NUR 401: Final Exam: Mental Health Care of Pediatric
Clients and Families part 2Questions and Answers
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 Correct Ans-What happens with
disinhibited social engagement disorder
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 Correct Ans-Evidence of persistent pathogenic care (severe
social neglect) is show by what
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 Correct
Ans-What is the primary defining feature of disinhibited social engagement disorder
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
Correct Ans-What are disinhibitions
, NUR 401: Final Exam: Mental Health Care of Pediatric
Clients and Families part 2Questions and Answers
*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 Correct Ans-What are the goals of
inpatient treatment for reactive attachment disorder and disinhibited social engagement
disorder
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.
Correct Ans-What is the standard treatment for reactive attachment disorder
-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 Correct Ans-What are the inpatient
treatment nursing strategies for RAD and DSED
Increase touch, talk and socialization:
-hold, hug, touch, feed, and talk to the child
-use story telling
, NUR 401: Final Exam: Mental Health Care of Pediatric
Clients and Families part 2Questions and Answers
-encourage meals with other children and familial caregivers Correct Ans-For RAD and
DSED inpatient treatment how do we address the child's medical, safety and housing needs
because infants develop healthy attachments to parents and primary caregivers through their
5 senses Correct Ans-Why are holding, feeding and talking to infants (using their senses)
an important component of attachment development
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 Correct Ans-What is adjustment disorder
end by 6 months Correct Ans-When do symptoms end by with adjustment disorder
-anxiety
-depression
-mixed
-regressive behaviors in children: fearful or acting out behavior Correct Ans-What are the
symptoms of adjustment disorder
requires support, understanding and encouragement
-active listening, therapeutic communication skills
, NUR 401: Final Exam: Mental Health Care of Pediatric
Clients and Families part 2Questions and Answers
-assist in increasing coping skills Correct Ans-What does adjustment disorder require
in the category of trauma, acute stress disorder and PTSD Correct Ans-What category are
adjustment disorders in
-reactive attachment disorder
-disinhibited social engagement disorder
-attention deficit hyperactivity disorder
-autism spectrum disorder
-disruptive, impulse control, conduct disorders
-motor disorder
-intellectual development disorder Correct Ans-What are the neurodevelopmental
disorders
-oppositional defiant disorder
-conduct disorder
-intermittent explosive disorder Correct Ans-What is included under disruptive, impulse
control, and conduct disorders
-tic and tourette's disorders Correct Ans-What is included under motor disorder
-a consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers
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