PMHNP Clinical Seminar 1 Final Exam
Questions with 100% Correct Answers
Updated 2025
True or False: It is important to be mindful of your tone and
how you approach clients when discussing substance use
history and other sensitive topics.
True
True or False: The Mental Status Exam (MSE) captures the
client's state while they are in the assessment with you.
While some of the information may come from questioning,
other parts of the MSE may be completed via observation.
True
Some of the tips and insights Justin provided re: psychiatric
assessments include:
-Avoid judgement and "why" questions
-Practice mindfulness while you are seeing clients and when you
have downtime
-Be cognizant of time
-Work on documenting while assessing as that will improve
accuracy and efficiency
ADHD Diagnostic Criteria
-A persistent pattern of inattention and/or hyperactivity-impulsivity
that interferes with functioning or development, as characterized
by 1 inattention and/or 2 hyperactivity/impulsivity features and 2
hyperactivity/impulsivity features.
-S/S present before 12yo
-S/S present in 2+ settings
-S/S interfere/reduce quality of functioning
ADHD screaming tools
,-Vanderbilt rating Scale (parent/teacher)
-Adult ADHD self report scale
-18 questions just for ADHD
What are the main ADHD comorbidities?
-OCD/CD/Anxiety
-Learning/language disorders
-MDD
-Bipolar Disorder
-Emotional Dysregulation
-SI/Suicide completion
-ASD
First line Pharmacotherapy for ADHD
Stimulants
What are stimulants contraindicated in?
Kids with cardiac risks and abnormalities
Types of Stimulants
-Methylphenidate
-Dextroamphetamine
-Dextroamphetamine and amphetamine salt combos
Immediate release Methylphenidate formulations
-Ritalin
-Methylin
-Focalin
Immediate release Methylphenidate duration (Ritalin,
Methylin, Focalin)
3-4 hours
Extended release methylphenidate formulations
-Ritalin SR
-Concerta
-Metadate CD
-Metadate ER
-Ritalin LA
-Daytrana patch
-Focalin xr
-Quillivant XR (Liquid)
,-Quillichew ER (chewable)
-Aptensio XR
Extended release methylphenidate duration
8 hours
(Ritalin SR, Metadate ER, Ritalin LA, Quillichew ER)
12 hours
(Concerta, Metadate CD, Daytrana, Aptensio XR)
8-12 hours
(Focalin XR, Quillivant XR)
Dextroamphetamine Immediate Release Formulations
-Dexedrine
Dextroamphetamine immediate release duration
3-4 hours
Dextroamphetamine extended release formulations
-Dexedrine spansules
-Evekeo
-Adzenys XR (ODT)
-Vyvanse
Dextroamphetamine extended release duration
-8 hours (Dexedrine spansules)
-10 hours (Evekeo)
-10-12 hours (Adzenys XR)
-12 hours (Vyvanse)
Stimulant that has the least potential for abuse
-Vyvanse
-Long acting formulations
Dextroamphetamine/amphetamine salt combo immediate
release formulations
Adderall
Dextroamphetamine/amphetamine salt combo extended
release formulations
Adderall XR
Dextroamphetamine/amphetamine salt combo immediate
release duration
4-6 hours
, Dextroamphetamine/amphetamine salt combo extended
release duration
12 hours
Nonstimulant ADHD formulations
-Atomoxetine (Strattera)
-Clonidine (Catapres/Kapvay)
-Guanfacine (Tenex/Intuniv)
-Buproprion (Wellbutrin/SR/XL)
-Modafinil
Stimulant formulation if pt is struggling with weight gain
immediate release
Common stimulant side effects
-stomachaches, headaches, nausea
-insomnia (don't take after 4pm)
-rebound effect
-tics
-growth suppression
-irritability
-cardiac
Atomoxetine (Strattera) general info
-norepi uptake inhibitor (increases DA/NE)
-usually BID dosing
-mood stabilization
-P450 metabolized
Atomoxetine Side effects
-stomachaches*
-diminished appetite
-dizziness
-irritability
-fatigue
Clonidine (Catapres/Kapvay) general info
-alpha-agonist
-must taper off
Clonidine Side effects
Questions with 100% Correct Answers
Updated 2025
True or False: It is important to be mindful of your tone and
how you approach clients when discussing substance use
history and other sensitive topics.
True
True or False: The Mental Status Exam (MSE) captures the
client's state while they are in the assessment with you.
While some of the information may come from questioning,
other parts of the MSE may be completed via observation.
True
Some of the tips and insights Justin provided re: psychiatric
assessments include:
-Avoid judgement and "why" questions
-Practice mindfulness while you are seeing clients and when you
have downtime
-Be cognizant of time
-Work on documenting while assessing as that will improve
accuracy and efficiency
ADHD Diagnostic Criteria
-A persistent pattern of inattention and/or hyperactivity-impulsivity
that interferes with functioning or development, as characterized
by 1 inattention and/or 2 hyperactivity/impulsivity features and 2
hyperactivity/impulsivity features.
-S/S present before 12yo
-S/S present in 2+ settings
-S/S interfere/reduce quality of functioning
ADHD screaming tools
,-Vanderbilt rating Scale (parent/teacher)
-Adult ADHD self report scale
-18 questions just for ADHD
What are the main ADHD comorbidities?
-OCD/CD/Anxiety
-Learning/language disorders
-MDD
-Bipolar Disorder
-Emotional Dysregulation
-SI/Suicide completion
-ASD
First line Pharmacotherapy for ADHD
Stimulants
What are stimulants contraindicated in?
Kids with cardiac risks and abnormalities
Types of Stimulants
-Methylphenidate
-Dextroamphetamine
-Dextroamphetamine and amphetamine salt combos
Immediate release Methylphenidate formulations
-Ritalin
-Methylin
-Focalin
Immediate release Methylphenidate duration (Ritalin,
Methylin, Focalin)
3-4 hours
Extended release methylphenidate formulations
-Ritalin SR
-Concerta
-Metadate CD
-Metadate ER
-Ritalin LA
-Daytrana patch
-Focalin xr
-Quillivant XR (Liquid)
,-Quillichew ER (chewable)
-Aptensio XR
Extended release methylphenidate duration
8 hours
(Ritalin SR, Metadate ER, Ritalin LA, Quillichew ER)
12 hours
(Concerta, Metadate CD, Daytrana, Aptensio XR)
8-12 hours
(Focalin XR, Quillivant XR)
Dextroamphetamine Immediate Release Formulations
-Dexedrine
Dextroamphetamine immediate release duration
3-4 hours
Dextroamphetamine extended release formulations
-Dexedrine spansules
-Evekeo
-Adzenys XR (ODT)
-Vyvanse
Dextroamphetamine extended release duration
-8 hours (Dexedrine spansules)
-10 hours (Evekeo)
-10-12 hours (Adzenys XR)
-12 hours (Vyvanse)
Stimulant that has the least potential for abuse
-Vyvanse
-Long acting formulations
Dextroamphetamine/amphetamine salt combo immediate
release formulations
Adderall
Dextroamphetamine/amphetamine salt combo extended
release formulations
Adderall XR
Dextroamphetamine/amphetamine salt combo immediate
release duration
4-6 hours
, Dextroamphetamine/amphetamine salt combo extended
release duration
12 hours
Nonstimulant ADHD formulations
-Atomoxetine (Strattera)
-Clonidine (Catapres/Kapvay)
-Guanfacine (Tenex/Intuniv)
-Buproprion (Wellbutrin/SR/XL)
-Modafinil
Stimulant formulation if pt is struggling with weight gain
immediate release
Common stimulant side effects
-stomachaches, headaches, nausea
-insomnia (don't take after 4pm)
-rebound effect
-tics
-growth suppression
-irritability
-cardiac
Atomoxetine (Strattera) general info
-norepi uptake inhibitor (increases DA/NE)
-usually BID dosing
-mood stabilization
-P450 metabolized
Atomoxetine Side effects
-stomachaches*
-diminished appetite
-dizziness
-irritability
-fatigue
Clonidine (Catapres/Kapvay) general info
-alpha-agonist
-must taper off
Clonidine Side effects
