Final Exam: NR606/ NR 606 (Latest Update 2024/ 2025) Diagnosis & Management in Psychiatric Mental Health II Practicum Review |Weeks 5-8 Covered| Questions and Verified Answers| 100% Correct- Chamberlain

Final Exam: NR606/ NR 606 (Latest Update 2024/ 2025) Diagnosis & Management in Psychiatric Mental Health II Practicum Review |Weeks 5-8 Covered| Questions and Verified Answers| 100% Correct- Chamberlain Q: Attention-deficit/hyperactivity disorder (ADHD) Answer: -one of the most common neuropsychiatric disorders -approximately 9.4% of children in the U.S. -more frequently males than females, ratio 2:1 -symptom burden mild to severe -characterized by consistent pattern of inattention &/or hyperactivity & impulsivity that interferes with functioning & development • affect development of proper cognitive, behavioral, emotional, social, & academic function -hyperactivity and impulsivity ADHD subtype symptoms: excessive fidgeting or talking, feelings of restlessness and impatience, frequent interruption, and difficultly playing quietly -inattentive ADHD subtype symptoms: difficulty organizing tasks, maintaining a routine, and paying attention to detail • may not be distinguishable until eight or nine years of age -primarily disrupts neuronal connections within the frontal lobe & prefrontal cortex Q: Without early identification and proper treatment, ADHD can cause disruptions in: Answer: academic performance family stress difficulties in social relationships accidental injuries Q: ADHD is associated with: Answer: increased rates of depression & SUD Q: Symptoms of ADHD Answer: -Selective Attention • Lack of attention to detail • Careless mistakes • Not listening • Losing things • Diverting attention • Forgetfulness -Lack of Sustained Attention • Poor problem solving • Difficulty completing tasks • Disorganization • Difficulty sustaining mental effort -Impulsivity • Excessive talking • Blurting things out • Not waiting for one's turn • Interrupting -Hyperactivity • Fidgeting • Leaving one's seat • Running, climbing • Trouble playing quietly Q: When is ADHD most often diagnosed Answer: -preschool and elementary school • inattentive features become more prominent Q: ADHD Lifespan Considerations: Symptoms Change with Age Answer: -Young children with ADHD • often have developmental delays • may engage in behaviors less mature than peers -Teens with ADHD at risk for: • poor academic performance • problems with driving • difficulties with social situations • risky sexual behavior • substance abuse ->75% of children with ADHD experience symptoms in adulthood -Adolescents & Adults with ADHD • may struggle with executive function, attention, working memory • problems with day-to-day functioning, performance at work, relationships Q: ADHD is a deficiency of neurotransmitters, mainly _________ & _________ Answer: dopamine and norepinephrine Q: ADHD diagnostic criteria Answer: -A pattern of at least six symptoms of inattention and/or hyperactivity-impulsivity that interfere with functioning or development. -Symptoms persist for six months or longer. -Symptoms interfere with social, academic, or occupational functioning. -Symptoms are present in two or more settings • for instance, home & school Q: Kelsey is a 7-year-old first-grader who is the youngest of four children. During parent-teacher conferences, her teacher reported that she is polite, respectful, and gets along well with her peers. She has a hard time keeping her desk neat and she frequently misplaces her supplies and loses library books. She must often be told more than once to complete instructions. Her work is appropriate for her grade level, but she often makes careless mistakes on her assignments. She struggles with math and avoids doing arithmetic assignments. Her parents endorse that Kelsey's room is "sloppy" but do not notice any of the other concerns in the home environment. What is the most likely diagnosis for Kelsey? ADHD predominantly inattentive presentation ADHD predominantly hyperactive-impulsive ADHD combined presentation unlikely ADHD diagnosis Answer: ADHD predominantly inattentive presentation Rationale: Kelsey meets diagnostic criteria for ADHD with a predominantly inattentive presentation. Inattentive symptoms include lack of attention to detail, making careless mistakes, difficulty listening and following instructions, frequent disorganization and misplacing items, distractibility, avoiding tasks that require sustained mental effort, and forgetfulness. Although Kelsey's parents identify only one symptom in the home setting, she exhibits multiple symptoms in the school setting. Q: Logan is a 6-year-old kindergartener who has a newborn sister. His parents are concerned that Logan seems to be unable to occupy himself quietly when his sister is napping. Logan interrupts both his parents and other adults in the home who come to visit his sister. He gets impatient when his questions are ignored by adults. His parents endorse that the behaviors began about the same time as his mom's pregnancy was announced. Logan's teacher does not endorse the same behaviors at school; his teacher states he is quiet, reserved, and plays well with others. What is the most likely diagnosis for Logan? ADHD predominantly inattentive presentation ADHD predominantly hyperactive-impulsive presentation ADHD combined presentation unlikely ADHD diagnosis Answer: