NR606 FINAL CERTIFICATION
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● What are some s/s of selective attention (refers to the ability to focus
on specific information or stimuli while actively filtering out irrelevant
distractions, essentially choosing what to pay attention to) within
children with ADHD?
Answer: lack of attention to detail, carelesnessness, not listening, losing
things, diverting attention, forgetfulness.
●● What are some s/s of impulsivity?
Answer: Not waiting your turn, blurting things out, interrupting,
excessive talking
●● What are some s/s of hyperactivity?
Answer: trouble playing quietly, leaving ones set, running/climbing,
fidgeting
●● What are some s/s of lack of sustained attention?
Answer: poor problem solving, difficulty completing tasks,
disorganization, difficulty sustaining mental effort
,●● When is ADHD usually diagnosed and what gender does it mainly
affect?
Answer: It is diagnosed within early childhood to adolescents.
ADHD has a 2:1 male to female ratio.
●● What is the importance of early ADHD diagnosis and treatment?
Answer: ADHD symptoms may be mild or so severe and persistent that
they interfere with virtually all aspects of a person's life.
Without early identification and proper treatment, ADHD can cause
disruptions in academic performance, family stress, difficulties in social
relationships, and accidental injuries.
●● What are the lasting consequences of non-treatment of ADHD in
children?
Answer: Children with ADHD may experience delays in speech, motor,
and social development. They often demonstrate reduced behavioral
inhibition, emotional dys-regulation or impulsivity, and negative
emotionality. Some children with ADHD have challenges with working
memory.
●● ADHD typically presents with_________ IN EARLY
CHILDHOOD.
Answer: HYPERACTIVITY
,●● What is the difficult about diagnosing ADHD in children under the
age of 4?
Answer: It can be hard to distinguish actually ADHD symptoms from
normal neurotypical children.
●● _______ FEATURES become more prominent in PRESCHOOL and
ELEMENTARY school, which is when ADHD is most often diagnosed.
Answer: Inattentive.
Young children can experience developmental delays and may engage in
behaviors that are less mature than their peers.
●● In adolescence, signs of hyperactivity become less common, but
some adolescents experience a worsening of the condition with
development of _______ behaviors.
Answer: Anti-social
Teens with ADHD are at risk for poor academic performance, problems
with driving, difficulties with social situations, risky sexual behavior,
and substance abuse.- Particularly untreated
●● As clients reach adolescence, hyperactive symptoms may decline and
become less apparent to others, but adolescents and adults with ADHD
may still struggle with executive function, attention, and working
memory, which can create problems with day-to-day functioning,
performance at work, and relationships.
, Answer:
●● How would you as a PMHNP screen or diagnose ADHD?
Answer: To make an informed diagnosis, it is essential to gather data
from multiple sources, including the client, parents, and teachers of
children and adolescents. Several instruments are available, either free or
for a fee, to assist in diagnosis, as well as to monitor changes in
symptoms during treatment.
You can use the Vanderbilt scale- FREE
Connor Scale- not free
●● What are some co-morbidities of ADHD?
Answer: Substance use disorder, depression, anxiety, OCD, Bipolar
Common co-occurring conditions include learning disabilities, conduct
disorders, tics, anxiety, depression, and language disorders; adolescents
are at increased risk of substance use disorders.
Consideration must be given to whether the presenting symptoms are
attributed to ADHD, another disorder, or to both disorders to make an
accurate diagnosis and treatment plan.
●● How is treatment typically handled when a child has ADHD AND a
co-existing mental health ailment?
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● What are some s/s of selective attention (refers to the ability to focus
on specific information or stimuli while actively filtering out irrelevant
distractions, essentially choosing what to pay attention to) within
children with ADHD?
Answer: lack of attention to detail, carelesnessness, not listening, losing
things, diverting attention, forgetfulness.
●● What are some s/s of impulsivity?
Answer: Not waiting your turn, blurting things out, interrupting,
excessive talking
●● What are some s/s of hyperactivity?
Answer: trouble playing quietly, leaving ones set, running/climbing,
fidgeting
●● What are some s/s of lack of sustained attention?
Answer: poor problem solving, difficulty completing tasks,
disorganization, difficulty sustaining mental effort
,●● When is ADHD usually diagnosed and what gender does it mainly
affect?
Answer: It is diagnosed within early childhood to adolescents.
ADHD has a 2:1 male to female ratio.
●● What is the importance of early ADHD diagnosis and treatment?
Answer: ADHD symptoms may be mild or so severe and persistent that
they interfere with virtually all aspects of a person's life.
Without early identification and proper treatment, ADHD can cause
disruptions in academic performance, family stress, difficulties in social
relationships, and accidental injuries.
●● What are the lasting consequences of non-treatment of ADHD in
children?
Answer: Children with ADHD may experience delays in speech, motor,
and social development. They often demonstrate reduced behavioral
inhibition, emotional dys-regulation or impulsivity, and negative
emotionality. Some children with ADHD have challenges with working
memory.
●● ADHD typically presents with_________ IN EARLY
CHILDHOOD.
Answer: HYPERACTIVITY
,●● What is the difficult about diagnosing ADHD in children under the
age of 4?
Answer: It can be hard to distinguish actually ADHD symptoms from
normal neurotypical children.
●● _______ FEATURES become more prominent in PRESCHOOL and
ELEMENTARY school, which is when ADHD is most often diagnosed.
Answer: Inattentive.
Young children can experience developmental delays and may engage in
behaviors that are less mature than their peers.
●● In adolescence, signs of hyperactivity become less common, but
some adolescents experience a worsening of the condition with
development of _______ behaviors.
Answer: Anti-social
Teens with ADHD are at risk for poor academic performance, problems
with driving, difficulties with social situations, risky sexual behavior,
and substance abuse.- Particularly untreated
●● As clients reach adolescence, hyperactive symptoms may decline and
become less apparent to others, but adolescents and adults with ADHD
may still struggle with executive function, attention, and working
memory, which can create problems with day-to-day functioning,
performance at work, and relationships.
, Answer:
●● How would you as a PMHNP screen or diagnose ADHD?
Answer: To make an informed diagnosis, it is essential to gather data
from multiple sources, including the client, parents, and teachers of
children and adolescents. Several instruments are available, either free or
for a fee, to assist in diagnosis, as well as to monitor changes in
symptoms during treatment.
You can use the Vanderbilt scale- FREE
Connor Scale- not free
●● What are some co-morbidities of ADHD?
Answer: Substance use disorder, depression, anxiety, OCD, Bipolar
Common co-occurring conditions include learning disabilities, conduct
disorders, tics, anxiety, depression, and language disorders; adolescents
are at increased risk of substance use disorders.
Consideration must be given to whether the presenting symptoms are
attributed to ADHD, another disorder, or to both disorders to make an
accurate diagnosis and treatment plan.
●● How is treatment typically handled when a child has ADHD AND a
co-existing mental health ailment?
