NR606 MIDTERM CERTIFICATION
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● What ADHD symptoms are poor problem solving, trouble
completing a task, disorganization, trouble sustaining mental effort
Answer: Lack of sustained attention
●● What ADHD symptoms are excessive talking, blurting things out,
not waiting ones turn, interrupting
Answer: Impulsivity
●● What ADHD symptoms are fidgeting, leaving ones seat, running,
climbing, trouble playing quietly
Answer: Hyperactivity
●● What ADHD symptom is common in childhood
Answer: hyperactivity
●● Effects of maturation ADHD- young kids may experience
Answer: DD, bx less mature than peers
,●● Effects of maturation ADHD- teens
Answer: poor academic performance, trouble driving, trouble in social
situations, risky sexual bx, SUD
●● Effects of maturation ADHD- Adult
Answer: Issues with EF, attention, working memory, that cause issues
with day to day fnx and performance at work and in relationships
●● Dx criteria for ADHD
How many s/s
How long
How many settings
Answer: Pattern of 6 s/s that interfere with fnx/development,
6 months or longer
Present in 2 or more settings
●● How to combat anorexia with stimulant use
Answer: Take medication with breakfast to decrease anorexia or
associated weight loss
●● When patients with ADHD have co morbid MH issues, what do you
tx first
Answer: ADHD (stimulants first line)
, Treating ADHD s/s first will give a clearer picture of the comorbidities
●● Work up for starting stimulant
Answer: ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
●● What co morbidity should the PMHNP assess for before starting a
stimulant
Answer: BPD, CNS stimulant can cause psychotic or manic s/s in pt's
with no prior hx or may exacerbate bx disturbances and thought d/o in
pt's with pre-exisiting psychosis
●● Stimulants can exacerbate what comorbid dx
Answer: anxiety and SUD
●● Increased irritability or insomnia can be tx with what
Answer: low dose non stim
●● Abrupt withdrawal from stimulants can cause what
Answer: irritability and rebound s/s
●● What to do with tx for ADHD if the pt is argumentative or
oppositional
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● What ADHD symptoms are poor problem solving, trouble
completing a task, disorganization, trouble sustaining mental effort
Answer: Lack of sustained attention
●● What ADHD symptoms are excessive talking, blurting things out,
not waiting ones turn, interrupting
Answer: Impulsivity
●● What ADHD symptoms are fidgeting, leaving ones seat, running,
climbing, trouble playing quietly
Answer: Hyperactivity
●● What ADHD symptom is common in childhood
Answer: hyperactivity
●● Effects of maturation ADHD- young kids may experience
Answer: DD, bx less mature than peers
,●● Effects of maturation ADHD- teens
Answer: poor academic performance, trouble driving, trouble in social
situations, risky sexual bx, SUD
●● Effects of maturation ADHD- Adult
Answer: Issues with EF, attention, working memory, that cause issues
with day to day fnx and performance at work and in relationships
●● Dx criteria for ADHD
How many s/s
How long
How many settings
Answer: Pattern of 6 s/s that interfere with fnx/development,
6 months or longer
Present in 2 or more settings
●● How to combat anorexia with stimulant use
Answer: Take medication with breakfast to decrease anorexia or
associated weight loss
●● When patients with ADHD have co morbid MH issues, what do you
tx first
Answer: ADHD (stimulants first line)
, Treating ADHD s/s first will give a clearer picture of the comorbidities
●● Work up for starting stimulant
Answer: ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
●● What co morbidity should the PMHNP assess for before starting a
stimulant
Answer: BPD, CNS stimulant can cause psychotic or manic s/s in pt's
with no prior hx or may exacerbate bx disturbances and thought d/o in
pt's with pre-exisiting psychosis
●● Stimulants can exacerbate what comorbid dx
Answer: anxiety and SUD
●● Increased irritability or insomnia can be tx with what
Answer: low dose non stim
●● Abrupt withdrawal from stimulants can cause what
Answer: irritability and rebound s/s
●● What to do with tx for ADHD if the pt is argumentative or
oppositional
