NR 668 Week 6
1. ADHD: -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, diflcultly playing quietly
• reach peak severity when the child is around 8 years of age
-symptoms of inattentive subtype
• diflculty 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
2. FDA approved medications for ADHD: 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
3. Behavior Management: Parent training: -What parents learn when trained in behavior therapy
• Positive Communication
• Positive Reinforcement
• Structure & Discipline
4. 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: yes
Rationale: symptoms consistent with ODD include anger and irritability, argumentative and vindictive behavior, and
blaming others.
5. According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
conduct disorder?
yes
no
unable to determine: yes
1. ADHD: -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, diflcultly playing quietly
• reach peak severity when the child is around 8 years of age
-symptoms of inattentive subtype
• diflculty 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
2. FDA approved medications for ADHD: 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
3. Behavior Management: Parent training: -What parents learn when trained in behavior therapy
• Positive Communication
• Positive Reinforcement
• Structure & Discipline
4. 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: yes
Rationale: symptoms consistent with ODD include anger and irritability, argumentative and vindictive behavior, and
blaming others.
5. According to the DSM-5-TR, does Seamus meet the diagnostic criteria for
conduct disorder?
yes
no
unable to determine: yes
