NR-546 Advanced Pharmacology
Psychopharmacology for the Psychiatric-Mental
Health Nurse Practitioner
Mary was reprimanded by her boss for not listening during their last
meeting and making careless mistakes on their current project. Mary
apologizes and says she's been feeling very forgetful lately. this is an
example of which ADHD symptoms?
- ANSWER selective attetion
Jim is a college student who can't find the motivation to complete his
homework or pay attention in class. this is an example of which ADHD
symptoms?
- ANSWER lack of sustained attention
Layla just started school and her parent's received a call from her
teacher about her behavior. The teacher states Layla runs and climbs
on the chairs and desks, has trouble playing quietly, and refuses to stay
in her seat. this is an example of which ADHD symptoms?
- ANSWER hyperactivity
, [Document title]
(ADHD: Lifespan Considerations) •Which symptom decreases markedly
with age?
- ANSWER hyperactivity
(ADHD lifespan consideration) primary symptoms are?
- ANSWER inattention, restlessness, cognitive & emotional
impulsivity, executive functioning deficits, and self-regulation
(ADHD Lifespan) What might adults who struggle with executive
functioning difficulties and disorganization also experience?
- ANSWER occupational stress and anxiety
ADHD symptoms may arise from abnormalities within circuits in
the_________, which affect ________
- ANSWER prefrontal cortex (PFC) , executive function.
, [Document title]
ADHD symptoms become noticeable around what age and why?
- ANSWER 6-7 y/o, possibly due to abnormalities in the prefrontal
cortex circuits or errors in the synaptic pruning process.
Anxiety and ADHD are regulated by which loop?
- ANSWER corticostriatal-thalamocortical (CSTC) loop
what NT are associated with inefficient information processing in the
prefrontal circuits?
- ANSWER Norepinephrine (NE) and dopamine (DA)
•What scheduled drug level are stimulant medications?
•Are refills permitted?
- ANSWER •Stimulants are schedule II-controlled substances
•Refills are NOT permitted
what diagnostic test must be obtained?
- ANSWER •Must obtain a thorough health hx first
•Assess for cardiac disease and, if present, obtain an EKG
•Blood pressure, height, and weight should be monitored regularly
•Assess for bipolar disorder before treatment
•Treatment efficacy will be noted within the first week of treatment