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Nur-341

Exam #4 - Children/Adolescent Psychiatric

TermDefinition
What is nature? Genetic and biologic factors
What is nurture? Experiences
When is behavior a problem? What it interferes with home, school, or interactions with peers
What is the primary sign of depression in children? Irritability
What two classes of medications are used to treat depression in children? SSRIs and TCAs
Children usually vocalize what types of complaints when they're depressed? Somatic or physical complaints
Why aren't benzodiazepines used to treat anxiety in children? Side effects interfere with memory and learning
What three classes of medications are used to treat anxiety in children? SSRIs, TCAs and BuSpar
When adolescents cannot develop relationships with peers, what can develop? Depression
What treatments of depression are used with adolescents? SSRIs and CBT
When an adolescent isn't interested in being with their friends, what is this a sign of? Depression
What is the most commonly abused substance by adolescents? Alcohol
Why are benzodiazepines not used for treating psychiatric disorders in adolescents? Addiction issues
What can pharmacotherapy in adolescence involve? SSRIs, lithium, and atypical antipsychotics
In order to be diagnosed with ADHD, what criteria must be met? Either inattention or hyperactivity/impulsivity or both for 6 months; presnts before age 12; impairment in two or more settings
What non-stimulant medication is used to treat ADHD? Atomexetine (Strattera)
Atomoxetine (Strattera) takes 1-3 weeks for full effect; this is similar to what class of medications? Antidepressants
What is the mode of action of Atomoxetine (Strattera)? Blocks reuptake of norepinephrine
What facet of a person's life is most affected by autism spectrum disorder? Socialization
What specific impairment is always present in autism spectrum disorder? Language impairment
What is involved in the treatment of autism spectrum disorder? CBT, family support, psychoeducation and atypical antipsychotics
What activities could be used by a child during expressive therapy? Dance, movement, writing, art, painting, singing
What does bibliotherapy involve? Using stories for children to learn
What is the mechanism of action for stimulant medications used to treat ADHD? Increase release and block reuptake of dopamine, norepinephrine and serotonin (amphetamines)
Before what time of the day should stimulant medications be given? 4:00 PM
What are five side effects of stimulant medications used to treat ADHD? Insomnia, appetite suppression, abdominal pain, cardiovascular effects, and potential for abuse
What drug schedule do stimulant medications belong? Schedule II - Can only get a month's supply at a time and you need ID to pick-up
Name five examples of stimulant medications used to treat ADHD Methylphenidate (Ritalin), Dexmethylphenidate (Focalin), Amphetamine (Adderall), Dextroamphetamine (Dexedrine), Lisdexamfetamine (Vyvanse)
Created by: ssbourbon