NR606 / NR 606 Final Exam Diagnosis & Management in Psychiatric-Mental Health II Practicum | Weeks 5 - 8 Covered Tested Questions (Latest 2025 / 2026) with Verified Answers

NR606/ NR 606 Final Exam Review Weeks 5 - 8 Covered
b b b b b b b b b b




Diagnosis & Management in Psychiatric Mental Health II Practicum
b b b b b b b b




1. Stimulant Medications: Methylphenidate: -Low risk of adverse effects
b b b b b b b




-Available formulations: b




• Ritalin - b




available in immediate release (IR) and extended release (XR) available in beads that m
b b b b b b b b b b b b b b




ay be sprinkled on food for children who cannot swallow pills
b b b b b b b b b b




• Concerta biphasic - combined immediate and delayed release in one medication
b b b b b b b b b b




• Daytrana - patch applied in AM and removed after 9 hour
b b b b b b b b b b




2. Stimulant Medications: Dexmethylphenidate (Focalin): -Available in IR and ER
b b b b b b b b




-More potent than Ritalin
b b b




-High risk of adverse effects
b b b b




3. Stimulant Medications: Amphetamine (Adzenys): -available in orally disinte-
b b b b b b b




1b/b62

,grating ER formula for children who cannot swallow pills
b b b b b b b b




-Avoid prescribing when an MAOI has been used within 14 days
b b b b b b b b b b




4. Stimulant Medications: Dextroamphetamine (Adderall): -
b b b b




Available in IR and extended-release formulations
b b b b b




-
Often dosed in morning (IR or XR) with an evening or evening prn (IR) dose if med effec
b b b b b b b b b b b b b b b b b




ts diminish prior to end of school, study or the workday
b b b b b b b b b b




-Most abused & diverted prescription stimulant
b b b b b




5. Stimulant Medications: Lisdexamfetamine (Vyvanse): -
b b b b




Biologically inactive until metabolized by the body (Prodrug)
b b b b b b b




-Less abuse & diversion potential than other stimulants
b b b b b b b




-Higher-cost medication b




6. Non-stimulant medication: Atomoxetine (Strattera): -Noradrenergic (NRI)
b b b b b




-Initial drug of choice for adults with ADHD
b b b b b b b




-no abuse potential
b b




-tolerated well when prescribed in BID dosing
b b b b b b




2b/b62

,-appropriate choice for comorbid substance abuse
b b b b b




3b/b62

, -may augment the effects of antidepressants & antianxiety meds
b b b b b b b b




-can be dosed at bedtime if fatigue is noted
b b b b b b b b




-unlikely to worsen tics b b b




7. Non-stimulant medication: Clonidine: -± 2agonist b b b b




• May be taken as monotherapy or with stimulant medications
b b b b b b b b




-enhances precortical function for better mental focus
b b b b b b




-appetite neutral b




-may help with sleep disturbances, administer at bedtime
b b b b b b b




-adverse effects: b




• sedation, brain fog b b




-monitor of BP closely during initial titration, risk of hypotension
b b b b b b b b b




-tapered to avoid rebound hypertension post discontinuation
b b b b b b




4b/b62