NURS 451 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE 2025/2026

NURS 451 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE 2025/2026 Terms in this set (166) more than half of all lifetime cases began before the pt was the age of: 14 in any given year, __% of children and adolescents suffer from a mental health disorder 20 common misconceptions for childhood mental health disorders: - children are simply small adults - childhood = protection from stress - what "normal" development 2/3 of all young people with mental health problems are: not getting treatment the earlier the interventions start, the: better the prognosis characteristics of the resilient child: - adaptive temperament - ability to form nurturing relationships with surrogate parents - ability to distance self from emotional chaos in parents and family - good social intelligence and problem-solving skills - can perceive long-term future familial risk factors for childhood mental health problems: - severe marital discord - low socioeconomic status - large families and overcrowding - parental criminality - maternal psychiatric disorders - foster care placement - ACEs as the number of ACEs increase, so do the following: - alcohol use disorder - cardiac problems - fetal death - financial stress - intimate partner violence - major depression - smoking - multiple sexual partners - poor academic performance - unintended pregnancies - sexual activity at a young age - STDs - suicide attempts cultural risk factors for childhood mental health problems: - culture shock - cultural conflicts - lack of cultural role models - difference in cultural expectations - presence of stressors - lack of support from dominant culture pediatric symptoms requiring assessment: - sudden/dramatic changes in personality/behavior - suicide attempt/ideation - temper tantrum accompanied by rage/physical aggression - wanting to harm others - vomiting/starvation/use of laxatives to achieve weight loss - sudden panic level anxiety or fear without precipitant - distress, worry, or sadness that interferes with daily life - impairment in concentration to the extent that the child's success in school and/or safety is compromised - repeated use of drugs/etoh suicide risk assessment in children/adolescents: - suicidal thoughts/threats/attempts - circumstances and motivation at the time of suicidal thoughts/behaviors - moods or feelings - concepts about suicide and death - experiences with suicide and death (also what they are watching online) tic disorders usually occur before: age 18 Tourette's Disorder: multiple motor tics and at least one vocal tic for more than a year characteristics of Tourette's Disorder: - familial pattern - behavioral interventions - typical onset 4-6yo meds/tx for Tourette's: - haloperidol (haldol) - pimozide (orap) - aripiprazole (abilify) - risperidone (risperdal) (off-label) - guanfacine - clonidine - botox - deep brain stimulator