STUDY GUIDE FORUM

Abnormal brain development or damage at an early age can lead to neurodevelopmental disorders. Within this group of disorders, some are resolvable with appropriate and timely interventions, either pharmacological or nonpharmacological, while other disorders are chronic and need to be managed throughout the lifespan.

For this Assignment, you will develop a study guide for an assigned disorder and share it with your colleagues. In sum, these study guides will be a powerful tool in preparing for your certification exam.

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RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY LEARNING RESOURCES

  • Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site.. American Psychiatric Association Publishing.
    • Chapter 12, “Developmental Milestones”Links to an external site.
  • Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
    • Chapter 51, “Autism Spectrum Disorder”
    • Chapter 55, “ADHD and Hyperkinetic Disorder”
  • Utah State University. (n.d.). Creating study guidesLinks to an external site.. https://www.usu.edu/academic-support/test/creating_study_guidesLinks to an external site.
  • Walden University. (2020). Success strategies: Self-paced interactive tutorialsLinks to an external site.. https://academicguides.waldenu.edu/academic-skills-center/skills/tutorials/success-strategiesLinks to an external site.
  • Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
    • Chapter 13, “Child/Adolescent Neurodevelopmental Disorders”
  • Dillon, K. (2019, March 23). DSM-5 neurodevelopmental disordersLinks to an external site.. [Video]. YouTube. https://www.youtube.com/watch?v=Jx4GuyX5SgcLinks to an external site.
  • The National Center for Learning Disabilities. (2013, February 20). What is ADHD?Links to an external site. [Video]. YouTube. https://youtu.be/0Wz7LdLFJVMLinks to an external site.
  • Osmosis. (2017, October 17). Autism – causes, symptoms, diagnosis, treatment, pathologyLinks to an external site. [Video]. YouTube. https://youtu.be/x2hWVgZ8J4A
Irritability in autism Attention-deficit/hyperactivity disorder
aripiprazole
risperidone		 amphetamine IR, XR, and ER
dextroamphetamine
atomoxetineclonidine hydrocholoride ER
Dexmethylphenidate IR and XR
guanfacine hydrocholride ER
lisdexamfetamine
methylphenidate
methylphenidate hydrocholoride IR and ER, transdermal

TO PREPARE

  • Your Instructor will assign you to a specific neurodevelopmental disorder from the DSM-5-TR.
  • Research your assigned disorder using the Walden Library. Then, develop an organizational scheme for the important information about the disorder.

THE ASSIGNMENT

Create a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5-TR but also supported by at least three other scholarly resources.

Also Read:

Week 8 Assignment Controversy Associated with Dissociative Disorders

Areas of importance you should address, but are not limited to, are:

  • Signs and symptoms according to the DSM-5-TR
  • Differential diagnoses
  • Incidence
  • Development and course
  • Prognosis
  • Considerations related to culture, gender, age
  • Pharmacological treatments, including any side effects
  • Nonpharmacological treatments
  • Diagnostics and labs
  • Comorbidities
  • Legal and ethical considerations
  • Pertinent patient education considerations

BY DAY 7 OF WEEK 8

You will need to submit your Assignment to two places: the Week 8 Study Guide discussion forum as an attachment and the Week 8 Assignment submission link. Although no responses are required in the discussion forum, collegial discussion is welcome. You are encouraged to utilize your peers’ submitted guides on their assigned neurodevelopmental disorders for study.

Access the Study Guide Forum (or click the Next button).

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

  1. To submit your completed assignment, save your Assignment as WK8Assgn+last name+first initial.
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

Intellectual Disability Study Guide Example

How does DSM-5 define intellectual disability?

A deficit in intellectual and adaptive functioning of an individual (American Psychiatric Association, 2013)

What are the signs and symptoms of intellectual disability according to DSM-5? How common is intellectual disability?
¾   Limitation in spoken language – vocabulary and grammar – conceptual domain

¾   Limitation in conceptual skills such as understanding written language – social domain

¾   Dependence for activities of daily living – dressing, bathing, cooking meals, elimination – practical domain

¾   Other criteria: symptoms begin during the period of development (American Psychiatric Association, 2013)

 

 ¾   Affects one percent of the population (American Psychiatric Association, 2013)

¾   In the US, it affected about 3.5% (CDC, 2019)

¾   More common among males than females, with 1.6/1 for mild to 1.2/1 for severe cases (American Psychiatric Association, 2013)

¾   About six in every thousand cases are severe

¾   Commonly diagnosed among older children (CDC, 2019)

¾   No significant racial predilection
What are the risk factors for intellectual disability? What is the Development and course of intellectual disability
·       Can be classified as genetic or physiological

·       Genetic factors – chromosomal disorders, inborn errors of metabolism, maternal disease

·       Physiological factors can be antenatal, natal, or postnatal

·       Antenatal – toxins and alcohol

·       Natal – traumatic labor, neonatal encephalopathy 

·       Postnatal – infections (meningitis), traumatic brain injury, child abuse, hypoxic-ischemic injury, toxic metabolic syndromes, seizure disorders, demyelinating disorders, and chronic social deprivations

 

 ·       Deficient brain development leading to slow or absent neurodevelopment

·       Deficits in language and motor development are diagnosed first

·       The disease does not progress, but there is absent development of neurological and behavioral milestones

·       Diagnosis can be made as early as 2 years of age (American Psychiatric Association, 2013)

·       Lack of achievement of social and behavioral skills are seen

·       Sometimes, the risks lead to the loss of achieved milestones
Diagnostics and lab How do I evaluate further the suspected cases?
·       Clinical and mental state examinations are required

·       Standardized intelligence tests are used to assess the intelligence quotient (IQ)

·       Chromosome analysis to screen chromosomal diseases

·       Urine and blood analysis to screen comorbidities

·       Metabolic screening

 ·       Family pedigree – three generations

·       Evaluate associated medical illnesses – seizures, cerebral palsy

·       Cultural evaluation

·       Assess the home environment

·       Assess the availability of community reserves
What are the possible differential diagnoses for intellectual disability? SCAM -mnemonic What illnesses can cooccur with intellectual disability? AIDS CAB – mnemonic
·       Specific learning disorder

·       Communication disorder

·       Autism spectrum disorders

·       Major and minor neurocognitive disorders – Alzheimer’s and Down’s syndromes (Lee et al., 2021)

 

 ·       Attention deficit hyperactivity disorder

·       Impulse-control disorders

·       Depressive disorders and anxiety disorders

·       Stereotypic movement disorder

·       Cerebral palsy 

·       Autism spectrum disorders

·       Bipolar disorders
What determines the outcome of the ID? – Prognosticators Medications used?
·       Timely intervention

·       Time at diagnosis

·       Comorbidities

 ·       No approved medication for treatment

·       Aripiprazole and risperidone can be used to manage aggression (Lee et al., 2021)

·       A lifelong condition requiring early intervention
Nonpharmacological intervention used What are the culture and gender-related considerations?
·       Behavioral interventions

·       Psychoeducation

·       Basic education

·       Lie skills training 

·       Government resources

·       Training on the transition to adulthood

 ·       Screening for x-linked disorders as – common in males (American Psychiatric Association, 2013)

·       Understanding the cultural background of the patient regarding ID

·       Linguistic and ethnic background assessment
What are the legal and ethical related considerations? What should be considered during patient education?
·       Violence and aggression from the patient can lead to a legal arrest

·       Patients are more vulnerable to sexual abuse (Åker & Johnson, 2020)

·       Fair distribution of resources to patients

·       Understanding the need to incorporate the patient’s cognitive level in decision-making. 

 ·       Hearing and visual difficulties

·       Language deficits

·       Involvement of family for maximal outcomes (Patel et al., 2020)

·       Minimize restriction in learning

·       Limited learning capacity

References

Åker, T. H., & Johnson, M. S. (2020). Sexual abuse and violence against people with intellectual disability and physical impairments: Characteristics of police-investigated cases in a Norwegian national sample. Journal of Applied Research in Intellectual Disabilities: JARID, 33(2), 139–145. https://doi.org/10.1111/jar.12656

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5 (R)) (5th ed.). American Psychiatric Association Publishing.

CDC. (2019, June 6). Products – data briefs – number 291 – November 2017. Cdc.Gov. https://www.cdc.gov/nchs/products/databriefs/db291.htm

Lee, K., Cascella, M., & Marwaha, R. (2021). Intellectual Disability. StatPearls Publishing.

Patel, D. R., Cabral, M. D., Ho, A., & Merrick, J. (2020). A clinical primer on intellectual disability. Translational Pediatrics, 9(Suppl 1), S23–S35. https://doi.org/10.21037/tp.2020.02.02

Neurodevelopment Disorders Study Guide NRNP6665 Rubric

NRNP_6665_Week8_Assignment_Rubric
NRNP_6665_Week8_Assignment_Rubric
Criteria Ratings Pts

Create a study guide, in outline form with references, for your assigned disorder. Incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards.

30 to >26.0 pts

Excellent
The response is in a well-organized and detailed outline form. Informative and well-designed visual elements are incorporated…. Followed directions correctly by uploading assignment to Gradebook and submitted to the discussion forum area.

26 to >23.0 pts

Good
The response is in an organized and detailed outline form. Appropriate visual elements are incorporated…. Partially followed directions by uploading assignment to Gradebook but did not submit to the discussion forum area.

23 to >20.0 pts

Fair
The response is in outline form, with some inaccuracies or details missing. Visual elements are somewhat vague or inaccurate…. Partially followed directions by submitting to the discussion forum area but did not upload assignment to Gradebook.

20 to >0 pts

Poor
The response is unorganized, not in outline form, or is missing. Visual elements are inaccurate or missing….Did not follow directions as did not submit to discussion forum area and did not upload assignment to gradebook per late policy.
30 pts

Content areas of importance you should address, but are not limited to, are:• Signs and symptoms according to the DSM-5-TR• Differential diagnoses• Incidence• Development and course• Prognosis• Considerations related to culture, gender, age• Pharmacological treatments, including any side effects• Nonpharmacological treatments• Diagnostics and labs• Comorbidities• Legal and ethical considerations• Pertinent patient education considerations

50 to >44.0 pts

Excellent
The response thoroughly addresses all required content areas.

44 to >39.0 pts

Good
The response adequately addresses all required content areas. Minor details may be missing.

39 to >34.0 pts

Fair
The response addresses all required content areas, with some inaccuracies or vagueness. No more than one or two content areas are missing.

34 to >0 pts

Poor
The response vaguely or inaccurately addresses the required content areas. Or, three or more content areas are missing.
50 pts

upport your guide with references to the DSM-5-TR and at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines. Be sure they are current (no more than 5 years old).

10 to >8.0 pts

Excellent
The response is supported by the DSM-5 and at least three current, evidence-based resources from the literature.

8 to >7.0 pts

Good
The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.

7 to >6.0 pts

Fair
Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.

6 to >0 pts

Poor
Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.
10 pts

Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent
Uses correct grammar, spelling, and punctuation with no errors

4 to >3.5 pts

Good
Contains one or two grammar, spelling, and punctuation errors

3.5 to >3.0 pts

Fair
Contains several (three or four) grammar, spelling, and punctuation errors

3 to >0 pts

Poor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
5 pts

Written Expression and Formatting – The guide follows correct APA format for parenthetical/ narrative in-text citations and reference list.

5 to >4.0 pts

Excellent
Uses correct APA format with no errors

4 to >3.5 pts

Good
Contains one or two APA format errors

3.5 to >3.0 pts

Fair
Contains several (three or four) APA format errors

3 to >0 pts

Poor
Contains many (five or more) APA format errors
5 pts
Total Points: 100