Question

Please help

1. A parent is concerned about their toddler’s behavior as they are acting out at school, have difficulty paying attention and are struggling to sleep at night.

a. What would you anticipate the doctor having as differential diagnoses (options for possible conditions to rule out). List at least three with brief general description (2-3 sentence description)

b. What are five possible nursing diagnoses going on with this family and patient?

Answer 1

1 a, ADHD: attention deficit hyper activity disorder it includes combination of persistent problems such as difficulty in sustaining attention, hyper activity, impulsive behavior and decreased sleep at night. these children may also struggle with low self esteem, trouble relationships and poor performance in school

ANXIETY DISORDER: it s extreme anticipation of a future concern and is more associated with muscle tension and associated behavior. anxiety disorders can cause people into try to avoid situations that trigger or worsen their symptoms school work and personal relations can be effected. the main type are general anxiety disorder, panic disorders, phobias, social anxiety disorder, seperation anxiety disorder s

SLEEP DISORDERS: poor sleep quality in children are associated with a host of problems including academic, behavioural, developmental and social difficulties, weight abnormalities and other health problems. these problems affect both the children and parents. these can be due to medical problems like obstructive sleep apnoea, abnormal sleep behaviour during sleep, sleep walking or other parasomnias like restless leg syndrome

2. defensive coping related to feelings of inadequacy and need for acceptance from others

imparied social interaction related to developmental disability (hyperactivity)

altered thought process related to personality disorders

risk for parental role conflict related to children with attention deficit

risk for delayed growth and development related to mental illness and lack of concentration