FNP 2 Final Exams Questions with
Complete Solutions| Verified Answers
Treatment for ADHD in children under 6 years - ANSWER Behavioral therapy
Treatment for ADHD in children over 6 years - ANSWER Both behavioral &
medication therapy
Treatment meds for ADHD - ANSWER -Stimulants- Methylphenidate (Concerta) Ritalin,
amphetamine, vyvanse, etc.
-Non-stimulants- Straterra (atomexatine), Intuniv (guanfacin), & kapvay (clonidine)
-**For all ADHD meds- start with lowest dosage & titrate up in 1-3 weeks
Depression screening - ANSWER -Advise screening when supports are in place to assure
dx, tx, and follow up- if so then yes screening of all adults is appropriate
Depression screening tools - ANSWER -Beck Depression Inventory- 21 questions &
shorter version of 7 questions
-CES-D- 20 questions population based survey
-MDI- self administered that incorporates ICD-10 symptoms & DSM-V symptoms
of MDD
-PHQ-9- self-administered screening tool that incorporates DSM-V criteria for MDD
Medication Treatment for MDD - ANSWER -first line is SSRIs- Fluoxetine, Setraline,
Paroxetine, Citalopram
, -second line is SNRIs- Venlafaxine, Duloxetine, Buproprion or Mirtazapine. Tricyclics
& MAOIs are second line due to more side effects
Medication for MDD is preferred if - ANSWER -hx of good response to meds
-symptoms are severe
-significant disturbance of sleep & appetite
-severe agitation
-lack of available alternative treatment
Behavioral Treatment for MDD - ANSWER -Cognitive behavior therapy- helps
patients recognize and redirect their negative thoughts & behaviors
-electroconvulsive tx- for severe MDD,
-vagus nerve stimulation- chronic MDD who have failed 4 or more drug therapies
Side effects of MDD medications - ANSWER -Seritonins- abd pain, diarrhea, flushing,
sweating, hyperthermia, lethargy, mental status change, tremor, rhabdo, renal
failure, CV shock & potentially death- when administered with MAOIs, triptans,
lithium, amphetamines & some analgesics (tramadol & meperidine)
-sexual dysfunction
-short term increased risk of suicide (particularly in teens & young adults)
generalized anxiety disorder (GAD) - ANSWER -excessive anxiety and worry about
a number of events or activities occurring most days over 6 months
-difficulty controlling the worry, report subjective distress & may experience
difficulties in social or occupational functioning
good screening questions for anxiety - ANSWER "Do you tend to be an anxious or
nervous person?" or "During the past 4 weeks, have you been bothered by feeling
Complete Solutions| Verified Answers
Treatment for ADHD in children under 6 years - ANSWER Behavioral therapy
Treatment for ADHD in children over 6 years - ANSWER Both behavioral &
medication therapy
Treatment meds for ADHD - ANSWER -Stimulants- Methylphenidate (Concerta) Ritalin,
amphetamine, vyvanse, etc.
-Non-stimulants- Straterra (atomexatine), Intuniv (guanfacin), & kapvay (clonidine)
-**For all ADHD meds- start with lowest dosage & titrate up in 1-3 weeks
Depression screening - ANSWER -Advise screening when supports are in place to assure
dx, tx, and follow up- if so then yes screening of all adults is appropriate
Depression screening tools - ANSWER -Beck Depression Inventory- 21 questions &
shorter version of 7 questions
-CES-D- 20 questions population based survey
-MDI- self administered that incorporates ICD-10 symptoms & DSM-V symptoms
of MDD
-PHQ-9- self-administered screening tool that incorporates DSM-V criteria for MDD
Medication Treatment for MDD - ANSWER -first line is SSRIs- Fluoxetine, Setraline,
Paroxetine, Citalopram
, -second line is SNRIs- Venlafaxine, Duloxetine, Buproprion or Mirtazapine. Tricyclics
& MAOIs are second line due to more side effects
Medication for MDD is preferred if - ANSWER -hx of good response to meds
-symptoms are severe
-significant disturbance of sleep & appetite
-severe agitation
-lack of available alternative treatment
Behavioral Treatment for MDD - ANSWER -Cognitive behavior therapy- helps
patients recognize and redirect their negative thoughts & behaviors
-electroconvulsive tx- for severe MDD,
-vagus nerve stimulation- chronic MDD who have failed 4 or more drug therapies
Side effects of MDD medications - ANSWER -Seritonins- abd pain, diarrhea, flushing,
sweating, hyperthermia, lethargy, mental status change, tremor, rhabdo, renal
failure, CV shock & potentially death- when administered with MAOIs, triptans,
lithium, amphetamines & some analgesics (tramadol & meperidine)
-sexual dysfunction
-short term increased risk of suicide (particularly in teens & young adults)
generalized anxiety disorder (GAD) - ANSWER -excessive anxiety and worry about
a number of events or activities occurring most days over 6 months
-difficulty controlling the worry, report subjective distress & may experience
difficulties in social or occupational functioning
good screening questions for anxiety - ANSWER "Do you tend to be an anxious or
nervous person?" or "During the past 4 weeks, have you been bothered by feeling
