregulation
, Side effects- weight gain, sedation, metabolic syndrome, extrapyramidal symptoms
(EPS)
Alzheimer's Disease Stage 1 - Answers - 1.Mild-Memory lapses, difficulty with complex
tasks, misplacing items
Alzheimer's Disease Stage 2 - Answers - 2. Moderate: Increased confusion, ADLs
affected, personality changes.
Alzheimer's Disease Stage 3 - Answers - 3. Severe: Loss of speech, mobility,
continence; total dependence.
Alzheimer's RN Interventions - Answers - Safety modifications, structured routines,
caregiver support, maintain independence, infection prevention.
Alzheimer's Mental Status Exam - Answers - Assess appearance, behavior, cognition,
thought processes, mood, perception
Delirium vs Dementia - Answers - Delirium- Acute onset, fluctuating, impaired attention
span, often reversible, caused by infection, meds, or metabolic
Dementia- Gradual onset, progressive, initially normal attention span, usually
irreversible, caused by Alzheimer's, vascular, or neurodegenerative
Stages of Grief - Answers - 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
1st Stage of Grief - Answers - 1. Denial- Refusing to believe the loss that has occured,
acts as a temporary defense
2nd Stage of Grief - Answers - 2. Anger- May be directed toward self, others, or a
higher power; reflects frustration and helplessness
3rd Stage of Grief - Answers - 3. Bargaining- Attempts to negotiate for more time or a
different outcome ("If I can have just one more day..")
4th Stage of Grief - Answers - 4. Depression- Profound sadness and withdrawal as the
reality of the loss sets in.
5th Stage of Grief - Answers - 5. Acceptance- Coming to terms with the loss, finding
peace and meaning in moving forward.
DABDA - Answers - Denial, Anger, Bargaining, Depression, Acceptance
GUIDE
Developmental Norms - Answers - Typical milestones in cognition, social-emotional
skills, language, and motor skills by age.
Intellectual Disabilities (ID) - Answers - Deficits in intellectual and adaptive functioning,
onset before 18.
-Genetic, perinatal injury, environmental factors
-Delayed milestones, difficulty with prob-solving, poor adaptive functioning
-Interventions-promote independence, provide structured routine, support families,
education.
Autism Spectrum Disorder (ASD) - Answers - Social communication deficits,
restricted/repetitive behaviors, sensory sensitivities
-genetic and environmental
-repetitive motions, limited eye contact, difficulty with social interactions
-Interventions-structured environment, behavioral therapy support, fam edu,
-Meds- SSRIs for anxiety/ocd; antipsychotics (risperidone/aripiprazole) for irritability
-aggression, self-injury, anxiety, sleep probmens
Attention-deficit/hyperactivity disorder (ADHD) - Answers - Inattention, hyperactivity,
impulsivity
-genetic, neurobiologic, environmental factors
-meds-stimulants (methylphenidate, amphetamines), non-stimulants (atomoxetine)
-low frustration tolerance, academic dificulties.
Tourette's Disorder - Answers - motor and vocal tics, onset in childhood
-meds- antipsychotics (SGAs), alpha-agonists (clonidine, guanifacine)
-therapy management-behavioral therapy (habit reversal), supportive counseling.
Oppositional Defiant Disorder (ODD) - Answers - Angry/irritable mood, argumentative,
defiant behavior toward authority.
-Interventions-consistent limits, behavioral contracts, pt edu
-Cognitive-behavioral therapy, family therapy
Conduct Disorder (CD) - Answers - Aggression to people/animals, destruction of
property, deceit/theft, serious rule violations
-genetic and environmental, inconsistent discipline, trauma exposure.
-Child onset- more severe, persistent, poor prognosis
-Adolescent-onset- often situational, better prognosis
-interventions-behavior management, social skills training, family support
-meds-SGA (risperidone, aripiprazole) to manage aggression/irritability; Mood
stabilizers (lithium, valproate) to manage mood dysregulation
, Side effects- weight gain, sedation, metabolic syndrome, extrapyramidal symptoms
(EPS)
Alzheimer's Disease Stage 1 - Answers - 1.Mild-Memory lapses, difficulty with complex
tasks, misplacing items
Alzheimer's Disease Stage 2 - Answers - 2. Moderate: Increased confusion, ADLs
affected, personality changes.
Alzheimer's Disease Stage 3 - Answers - 3. Severe: Loss of speech, mobility,
continence; total dependence.
Alzheimer's RN Interventions - Answers - Safety modifications, structured routines,
caregiver support, maintain independence, infection prevention.
Alzheimer's Mental Status Exam - Answers - Assess appearance, behavior, cognition,
thought processes, mood, perception
Delirium vs Dementia - Answers - Delirium- Acute onset, fluctuating, impaired attention
span, often reversible, caused by infection, meds, or metabolic
Dementia- Gradual onset, progressive, initially normal attention span, usually
irreversible, caused by Alzheimer's, vascular, or neurodegenerative
Stages of Grief - Answers - 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
1st Stage of Grief - Answers - 1. Denial- Refusing to believe the loss that has occured,
acts as a temporary defense
2nd Stage of Grief - Answers - 2. Anger- May be directed toward self, others, or a
higher power; reflects frustration and helplessness
3rd Stage of Grief - Answers - 3. Bargaining- Attempts to negotiate for more time or a
different outcome ("If I can have just one more day..")
4th Stage of Grief - Answers - 4. Depression- Profound sadness and withdrawal as the
reality of the loss sets in.
5th Stage of Grief - Answers - 5. Acceptance- Coming to terms with the loss, finding
peace and meaning in moving forward.
DABDA - Answers - Denial, Anger, Bargaining, Depression, Acceptance
