NR606 Final Exam Study Guide | 2026 Advanced Nursing Prep
What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing things
diverting attention, forgetfulness - (answer)Selective attention
What ADHD symptoms are poor problem solving, trouble completing a task, disorganization, trouble
sustaining mental effort - (answer)Lack of sustained attention
What ADHD symptoms are excessive talking, blurting things out, not waiting ones turn, interrupting -
(answer)Impulsivity
What ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing quietly -
(answer)Hyperactivity
What ADHD symptom is common in childhood - (answer)hyperactivity
Effects of maturation ADHD- young kids may experience - (answer)DD, bx less mature than peers
Effects of maturation ADHD- teens - (answer)poor academic performance, trouble driving, trouble in
social situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult - (answer)Issues with EF, attention, working memory, that cause
issues with day to day fnx and performance at work and in relationships
Dx criteria for ADHD
How many s/s
How long
How many settings - (answer)Pattern of 6 s/s that interfere with fnx/development,
6 months or longer
Present in 2 or more settings
, NR606 Final Exam Study Guide | 2026 Advanced Nursing Prep
How to combat anorexia with stimulant use - (answer)Take medication with breakfast to decrease
anorexia or associated weight loss
When patients with ADHD have co morbid MH issues, what do you tx first - (answer)ADHD (stimulants
first line)
Treating ADHD s/s first will give a clearer picture of the comorbidities
Work up for starting stimulant - (answer)ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
What co morbidity should the PMHNP assess for before starting a stimulant - (answer)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
Stimulants can exacerbate what comorbid dx - (answer)anxiety and SUD
Increased irritability or insomnia can be tx with what - (answer)low dose non stim
Abrupt withdrawal from stimulants can cause what - (answer)irritability and rebound s/s
What to do with tx for ADHD if the pt is argumentative or oppositional - (answer)Combo therapy with
stim and non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
- What do the parents learn - (answer)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
What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing things
diverting attention, forgetfulness - (answer)Selective attention
What ADHD symptoms are poor problem solving, trouble completing a task, disorganization, trouble
sustaining mental effort - (answer)Lack of sustained attention
What ADHD symptoms are excessive talking, blurting things out, not waiting ones turn, interrupting -
(answer)Impulsivity
What ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing quietly -
(answer)Hyperactivity
What ADHD symptom is common in childhood - (answer)hyperactivity
Effects of maturation ADHD- young kids may experience - (answer)DD, bx less mature than peers
Effects of maturation ADHD- teens - (answer)poor academic performance, trouble driving, trouble in
social situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult - (answer)Issues with EF, attention, working memory, that cause
issues with day to day fnx and performance at work and in relationships
Dx criteria for ADHD
How many s/s
How long
How many settings - (answer)Pattern of 6 s/s that interfere with fnx/development,
6 months or longer
Present in 2 or more settings
, NR606 Final Exam Study Guide | 2026 Advanced Nursing Prep
How to combat anorexia with stimulant use - (answer)Take medication with breakfast to decrease
anorexia or associated weight loss
When patients with ADHD have co morbid MH issues, what do you tx first - (answer)ADHD (stimulants
first line)
Treating ADHD s/s first will give a clearer picture of the comorbidities
Work up for starting stimulant - (answer)ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
What co morbidity should the PMHNP assess for before starting a stimulant - (answer)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
Stimulants can exacerbate what comorbid dx - (answer)anxiety and SUD
Increased irritability or insomnia can be tx with what - (answer)low dose non stim
Abrupt withdrawal from stimulants can cause what - (answer)irritability and rebound s/s
What to do with tx for ADHD if the pt is argumentative or oppositional - (answer)Combo therapy with
stim and non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
- What do the parents learn - (answer)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
