Chapter 22 and 23: Neurodevelopmental: Autism/ADHDAutism4 core signs: Communication, socialization, repetitive, Nursing impaired verbalization, risk for injury,ADHD3 core signs : inattention, Treatment for Children:Stimulants: Ritalin, Side effects: aggressive, anorexia, insomnia Antihypertensives: Side effects: Behavior Therapy:Patient Education:Avoid caffeinated beverages Nursing Considerations:Support parents, some of the parents blame themselves Nursing Diagnosis:Related to stimulants: Risk for altered nutrition, impaired sleeping habitsDisruptive DisordersOppositional Defiant Disorder Distinguished by disobedience to authority, caregiver, parents. Characteristics Defiant, uncooperative, disobedient, hostile behavior, vindictive.Ex: Not following the hospital rules.Treatment Parents learn to ignore maladaptive behaviors.Individual therapy with behavioral focus. Reinforcement: positive (points for rewards) and negative (time out).
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Conduct Disorder: Criminals later in lifeExtreme/serious violation of the rights of others and laws. Liars, manipulative. Related to antisocial personality disorder (psychopaths: no guilt/empathy). Refuse to acknowledge fault, always blame others, poor insight.
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