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Exam (elaborations)

NR606 Final Exam Questions with Verified Answers (Correct Update)

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NR606 Final Exam Questions with Verified Answers (Correct Update)

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NR606 Final Exam Questions with Verified Answers (Correct
Update)

Question 1: What are symptoms of hyperactivity and impulsivity in ADHD?

Answer: Excessive fidgeting or talking, feelings of restlessness and impatience, frequent
interruption, and difficultly playing quietly. These symptoms generally occur together and reach
their peak severity when the child is around eight years of age.

Question 2: What are inattentive symptoms in ADHD?

Answer: Difficulty organizing tasks, maintaining a routine, and paying attention to detail. may
avoid tasks that are intellectually challenging Symptoms of the inattentive ADHD subtype may
not be distinguishable until eight or nine years of age.

Question 3: Define selective attention symptoms in ADHD

Answer: Lack of attention to detail -Careless mistakes -Not listening -Losing things -Diverting
attention -Forgetfulness

Question 4: Define lack of sustained attention symptoms in ADHD

Answer: Poor problem solving -Difficulty completing tasks -Disorganization -Difficulty
sustaining mental effort

Question 5: Define impulsivity symptoms in ADHD

Answer: Excessive talking -Blurting things out -Not waiting for one's turn -Interrupting

Question 6: Define hyperactivity symptoms in ADHD

Answer: Fidgeting -Leaving one's seat -Running, climbing -Trouble playing quietly

Question 7: What does the DSM-5 list as symptoms of inattention for ADHD?

Answer: Often fails to give close attention to details/makes careless mistakes. -Often has
difficulty sustaining attention. -Often does not seem to listen when spoken to directly. -Often
does not follow through on instructions/fails to finish tasks. -Often has difficulty organizing tasks
and activities. -Often avoids/dislikes tasks that require sustained mental effort. -Often loses
things necessary for tasks (e.g., keys, glasses). -Is often easily distracted by extraneous stimuli.
-Is often forgetful in daily activities.




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, Question 8: What does the DSM-5 list as symptoms of hyperactivity and imulsivity for ADHD?

Answer: Often fidgets with or taps hands/feet or squirms in seat. -Often leaves seat in situations
where remaining seated is expected. -Often runs or climbs inappropriately (in adolescents/adults,
may feel restless). -Often unable to play or engage in leisure activities quietly. -Is often "on the
go" or acts as if "driven by a motor." -Often talks excessively. -Often blurts out an answer before
a question has been completed. -Often has difficulty waiting their turn. -Often interrupts or
intrudes on others (e.g., butts into conversations/games)

Question 9: What are common comorbidities with ADHD?

Answer: learning disabilities, conduct disorders, tics, anxiety, depression, and language
disorders; adolescents are at increased risk of substance use disorders

Question 10: What work-up prior to starting stimulants?

Answer: EKG if cardiac hx or if hx in first degree relative -Monitor BP, height, and weight
-Assess for bipolar, anxiety, Tourette's and SUD as stimulants may exacerbate

Question 11: Things to know when prescribing stimulants

Answer: Increased irritability and insomnia can be treated with a low dose of nonstimulant
medication which will allow the client to fall asleep. -Abrupt withdrawal after prolonged use can
result in irritability and rebound symptoms. -When switching stimulants, discontinue the current
medication and start the new medication at a starting dose the next day.

Question 12: What are measures to combat anorexia with stimulant medications?

Answer: Stimulant holidays combined with caloric supplementation and monitoring can help
offset stimulant-related weight loss Focalin has less of this effect

Question 13: What nonpharmacological interventions can schools implement for ADHD?

Answer: Schools can provide educational support, behavioral interventions in the classroom, and
accommodations, which can help children achieve academic success.

Question 14: What does the APP recommend as first line treatment for ADHD under the age of 6?

Answer: parent training in behavior management as a firstline intervention

Question 15: What do parents learn when trained in behavior therapy?

Answer: Positive Communication -Positive Reinforcement -Structure and Discipline




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