NURS 3525 MENTAL HEALTH EXAM 2 AND EXAM 3 PLUS FINAL
EXAM TEST BANK REAL EXAM QUESTIONS AND CORRECT
ANSWERS|KEISER UNIVERSITY
What is adjustment disorder - ANSWER: emotional or behavioral reaction within 3
months of exposure to stressor (loss/death of loved one)
-distress affects ability to function
-reaction is out of proportion to stressor severity
When do symptoms end by with adjustment disorder - ANSWER: end by 6 months
What are the symptoms of adjustment disorder - ANSWER: -anxiety
-depression
-mixed
-regressive behaviors in children: fearful or acting out behavior
What does adjustment disorder require - ANSWER: requires support, understanding
and encouragement
-active listening, therapeutic communication skills
-assist in increasing coping skills
What category are adjustment disorders in - ANSWER: in the category of trauma,
acute stress disorder and PTSD
What are the neurodevelopmental disorders - ANSWER: -reactive attachment
disorder
-disinhibited social engagement disorder
-attention deficit hyperactivity disorder
-autism spectrum disorder
-disruptive, impulse control, conduct disorders
-motor disorder
-intellectual development disorder
What is included under disruptive, impulse control, and conduct disorders -
ANSWER: -oppositional defiant disorder
-conduct disorder
-intermittent explosive disorder
What is included under motor disorder - ANSWER: -tic and tourette's disorders
What is reactive attachment disorder - ANSWER: -a consistent pattern of inhibited,
emotionally withdrawn behavior toward adult caregivers
-a persistent social or emotional disturbance
,How is reactive attachment disorder manifested - ANSWER: -the child rarely or
minimally seeks comfort when distressed
-the child rarely or minimally responds to comfort when distressed
What may behaviors include for reactive attachment disorder - ANSWER: -
withdrawal, fear, sadness or irritability that is not readily explained
-sad and listless appearance
-not seeking comfort or showing no response when comfort is given
-failure to smile
-watching others closely but not engaging in social interaction
-falling to ask for support or assistance
-failure to reach out when picked up
-no interest in playing peekaboo or other interactive games
When does disinhibited social engagement disorder occur - ANSWER: occurs int he
first 2 years of life
What happens with disinhibited social engagement disorder - ANSWER: Child
approaches and interacts with unfamiliar adults, with two of the following:
-reduced reservation about approaching unfamiliar adult
-overly familiar and violates social/cultural boundaries
-doesn't check back with caregiver
-willing to go with unfamiliar person without reservation
Evidence of persistent pathogenic care (severe social neglect) is show by what -
ANSWER: caregiver neglects the child's basic physical and emotional needs
-repeated changes of caregiver (such as frequent changes of foster care or
institutional care) stable attachment cannot occur
What is the primary defining feature of disinhibited social engagement disorder -
ANSWER: a person's pattern of behavior that involves culturally inappropriate, overly
familiar behavior with relative strangers
-this behavior violates the ordinary social customs and boundaries of the culture
What are disinhibitions - ANSWER: the child has poor attachment to caregiver;
attachments are diffuse; as shown by indiscriminate sociability, with inability to form
appropriate selective attachments (Ex: the child is overly familiar with strangers or
lacks selectively in choosing attachment figures)
-this behaviors is not explained solely by a developmental delay or developmental
disorder
What are the goals of inpatient treatment for reactive attachment disorder and
disinhibited social engagement disorder - ANSWER: *Always include the primary
familial caregiver(s): Ensure that the child:
-experiences positive interactions with caregivers and staff
-experiences attachment through the 5 senses
-has a safe and stable living situation after discharge
, What is the standard treatment for reactive attachment disorder - ANSWER: no
standard treatment for reactive attachment disorder, but it should involve both the
child and parents or primary caregivers. Early intervention appears to improve
outcomes.
What are the inpatient treatment nursing strategies for RAD and DSED - ANSWER: -
encouraging the child's development by being nurturing, responsive and caring
-providing consistent caregivers to encourage a stable attachment for the child
-providing a positive, stimulating and interactive environment
-addressing the child's medical, safety and housing needs
-educating familial caregivers about the condition
For RAD and DSED inpatient treatment how do we address the child's medical, safety
and housing needs - ANSWER: Increase touch, talk and socialization:
-hold, hug, touch, feed, and talk to the child
-use story telling
-encourage meals with other children and familial caregivers
Why are holding, feeding and talking to infants (using their senses) an important
component of attachment development - ANSWER: because infants develop healthy
attachments to parents and primary caregivers through their 5 senses
How do children, teens and adults experience relationships - ANSWER: through
hugging, touching, story-telling, and eating together
What are some other services that may benefit the child and the family for RAD and
DSED treatment - ANSWER: -Individual and family psychological counseling
-Parenting skills classes
-Psychotherapy
-Multisensory experiences, communication, social skills, emotional awareness and
self-exploration
-Establishing rapport between child and therapist.
-Play therapy and creative arts therapy
Why would play therapy and creative arts therapy benefit the child and family for
RAD and DSED treatment - ANSWER: to create attachments they did not make in
infancy. Include the primary caregiver. Creative arts therapy uses painting, drawing,
dance, music and theatrical activities.
What DOES NOT lead to ADHD - ANSWER: sugar intake or watching too much TV
What are the risk factors for ADHD - ANSWER: -genetic
-Low birth weight, premature
-Head injuries to frontal brain: impulse and emotional control problems
-Pregnant women who smoke or drink
-Exposure to lead, PCBS or pesticides
EXAM TEST BANK REAL EXAM QUESTIONS AND CORRECT
ANSWERS|KEISER UNIVERSITY
What is adjustment disorder - ANSWER: emotional or behavioral reaction within 3
months of exposure to stressor (loss/death of loved one)
-distress affects ability to function
-reaction is out of proportion to stressor severity
When do symptoms end by with adjustment disorder - ANSWER: end by 6 months
What are the symptoms of adjustment disorder - ANSWER: -anxiety
-depression
-mixed
-regressive behaviors in children: fearful or acting out behavior
What does adjustment disorder require - ANSWER: requires support, understanding
and encouragement
-active listening, therapeutic communication skills
-assist in increasing coping skills
What category are adjustment disorders in - ANSWER: in the category of trauma,
acute stress disorder and PTSD
What are the neurodevelopmental disorders - ANSWER: -reactive attachment
disorder
-disinhibited social engagement disorder
-attention deficit hyperactivity disorder
-autism spectrum disorder
-disruptive, impulse control, conduct disorders
-motor disorder
-intellectual development disorder
What is included under disruptive, impulse control, and conduct disorders -
ANSWER: -oppositional defiant disorder
-conduct disorder
-intermittent explosive disorder
What is included under motor disorder - ANSWER: -tic and tourette's disorders
What is reactive attachment disorder - ANSWER: -a consistent pattern of inhibited,
emotionally withdrawn behavior toward adult caregivers
-a persistent social or emotional disturbance
,How is reactive attachment disorder manifested - ANSWER: -the child rarely or
minimally seeks comfort when distressed
-the child rarely or minimally responds to comfort when distressed
What may behaviors include for reactive attachment disorder - ANSWER: -
withdrawal, fear, sadness or irritability that is not readily explained
-sad and listless appearance
-not seeking comfort or showing no response when comfort is given
-failure to smile
-watching others closely but not engaging in social interaction
-falling to ask for support or assistance
-failure to reach out when picked up
-no interest in playing peekaboo or other interactive games
When does disinhibited social engagement disorder occur - ANSWER: occurs int he
first 2 years of life
What happens with disinhibited social engagement disorder - ANSWER: Child
approaches and interacts with unfamiliar adults, with two of the following:
-reduced reservation about approaching unfamiliar adult
-overly familiar and violates social/cultural boundaries
-doesn't check back with caregiver
-willing to go with unfamiliar person without reservation
Evidence of persistent pathogenic care (severe social neglect) is show by what -
ANSWER: caregiver neglects the child's basic physical and emotional needs
-repeated changes of caregiver (such as frequent changes of foster care or
institutional care) stable attachment cannot occur
What is the primary defining feature of disinhibited social engagement disorder -
ANSWER: a person's pattern of behavior that involves culturally inappropriate, overly
familiar behavior with relative strangers
-this behavior violates the ordinary social customs and boundaries of the culture
What are disinhibitions - ANSWER: the child has poor attachment to caregiver;
attachments are diffuse; as shown by indiscriminate sociability, with inability to form
appropriate selective attachments (Ex: the child is overly familiar with strangers or
lacks selectively in choosing attachment figures)
-this behaviors is not explained solely by a developmental delay or developmental
disorder
What are the goals of inpatient treatment for reactive attachment disorder and
disinhibited social engagement disorder - ANSWER: *Always include the primary
familial caregiver(s): Ensure that the child:
-experiences positive interactions with caregivers and staff
-experiences attachment through the 5 senses
-has a safe and stable living situation after discharge
, What is the standard treatment for reactive attachment disorder - ANSWER: no
standard treatment for reactive attachment disorder, but it should involve both the
child and parents or primary caregivers. Early intervention appears to improve
outcomes.
What are the inpatient treatment nursing strategies for RAD and DSED - ANSWER: -
encouraging the child's development by being nurturing, responsive and caring
-providing consistent caregivers to encourage a stable attachment for the child
-providing a positive, stimulating and interactive environment
-addressing the child's medical, safety and housing needs
-educating familial caregivers about the condition
For RAD and DSED inpatient treatment how do we address the child's medical, safety
and housing needs - ANSWER: Increase touch, talk and socialization:
-hold, hug, touch, feed, and talk to the child
-use story telling
-encourage meals with other children and familial caregivers
Why are holding, feeding and talking to infants (using their senses) an important
component of attachment development - ANSWER: because infants develop healthy
attachments to parents and primary caregivers through their 5 senses
How do children, teens and adults experience relationships - ANSWER: through
hugging, touching, story-telling, and eating together
What are some other services that may benefit the child and the family for RAD and
DSED treatment - ANSWER: -Individual and family psychological counseling
-Parenting skills classes
-Psychotherapy
-Multisensory experiences, communication, social skills, emotional awareness and
self-exploration
-Establishing rapport between child and therapist.
-Play therapy and creative arts therapy
Why would play therapy and creative arts therapy benefit the child and family for
RAD and DSED treatment - ANSWER: to create attachments they did not make in
infancy. Include the primary caregiver. Creative arts therapy uses painting, drawing,
dance, music and theatrical activities.
What DOES NOT lead to ADHD - ANSWER: sugar intake or watching too much TV
What are the risk factors for ADHD - ANSWER: -genetic
-Low birth weight, premature
-Head injuries to frontal brain: impulse and emotional control problems
-Pregnant women who smoke or drink
-Exposure to lead, PCBS or pesticides
