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Exam 4 Nurse 660 Question and Answers 100% Solved

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Exam of 14 pages for the course NUR 660 at NUR 660 (Exam 4 Nurse 660)

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Exam 4 Nurse 660

The core symptoms of ADHD are linked to what area of the brain? - answer prefrontal
cortex

Selective attention is due to what area of the PFC malfunctioning? - answer dorsal ACC
(anterior cingulate cortex)

sustained attention and problem solving linked to what area of the brain? – answer
DLPFC

hyperactivity is linked to what area of the brain? - answer prefrontal motor cortex

what test assessing sustained attention? – answer N-back test

where is sustained attention modulated in brain? – answer CSTC loop in the DLPFC

insufficient activation in the DLPFC can cause inattention

"sustaiNed attention- N back"

what test assesses selective attention? - answerStroop test

"Selective, Stroop, Cingulate"

where in the brain is selective attention modulated? - answerthe CSTC loop, Dorsal
anterior cingulate cortex

issues with sustained attention are: - answerdifficulty completing tasks
disorganization
trouble sustaining mental effort

issues with selective attention are: - answerdifficulty with detail
carless mistakes
not listening
losing things
being distracted
forgetting things

what part of the brain modulates impulsitivity? - answerorbitofrontal cortex

what symptoms of impulsitivity are observed? - answertalking excessively
blurting things out

, not waiting ones turn
interrupting

what part of the brain modulates hyperactivity? - answerprefrontal cortex

what are some key observations in the prefrontal cortex as it relates to ADHD? -
answerorbitofrontal cortex (OFC)-- impulsivity and hyperactivity

DLPFC/DaCC-- sustained/selective attention issues

how do NE and DA amounts manifest in relation to fatigue/anxiety? - answertoo little NE
and DA = fatigue

too much = anxiety

what two receptors in the PRC are thought to be involved with ADHD treatment? -
answeralpha 2 a
D1

how does ADHD affect NE and DA levels? - answerNE levels low, signal reduced

DA levels low, noise increased

results in: fidget and inattention

how should you treat NE and DA in adhd? - answerincrease NE

Increase DA

what receptors does NE stimulate in the postsynapse? - answeralpha 2 a; even better
effect when beta1 receptors also stimulated

what effect does DA have on receptors and what does this cause? - answerdecreases
the noise and prevents inappropriate connections from taking place through stimulating
D1 receptors

what effect does NE have on receptors and what does this cause? - answerincreases
the incoming signal and allows for increase connections between prefrontal networks
through stimulation of alpha 2A receptors

what effect do slow dose stimulants have? - answeramplify tonic NE and DA signals

block NET in PFC

block DAT in nucleus accumbens

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