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Final Exam: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain. $10.49
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Final Exam: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain.
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  • NR606/ NR 606
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  • NR606/ NR 606

Josué is an 11-year-old who was diagnosed with ADHD combined presentation. He was prescribed amphetamine/dextroamphetamine immediate release 10mg twice daily. He takes the medication in the morning and after school. His symptoms have improved; however, he now complains of difficulty falling and st...

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  • February 4, 2025
  • 149
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NR606/ NR 606
  • NR606/ NR 606

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Final Exam: NR606/ NR 606 (Latest Update 2025/
i,- i,- i,- i,- i,- i,- i,- i,-




2026) Diagnosis & Management in Psychiatric i,- i,- i,- i,- i,- i,-




Mental Health II Practicum | Questions with i,- i,- i,- i,- i,- i,- i,-




Verified Answers| 100% Correct- Chamberlain. i,- i,- i,- i,-




Josué is an 11-year-old who was diagnosed with ADHD combined
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



presentation. He was prescribed i,- i,- i,- i,-



amphetamine/dextroamphetamine immediate release 10mg i,- i,- i,- i,-



twice daily. He takes the medication in the morning and after
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



school. His symptoms have improved; however, he now
i,- i,- i,- i,- i,- i,- i,- i,-



complains of difficulty falling and staying asleep. Which of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



following medication adjustments is appropriate for Josué? Select
i,- i,- i,- i,- i,- i,- i,- i,-



all that apply.
i,- i,-




switch to amphetamine/dextroamphetamine extended-release 20
i,- i,- i,- i,- i,-



mg dailyi,-




decrease the dose of amphetamine/dextroamphetamine
i,- i,- i,- i,- i,-



immediate release to 5 mg twice daily i,- i,- i,- i,- i,- i,-




decrease the frequency of amphetamine/dextroamphetamine
i,- i,- i,- i,- i,-



immediate release to once daily i,- i,- i,- i,-

,recommend sleep hygiene techniques i,- i,- i,-




prescribe zolpidem as needed switch to i,- i,- i,- i,-i,- i,- i,- i,-



amphetamine/dextroamphetamine extended-release 20 mg daily i,- i,- i,- i,-




recommend sleep hygiene techniques i,- i,- i,-




Rationale: Stimulant medications may cause sleep disturbances,
i,- i,- i,- i,- i,- i,- i,-



especially if the doses are taken later in the day.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Amphetamine/dextroamphetamine immediate release has a i,- i,- i,- i,- i,-



duration of 4-8 hours, while extended-release has a duration of 8-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



12 hours. Switching to extended-release dosing and improving
i,- i,- i,- i,- i,- i,- i,- i,-



sleep hygiene may help improve sleep. Alternatively, the second
i,- i,- i,- i,- i,- i,- i,- i,- i,-



dose of amphetamine/dextroamphetamine immediate release
i,- i,- i,- i,- i,-



can be taken earlier in the day.
i,- i,- i,- i,- i,- i,-




Addison is a 9-year-old who was diagnosed with ADHD
i,- i,- i,- i,- i,- i,- i,- i,- i,-



predominantly combined presentation and was prescribed i,- i,- i,- i,- i,- i,-



methylphenidate extended-release chewable tablets 20 mg once i,- i,- i,- i,- i,- i,- i,-



daily. Since she has started taking the medication, her appetite
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has decreased. She is 51 inches tall, and her initial weight was 58
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



lbs. She has lost 8 lbs. since beginning treatment.
i,- i,- i,- i,- i,- i,- i,- i,-




Which of the following medication adjustments is appropriate for
i,- i,- i,- i,- i,- i,- i,- i,- i,-



Addison?

,implement stimulant holidays on weekends and non-school days
i,- i,- i,- i,- i,- i,- i,-




decrease the dosage of methylphenidate extended-release to 10
i,- i,- i,- i,- i,- i,- i,- i,-



mg daily i,-




switch to methylphenidate immediate-release 20 mg once daily
i,- i,- i,- i,- i,- i,- i,-




switch to atomoxetine 25 mg once daily
i,- i,-implement stimulant i,- i,- i,- i,- i,-i,- i,- i,- i,-



holidays on weekends and non-school days
i,- i,- i,- i,- i,-




Rationale: Stimulant holidays combined with caloric
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supplementation and monitoring can help offset stimulant- i,- i,- i,- i,- i,- i,-



related weight loss. Switching to a non-stimulant medication may
i,- i,- i,- i,- i,- i,- i,- i,- i,-



be warranted if drug holidays do not provide the desired result of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



weight stabilization. i,-




ADHD nonpharmacologic tx
i,- i,- i,-i,- i,- -Schools
• educational support, behavioral interventions in the classroom,
i,- i,- i,- i,- i,- i,- i,- i,-



and accommodations
i,-




-Psychotherapy
• CBT
i,-




• social and organizational skill training
i,- i,- i,- i,- i,-

, • family therapy.
i,- i,-




• Under age 6
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➣American Academy of Pediatrics (AAP) recommends parent
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training in behavior management as a first-line intervention
i,- i,- i,- i,- i,- i,- i,-




ADHD parent training in behavior management
i,- i,- i,- i,- i,- i,-i,- i,- -What i,-



parents learn:
i,-




• Positive Communication
i,- i,-




• Positive Reinforcement
i,- i,-




• Structure and Discipline
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ADHD complementary and alternative medicine (CAM)
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interventions -dietary approaches i,-i,- i,- i,-




-nutritional supplements i,-




-mind/body practices i,-




• exercise
i,-




• yoga
i,-




• meditation
i,-




-brain training programs
i,- i,-

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