NSG 3600 Test 4 Peds Unit 8: (Neurological and Cognitive) Updated Solution

Attention Deficit Hyperactivity Disorder: • Attention Deficit Disorder (distractibility) with hyperactive component. Very common. • Signs & Symptoms: Inattention along with behaviors displaying hyperactivity & impulsivity. Characteristics of Attention Deficit Hyperactivity Disorder & behaviors. • Diagnosis: Evaluation by multi-disciplinary team: medical & developmental histories, physical exam, vision & hearing assessment, & detailed neurologic evaluation. Psychologic testing identifies intelligence & achievement levels. Behavioral checklists & adaptive scales measuring social adaptive functioning. Rule out psychiatric disorders, medical problems & traumatic experiences. • Prevention: Cause & prevention unknown. • Collaborative Care: o Medical: Treatment is 3-pronged: • Pharmacologic therapy: psychostimulants Methylphenidate, Dextroamphetamine and amphetamine, Lisdexamfetamine-- are dose titrated; observe for development of tics & other side effects. Nonstimulant meds added to achieve optimal therapy. Prescribed dose based on