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Nursing Assessment of DSED

  • The nursing assessment of DSED involves collecting subjective and objective data from the child and the caregiver and other sources such as family members, friends, neighbors, teachers, social workers, or health care providers.

  • The nursing assessment of DSED should be done in a safe, private, and comfortable environment with the child’s consent and cooperation. The nurse should use a calm, gentle, and supportive approach and avoid leading, suggestive, or judgmental questions. The nurse should also use developmentally appropriate language and tools such as dolls, drawings, or games to facilitate communication with the child.

  • The nursing assessment of DSED should include the following components:

    • History: The nurse should obtain a comprehensive history of the child’s physical, mental, emotional, social, and spiritual health and well-being; exposure to neglect or abuse or caregiver changes; current situation and concerns; coping strategies and support systems; strengths and resources.

    • Physical examination: The nurse should perform a thorough physical examination of the child’s head, neck, chest, abdomen, back, extremities, genitals, anus, and skin. The nurse should document any signs of injury trauma or infection pain or discomfort. The nurse should also assess the child’s vital signs, growth parameters, nutritional status, developmental milestones, pain level, and substance use status.

    • Laboratory tests: The nurse should order laboratory tests as indicated by the history and physical examination. Some of the common laboratory tests for DSED are complete blood count (CBC), coagulation studies, electrolytes, liver function tests (LFTs), renal function tests (RFTs), urine analysis (UA), urine toxicology screen (UTS), blood alcohol level (BAL), blood cultures, wound cultures.

    • Diagnostic tests: The nurse should order diagnostic tests as indicated by the history and physical examination. Some of the common diagnostic tests for DSED are X-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI) scans, ultrasound, electroencephalogram (EEG), electrocardiogram (EKG), and echocardiogram.

    • Psychological tests: The nurse should administer psychological tests as indicated by the history and physical examination. Some of the common psychological tests for DSED are Disinhibited Social Engagement Disorder Questionnaire (DSEDQ), Disinhibited Social Engagement Disorder Interview (DSEDI), Structured Clinical Interview for DSM-5 Disorders (SCID-5), Child Behavior Checklist (CBCL), Teacher Report Form (TRF), Youth Self-Report (YSR).

Questions on Nursing Assessment of DSED

Correct Answer is C

Explanation

Emotional withdrawal from adult caregivers is not a common manifestation of DSED. Children with DSED typically exhibit the opposite behavior, actively seeking interactions with unfamiliar adults.

Correct Answer is ["A","B","D"]

Explanation

Blood type and Rh factor are not relevant components to assess for Disinhibited Social Engagement Disorder (DSED). This information does not have a direct impact on the diagnosis or management of the disorder.

Correct Answer is B

Explanation

"I believe my child's excessive familiarity with adults is a normal phase." This statement reflects a lack of understanding about DSED, as excessive familiarity with adults is a hallmark symptom of the disorder and is not a typical developmental phase.

Correct Answer is C

Explanation

Getting anxious in social situations might be an indicator of social anxiety, but it doesn't necessarily align with DSED, which is characterized by a lack of appropriate caution and boundaries in social interactions.

Correct Answer is D

Explanation

Reporting suspected cases of neglect or abuse is crucial to ensure the child's safety. Children with DSED might engage with strangers without appropriate caution, which could expose them to potential danger. Reporting ensures that professionals can intervene to safeguard the child's well-being.

Fear of strangers is not a characteristic feature of DSED. In fact, children with DSED often lack this fear and readily engage with strangers without appropriate caution.

Poor hygiene is not typically a recognized clinical manifestation of Disinhibited Social Engagement Disorder (DSED). This choice is not directly related to the core symptoms of the disorder.

The term "emotionally withdrawn" does not accurately describe the behavior of a child with DSED. Children with DSED may seem socially engaging but lack the appropriate discrimination between familiar and unfamiliar individuals.

The child's statement, "I like talking to new people and making friends quickly," may be indicative of Disinhibited Social Engagement Disorder (DSED). Children with this disorder often show a lack of appropriate wariness around unfamiliar individuals and readily form relationships without discernmen

<p>Recommending home-based therapy for the child might be beneficial for addressing the child&#39;s disorder, but it doesn&#39;t primarily focus on their safety. While therapy can help with attachment issues, it does not directly address the potential danger the child might be exposed to if abuse or
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