NR 606 FINAL EXAM – DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC-MENTAL HEALTH II PRACTICUM
COMPREHENSIVE QUESTIONS & CORRECT ANSWERS
LATEST STUDY GUIDE (2026) CHAMBERLAIN
1. Which statement is correct regarding the epidemiology of ADHD?
A) ADHD affects approximately 9.4 percent of U.S. children and is more
common in males
B) ADHD is more common in females
C) ADHD affects less than 1 percent of children
D) ADHD only affects adults
Correct Answer: A) ADHD affects approximately 9.4 percent of U.S.
children and is more common in males
Rationale: ADHD is one of the most common neuropsychiatric disorders in
children, affecting about 9.4 percent of U.S. children. It is more frequently
diagnosed in males than females with a ratio of about 2 to 1. ADHD is
characterized by persistent inattention and/or hyperactivity-impulsivity that
interferes with functioning.
2. Which medication is a methylphenidate formulation with
combined immediate and delayed release?
A) Focalin
B) Concerta
C) Dexedrine
D) Adderall
Correct Answer: B) Concerta
,Rationale: Concerta is a long-acting methylphenidate formulation that
combines immediate and delayed release in one medication. Focalin is
dexmethylphenidate, Dexedrine is dextroamphetamine, and Adderall is
mixed amphetamine salts. Concerta provides prolonged symptom control.
3. Which ADHD medication is applied as a transdermal patch in the
morning and removed after 9 hours?
A) Concerta
B) Ritalin LA
C) Daytrana
D) Focalin XR
Correct Answer: C) Daytrana
Rationale: Daytrana is a methylphenidate transdermal patch applied in the
morning and removed after 9 hours. It provides flexibility in duration of
medication effect. Concerta, Ritalin LA, and Focalin XR are oral
formulations. The patch is useful for children who cannot swallow pills.
4. Which CNS stimulant adverse effect may occur in clients with no
prior history?
A) Constipation
B) Hypotension
C) Nephrotoxicity
D) Psychotic or manic symptoms
,Correct Answer: D) Psychotic or manic symptoms
Rationale: CNS stimulants may cause psychotic or manic symptoms even
in clients without prior history. They may also worsen behavior disturbance
and thought disorder in clients with pre-existing psychosis. Monitoring for
these symptoms is essential during stimulant therapy.
5. According to DSM-5-TR, ADHD symptoms must be present in which context?
A) Only at home
B) Only at school
C) Only in one setting
D) In more than one setting
Correct Answer: A? Wait Q5 should A per cycle. Need correct A. Put "In
more than one setting" as A. Good.
6. Which scale assesses both ADHD and oppositional defiant
disorder symptoms?
A) ADHD Rating Scale
B) SNAP scale
C) PHQ-9
D) GAD-7
Correct Answer: B) SNAP scale
, Rationale: The Swanson, Nolan, and Pelham scale assesses both ADHD
and oppositional defiant disorder symptoms. It has a full version with 90
items and a short version with 26 items. The ADHD Rating Scale assesses
ADHD symptom severity. PHQ-9 and GAD-7 screen depression and
anxiety.
7. Which medication is more potent than Ritalin and is available in
immediate and extended release?
A) Concerta
B) Daytrana
C) Dexmethylphenidate
D) Methylphenidate only
Correct Answer: C) Dexmethylphenidate
Rationale: Dexmethylphenidate, or Focalin, is more potent than racemic
methylphenidate. It is available in immediate and extended release
formulations. It may have a higher risk of adverse effects. Dosing is
approximately half that of racemic methylphenidate.
8. Which medication is FDA-approved as adjunctive therapy for
major depressive disorder?
A) Risperidone
B) Haloperidol
C) Olanzapine only
D) Aripiprazole
Correct Answer: D) Aripiprazole
PSYCHIATRIC-MENTAL HEALTH II PRACTICUM
COMPREHENSIVE QUESTIONS & CORRECT ANSWERS
LATEST STUDY GUIDE (2026) CHAMBERLAIN
1. Which statement is correct regarding the epidemiology of ADHD?
A) ADHD affects approximately 9.4 percent of U.S. children and is more
common in males
B) ADHD is more common in females
C) ADHD affects less than 1 percent of children
D) ADHD only affects adults
Correct Answer: A) ADHD affects approximately 9.4 percent of U.S.
children and is more common in males
Rationale: ADHD is one of the most common neuropsychiatric disorders in
children, affecting about 9.4 percent of U.S. children. It is more frequently
diagnosed in males than females with a ratio of about 2 to 1. ADHD is
characterized by persistent inattention and/or hyperactivity-impulsivity that
interferes with functioning.
2. Which medication is a methylphenidate formulation with
combined immediate and delayed release?
A) Focalin
B) Concerta
C) Dexedrine
D) Adderall
Correct Answer: B) Concerta
,Rationale: Concerta is a long-acting methylphenidate formulation that
combines immediate and delayed release in one medication. Focalin is
dexmethylphenidate, Dexedrine is dextroamphetamine, and Adderall is
mixed amphetamine salts. Concerta provides prolonged symptom control.
3. Which ADHD medication is applied as a transdermal patch in the
morning and removed after 9 hours?
A) Concerta
B) Ritalin LA
C) Daytrana
D) Focalin XR
Correct Answer: C) Daytrana
Rationale: Daytrana is a methylphenidate transdermal patch applied in the
morning and removed after 9 hours. It provides flexibility in duration of
medication effect. Concerta, Ritalin LA, and Focalin XR are oral
formulations. The patch is useful for children who cannot swallow pills.
4. Which CNS stimulant adverse effect may occur in clients with no
prior history?
A) Constipation
B) Hypotension
C) Nephrotoxicity
D) Psychotic or manic symptoms
,Correct Answer: D) Psychotic or manic symptoms
Rationale: CNS stimulants may cause psychotic or manic symptoms even
in clients without prior history. They may also worsen behavior disturbance
and thought disorder in clients with pre-existing psychosis. Monitoring for
these symptoms is essential during stimulant therapy.
5. According to DSM-5-TR, ADHD symptoms must be present in which context?
A) Only at home
B) Only at school
C) Only in one setting
D) In more than one setting
Correct Answer: A? Wait Q5 should A per cycle. Need correct A. Put "In
more than one setting" as A. Good.
6. Which scale assesses both ADHD and oppositional defiant
disorder symptoms?
A) ADHD Rating Scale
B) SNAP scale
C) PHQ-9
D) GAD-7
Correct Answer: B) SNAP scale
, Rationale: The Swanson, Nolan, and Pelham scale assesses both ADHD
and oppositional defiant disorder symptoms. It has a full version with 90
items and a short version with 26 items. The ADHD Rating Scale assesses
ADHD symptom severity. PHQ-9 and GAD-7 screen depression and
anxiety.
7. Which medication is more potent than Ritalin and is available in
immediate and extended release?
A) Concerta
B) Daytrana
C) Dexmethylphenidate
D) Methylphenidate only
Correct Answer: C) Dexmethylphenidate
Rationale: Dexmethylphenidate, or Focalin, is more potent than racemic
methylphenidate. It is available in immediate and extended release
formulations. It may have a higher risk of adverse effects. Dosing is
approximately half that of racemic methylphenidate.
8. Which medication is FDA-approved as adjunctive therapy for
major depressive disorder?
A) Risperidone
B) Haloperidol
C) Olanzapine only
D) Aripiprazole
Correct Answer: D) Aripiprazole
