NR606 final
Study online at https://quizlet.com/_hlmtt6
1. What ADHD symptoms are lack of attention to detail, careless mistakes, not
listening, losing things diverting attention, forgetfulness: Selective attention
2. What ADHD symptoms are poor problem solving, trouble completing a task,
disorganization, trouble sustaining mental effort: Lack of sustained attention
3. What ADHD symptoms are excessive talking, blurting things out, not waiting
ones turn, interrupting: Impulsivity
4. What ADHD symptoms are fidgeting, leaving ones seat, running, climbing,
trouble playing quietly: Hyperactivity
5. What ADHD symptom is common in childhood: hyperactivity
6. Effects of maturation ADHD- young kids may experience: DD, bx less mature than peers
7. Effects of maturation ADHD- teens: poor academic performance, trouble driving, trouble in socia
situations, risky sexual bx, SUD
8. Effects of maturation ADHD- Adult: 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
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 stimulant-
: 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
1/9
, NR606 final
Study online at https://quizlet.com/_hlmtt6
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
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 6 months.
23. Hallmark of ODD: Persistent angry irritable mood and defiant bx with vindictiveness
24. Conduct disorder exhibits lack of: empathy, aggression and impulsivity
25. Severe behaviors violating society norms or rights of others and involved
aggression towards others, animals, theft, destruction of property occurring
in multiple settings: Conduct disorder
26. Conduct disorder has a developmental relationship with: ODD
27. When can conduct disorder start presenting: as early as preschool more seriously appear
later before 16
28. - Low tolerance of frustration and adversity,
-Frequently impulsive/angry outburst (temper tantrums, verbal assaults, phys-
2/9
Study online at https://quizlet.com/_hlmtt6
1. What ADHD symptoms are lack of attention to detail, careless mistakes, not
listening, losing things diverting attention, forgetfulness: Selective attention
2. What ADHD symptoms are poor problem solving, trouble completing a task,
disorganization, trouble sustaining mental effort: Lack of sustained attention
3. What ADHD symptoms are excessive talking, blurting things out, not waiting
ones turn, interrupting: Impulsivity
4. What ADHD symptoms are fidgeting, leaving ones seat, running, climbing,
trouble playing quietly: Hyperactivity
5. What ADHD symptom is common in childhood: hyperactivity
6. Effects of maturation ADHD- young kids may experience: DD, bx less mature than peers
7. Effects of maturation ADHD- teens: poor academic performance, trouble driving, trouble in socia
situations, risky sexual bx, SUD
8. Effects of maturation ADHD- Adult: 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
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 stimulant-
: 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
1/9
, NR606 final
Study online at https://quizlet.com/_hlmtt6
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
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 6 months.
23. Hallmark of ODD: Persistent angry irritable mood and defiant bx with vindictiveness
24. Conduct disorder exhibits lack of: empathy, aggression and impulsivity
25. Severe behaviors violating society norms or rights of others and involved
aggression towards others, animals, theft, destruction of property occurring
in multiple settings: Conduct disorder
26. Conduct disorder has a developmental relationship with: ODD
27. When can conduct disorder start presenting: as early as preschool more seriously appear
later before 16
28. - Low tolerance of frustration and adversity,
-Frequently impulsive/angry outburst (temper tantrums, verbal assaults, phys-
2/9
