NR668 Week 6 Exam with |! |! |! |! |!
precise detailed solutions |! |!
ADHD - Correct answer ✔
|! |! |! |!
-long-term disorder characterized by either hyperactivity & impulsivity or
|! |! |! |! |! |! |! |! |!
inattention
-affect the development of proper cognitive, behavioral, emotional, social, &
|! |! |! |! |! |! |! |! |! |!
academic function |!
-Symptoms of the hyperactivity & impulsivity subtype:
|! |! |! |! |! |!
• excessive fidgeting or talking, feelings of restlessness & impatience, frequent
|! |! |! |! |! |! |! |! |! |!
interruption, difficultly playing quietly
|! |! |! |!
• reach peak severity when the child is around 8 years of age
|! |! |! |! |! |! |! |! |! |! |! |!
-symptoms of inattentive subtype |! |! |!
• difficulty organizing tasks, maintaining a routine, paying attention to detail
|! |! |! |! |! |! |! |! |! |!
• Children may avoid tasks that are intellectually challenging, resulting in
|! |! |! |! |! |! |! |! |! |! |!
poor academic or cognitive performance
|! |! |! |!
• may not be distinguishable until 8-9 years of age
|! |! |! |! |! |! |! |! |!
-primarily disrupts neuronal connections within the frontal lobe & prefrontal
|! |! |! |! |! |! |! |! |! |!
cortex
FDA approved medications for ADHD - Correct answer ✔
|! |! |! |! |! |! |! |!
Stimulants
-Methylphenidate
,• Azstaryz
|!
• Concerta
|!
• Focalin
|!
• Jornay PM
|! |!
• Metadate CD or ER
|! |! |! |!
• Ritalin
|!
-Amphetamine
• Adderall
|!
• Adzenys ER or XR-ODT
|! |! |! |!
• Dexedrine
|!
• Vyvanse
|!
Non-stimulants
-Norepinephrine reuptake inhibitors |! |!
• Strattera
|!
• Qelbree
|!
-Alpha agonist
|!
• Kapvay
|!
• Intuniv
|! |!
https://chadd.org/wp-content/uploads/2021/09/ADHD-MEDICATIONS-
APPROVED-BY-THE-US-FDA-2021.pdf
,Behavior Management: Parent training - Correct answer ✔-What parents
|! |! |! |! |! |! |! |! |!
learn when trained in behavior therapy
|! |! |! |! |!
• Positive Communication
|! |!
• Positive Reinforcement
|! |!
• Structure & Discipline
|! |! |!
Seamus is a 13-year-old who was referred to the psychiatric mental health
|! |! |! |! |! |! |! |! |! |! |! |!
nurse practitioner (PMHNP) by a family court judge for evaluation. Seamus
|! |! |! |! |! |! |! |! |! |! |!
was arrested after breaking into several cars on his street overnight and
|! |! |! |! |! |! |! |! |! |! |! |!
stealing loose change and small electronics. Seamus's parents endorse that he
|! |! |! |! |! |! |! |! |! |! |!
has had problems since he was a young boy. Starting in kindergarten, he has
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
had "anger management" issues and argues with his parents and with
|! |! |! |! |! |! |! |! |! |! |!
teachers. He has difficulty sitting still in the classroom and was frequently
|! |! |! |! |! |! |! |! |! |! |! |!
disciplined for interrupting teachers, talking constantly, and running in the
|! |! |! |! |! |! |! |! |! |!
halls. At home, he often exhibits vindictive behavior towards his siblings and
|! |! |! |! |! |! |! |! |! |! |! |!
blames them for his actions. His parents describe him as "driven by a motor."
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
He is irritable most of the time. He has never liked school and has struggled
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
academically since first grade. He was suspended twice in elementary school |! |! |! |! |! |! |! |! |! |! |!
for bullyi - Correct answer ✔yes
|! |! |! |! |!
Rationale: symptoms consistent with ODD include anger and irritability,
|! |! |! |! |! |! |! |! |!
argumentative and vindictive behavior, and blaming others. |! |! |! |! |! |!
According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
|! |! |! |! |! |! |! |! |! |! |!
conduct disorder? |!
yes
, no
unable to determine - Correct answer ✔yes
|! |! |! |! |! |!
Rationale: Symptoms consistent with conduct disorder include a history of
|! |! |! |! |! |! |! |! |! |!
repetitive, persistent behavior that violates societal norms within the past
|! |! |! |! |! |! |! |! |! |!
twelve months, including bullying, fighting, vandalism, theft, and truancy.
|! |! |! |! |! |! |! |!
According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
|! |! |! |! |! |! |! |! |! |! |!
intermittent explosive disorder? |! |!
yes
no
unable to determine - Correct answer ✔no
|! |! |! |! |! |!
According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
|! |! |! |! |! |! |! |! |! |! |!
ADHD?
yes
no
unable to determine - Correct answer ✔yes
|! |! |! |! |! |!
Rationale: His symptoms consistent with ADHD include "non-stop" energy,
|! |! |! |! |! |! |! |! |!
speaking out of turn, talkativeness, excessive running, and interrupting
|! |! |! |! |! |! |! |! |!
others. The behaviors occur in school and at home and have been present
|! |! |! |! |! |! |! |! |! |! |! |! |!
precise detailed solutions |! |!
ADHD - Correct answer ✔
|! |! |! |!
-long-term disorder characterized by either hyperactivity & impulsivity or
|! |! |! |! |! |! |! |! |!
inattention
-affect the development of proper cognitive, behavioral, emotional, social, &
|! |! |! |! |! |! |! |! |! |!
academic function |!
-Symptoms of the hyperactivity & impulsivity subtype:
|! |! |! |! |! |!
• excessive fidgeting or talking, feelings of restlessness & impatience, frequent
|! |! |! |! |! |! |! |! |! |!
interruption, difficultly playing quietly
|! |! |! |!
• reach peak severity when the child is around 8 years of age
|! |! |! |! |! |! |! |! |! |! |! |!
-symptoms of inattentive subtype |! |! |!
• difficulty organizing tasks, maintaining a routine, paying attention to detail
|! |! |! |! |! |! |! |! |! |!
• Children may avoid tasks that are intellectually challenging, resulting in
|! |! |! |! |! |! |! |! |! |! |!
poor academic or cognitive performance
|! |! |! |!
• may not be distinguishable until 8-9 years of age
|! |! |! |! |! |! |! |! |!
-primarily disrupts neuronal connections within the frontal lobe & prefrontal
|! |! |! |! |! |! |! |! |! |!
cortex
FDA approved medications for ADHD - Correct answer ✔
|! |! |! |! |! |! |! |!
Stimulants
-Methylphenidate
,• Azstaryz
|!
• Concerta
|!
• Focalin
|!
• Jornay PM
|! |!
• Metadate CD or ER
|! |! |! |!
• Ritalin
|!
-Amphetamine
• Adderall
|!
• Adzenys ER or XR-ODT
|! |! |! |!
• Dexedrine
|!
• Vyvanse
|!
Non-stimulants
-Norepinephrine reuptake inhibitors |! |!
• Strattera
|!
• Qelbree
|!
-Alpha agonist
|!
• Kapvay
|!
• Intuniv
|! |!
https://chadd.org/wp-content/uploads/2021/09/ADHD-MEDICATIONS-
APPROVED-BY-THE-US-FDA-2021.pdf
,Behavior Management: Parent training - Correct answer ✔-What parents
|! |! |! |! |! |! |! |! |!
learn when trained in behavior therapy
|! |! |! |! |!
• Positive Communication
|! |!
• Positive Reinforcement
|! |!
• Structure & Discipline
|! |! |!
Seamus is a 13-year-old who was referred to the psychiatric mental health
|! |! |! |! |! |! |! |! |! |! |! |!
nurse practitioner (PMHNP) by a family court judge for evaluation. Seamus
|! |! |! |! |! |! |! |! |! |! |!
was arrested after breaking into several cars on his street overnight and
|! |! |! |! |! |! |! |! |! |! |! |!
stealing loose change and small electronics. Seamus's parents endorse that he
|! |! |! |! |! |! |! |! |! |! |!
has had problems since he was a young boy. Starting in kindergarten, he has
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
had "anger management" issues and argues with his parents and with
|! |! |! |! |! |! |! |! |! |! |!
teachers. He has difficulty sitting still in the classroom and was frequently
|! |! |! |! |! |! |! |! |! |! |! |!
disciplined for interrupting teachers, talking constantly, and running in the
|! |! |! |! |! |! |! |! |! |!
halls. At home, he often exhibits vindictive behavior towards his siblings and
|! |! |! |! |! |! |! |! |! |! |! |!
blames them for his actions. His parents describe him as "driven by a motor."
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
He is irritable most of the time. He has never liked school and has struggled
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
academically since first grade. He was suspended twice in elementary school |! |! |! |! |! |! |! |! |! |! |!
for bullyi - Correct answer ✔yes
|! |! |! |! |!
Rationale: symptoms consistent with ODD include anger and irritability,
|! |! |! |! |! |! |! |! |!
argumentative and vindictive behavior, and blaming others. |! |! |! |! |! |!
According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
|! |! |! |! |! |! |! |! |! |! |!
conduct disorder? |!
yes
, no
unable to determine - Correct answer ✔yes
|! |! |! |! |! |!
Rationale: Symptoms consistent with conduct disorder include a history of
|! |! |! |! |! |! |! |! |! |!
repetitive, persistent behavior that violates societal norms within the past
|! |! |! |! |! |! |! |! |! |!
twelve months, including bullying, fighting, vandalism, theft, and truancy.
|! |! |! |! |! |! |! |!
According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
|! |! |! |! |! |! |! |! |! |! |!
intermittent explosive disorder? |! |!
yes
no
unable to determine - Correct answer ✔no
|! |! |! |! |! |!
According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
|! |! |! |! |! |! |! |! |! |! |!
ADHD?
yes
no
unable to determine - Correct answer ✔yes
|! |! |! |! |! |!
Rationale: His symptoms consistent with ADHD include "non-stop" energy,
|! |! |! |! |! |! |! |! |!
speaking out of turn, talkativeness, excessive running, and interrupting
|! |! |! |! |! |! |! |! |!
others. The behaviors occur in school and at home and have been present
|! |! |! |! |! |! |! |! |! |! |! |! |!
