lOMoARcPSD|1709022
lOMoARcPSD|1709022
NR 606 Week 8 Final Exam
1. What ADHD symptoms are lack of attention to detail, careless mistakes,
not listening, losing things diverting attention, forgetfulness: Ans-
Selective attention
2. What ADHD symptoms are poor problem solving, trouble completing
a task, disorganization, trouble sustaining mental effort: Ans- Lack of
sustained attention
3. What ADHD symptoms are excessive talking, blurting things out,
not waiting ones turn, interrupting: Ans- Impulsivity
4. What ADHD symptoms are fidgeting, leaving ones seat, running,
climbing, trouble playing quietly: Ans- Hyperactivity
5. What ADHD symptom is common in childhood: Ans- hyperactivity
6. Effects of maturation ADHD- young kids may experience: Ans- DD,
bx less mature than peers
7. Effects of maturation ADHD- teens: Ans- poor academic
performance, trouble dri- ving, trouble in social situations, risky
sexual bx, SUD
8. Effects of maturation ADHD- Adult: Ans- Issues with EF,
attention, working memory, that cause issues with day to
day fnx and performance at work and in relationships
9. Dx criteria for
ADHD How many s/s
How long
How many settings: Pattern of 6 s/s that interfere with
fnx/development, 6 months or longer
, lOMoARcPSD|1709022
Present in 2 or more settings
10. How to combat anorexia with stimulant use: Take medication
with breakfast to decrease anorexia or associated weight
loss
11. When patients with ADHD have co morbid MH issues, what do you
tx first: ADHD (stimulants first line)
Treating ADHD s/s first will give a clearer picture of the
comorbidities 12.Work up for starting stimulant: ECG- if personal/first
relative
fmly hx Check bp/wgt/hgt
13. What co morbidity should the PMHNP assess for before starting a stimu-
lant: 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
14. Stimulants can exacerbate what comorbid dx: anxiety and SUD
15.Increased irritability or insomnia can be tx with what: low dose non
stim 16.Abrupt withdrawal from stimulants can cause what: irritability
and rebound s/s
17. What to do with tx for ADHD if the pt is argumentative or oppositional: -
Combo therapy with stim and non stim
18. Recommendations for parent training in behavior management for
ADHD as a first-line
, lOMoARcPSD|1709022
Intervention
- What do the parents learn: Recommended for child under 6
- Parents learn positive communication and reinforcement,
structure, and discipline
- Teaches kids to better control their own bx = improved fnx
at school, home, and relationships
19. What setting is ODD most common: Home setting with
peers or adults that the pt knows
20. What is ODD proceeds: Conduct disorder and ADHD, more
common in boys anxiety and depression. Increased risk of SI
21. Dx criteria for ODD: -4 or more symptoms have occurred
during an interaction with one or more individuals not including
siblings within the last 6 months
-Kids under 5 bx occur on most days for at least 6 months
22.ODD s/s: Angry/irritable mood: Loss of temper, easily
annoyed, anger and resentment
Argumentative/Defiant: Argues with authority figures, actively
defiant or refusing to follow rules or requests from authority
figure, deliberately annoys others, blames others for their
mistakes/misbx
Vindictiveness: spiteful or vindictive at least twice within the past
months.
23. Hallmark of ODD: Persistent angry irritable mood and defiant
lOMoARcPSD|1709022
NR 606 Week 8 Final Exam
1. What ADHD symptoms are lack of attention to detail, careless mistakes,
not listening, losing things diverting attention, forgetfulness: Ans-
Selective attention
2. What ADHD symptoms are poor problem solving, trouble completing
a task, disorganization, trouble sustaining mental effort: Ans- Lack of
sustained attention
3. What ADHD symptoms are excessive talking, blurting things out,
not waiting ones turn, interrupting: Ans- Impulsivity
4. What ADHD symptoms are fidgeting, leaving ones seat, running,
climbing, trouble playing quietly: Ans- Hyperactivity
5. What ADHD symptom is common in childhood: Ans- hyperactivity
6. Effects of maturation ADHD- young kids may experience: Ans- DD,
bx less mature than peers
7. Effects of maturation ADHD- teens: Ans- poor academic
performance, trouble dri- ving, trouble in social situations, risky
sexual bx, SUD
8. Effects of maturation ADHD- Adult: Ans- Issues with EF,
attention, working memory, that cause issues with day to
day fnx and performance at work and in relationships
9. Dx criteria for
ADHD How many s/s
How long
How many settings: Pattern of 6 s/s that interfere with
fnx/development, 6 months or longer
, lOMoARcPSD|1709022
Present in 2 or more settings
10. How to combat anorexia with stimulant use: Take medication
with breakfast to decrease anorexia or associated weight
loss
11. When patients with ADHD have co morbid MH issues, what do you
tx first: ADHD (stimulants first line)
Treating ADHD s/s first will give a clearer picture of the
comorbidities 12.Work up for starting stimulant: ECG- if personal/first
relative
fmly hx Check bp/wgt/hgt
13. What co morbidity should the PMHNP assess for before starting a stimu-
lant: 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
14. Stimulants can exacerbate what comorbid dx: anxiety and SUD
15.Increased irritability or insomnia can be tx with what: low dose non
stim 16.Abrupt withdrawal from stimulants can cause what: irritability
and rebound s/s
17. What to do with tx for ADHD if the pt is argumentative or oppositional: -
Combo therapy with stim and non stim
18. Recommendations for parent training in behavior management for
ADHD as a first-line
, lOMoARcPSD|1709022
Intervention
- What do the parents learn: Recommended for child under 6
- Parents learn positive communication and reinforcement,
structure, and discipline
- Teaches kids to better control their own bx = improved fnx
at school, home, and relationships
19. What setting is ODD most common: Home setting with
peers or adults that the pt knows
20. What is ODD proceeds: Conduct disorder and ADHD, more
common in boys anxiety and depression. Increased risk of SI
21. Dx criteria for ODD: -4 or more symptoms have occurred
during an interaction with one or more individuals not including
siblings within the last 6 months
-Kids under 5 bx occur on most days for at least 6 months
22.ODD s/s: Angry/irritable mood: Loss of temper, easily
annoyed, anger and resentment
Argumentative/Defiant: Argues with authority figures, actively
defiant or refusing to follow rules or requests from authority
figure, deliberately annoys others, blames others for their
mistakes/misbx
Vindictiveness: spiteful or vindictive at least twice within the past
months.
23. Hallmark of ODD: Persistent angry irritable mood and defiant
