NR 606 Week 8 Final Exam(V1) 2025/2026 Complete Question and Answer 100% REAL Summer-Fall Semesters Exam Chamberlain University.

NR 606 Week 8 Final Exam(V1) 2025/2026 Complete Question and Answer 100% REAL Summer-Fall Semesters Exam Chamberlain University. What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing things diverting attention, forgetfulness - CORRECT ANSWER :Selective attention What ADHD symptoms are poor problem solving, trouble completing a task, disorganization, trouble sustaining mental effort - CORRECT ANSWER :Lack of sustained attention What ADHD symptoms are excessive talking, blurting things out, not waiting ones turn, interrupting - CORRECT ANSWER :Impulsivity What ADHD symptoms are fidgeting, leaving one’s seat, running, climbing, trouble playing quietly - CORRECT ANSWER :Hyperactivity What ADHD symptom is common in childhood - CORRECT ANSWER :hyperactivity Effects of maturation ADHD- young kids may experience - CORRECT ANSWER :DD, bx less mature than peers Effects of maturation ADHD- teens - CORRECT ANSWER :poor academic performance, trouble driving, trouble in social situations, risky sexual bx, SUD Effects of maturation ADHD- Adult - CORRECT ANSWER :Issues with EF, attention, working memory, that cause issues with day to day fnx and performance at work and in relationships Dx criteria for ADHD - CORRECT ANSWER :How many s/s How long How many settings Pattern of 6 s/s that interfere with fnx/development, 6 months or longer Present in 2 or more settings How to combat anorexia with stimulant use - CORRECT ANSWER :Take medication with breakfast to decrease anorexia or associated weight loss When patients with ADHD have co morbid MH issues, what do you tx first - CORRECT ANSWER :ADHD (stimulants first line) Treating ADHD s/s first will give a clearer picture of the comorbidities Work up for starting stimulant - CORRECT ANSWER :ECG- if personal/first relative fmly hx Check bp/wgt/hgt What co morbidity should the PMHNP assess for before starting a stimulant - CORRECT ANSWER :BPD, CNS stimulant can cause psychotic or manic s/s in pt's with no prior hx or may exacerbate bx disturbances and thought d/o in pt's with pre-exisiting psychosis Stimulants can exacerbate what comorbid dx - CORRECT ANSWER :anxiety and SUD Increased irritability or insomnia can be tx with what - CORRECT ANSWER :low dose non stim Abrupt withdrawal from stimulants can cause what - CORRECT ANSWER :irritability and rebound s/s What to do with tx for ADHD if the pt is argumentative or oppositional - CORRECT ANSWER :Combo therapy with stim and non stim Recommendations for parent training in behavior management for ADHD as a first-line - CORRECT ANSWER :Intervention What do the parents learn Recommended for child under 6 Parents learn positive communication and reinforcement, structure, and discipline Teaches kids to better control their own bx = improved fnx at school, home, and relationships What setting is ODD most common - CORRECT ANSWER :Home setting with peers or adults that the pt knows What is ODD proceeds - CORRECT ANSWER :Conduct disorder and ADHD, more common in boys anxiety and depression. Increased risk of SI Dx criteria for ODD - CORRECT ANSWER :-4 or more symptoms have occurred during an interaction with one or more individuals not including siblings within the last 6 months -Kids under 5 bx occur on most days for at least 6 months ODD s/s - CORRECT ANSWER :Angry/irritable mood: Loss of temper, easily annoyed, anger and resentment Vindictiveness: spiteful or vindictive at least twice within the past 6 months. Hallmark of ODD - CORRECT ANSWER :Persistent angry irritable mood and defiant bx with vindictiveness Conduct disorder exhibits lack of - CORRECT ANSWER :empathy, aggression and impulsivity Severe behaviors violating society norms or rights of others and involved aggression towards others, animals, theft, destruction of property occurring in multiple settings - CORRECT ANSWER :Conduct disorder Conduct disorder has a developmental relationship with - CORRECT ANSWER :ODD When can conduct disorder start presenting - CORRECT ANSWER :as early as preschool more seriously appear later before 16 Low tolerance of frustration and adversity, -Frequently impulsive/angry outburst (temper tantrums, verbal assaults, physical assaults towards others, animals, property) -Outbursts are unplanned, have a rapid onset, are out of proportion to the trigger that elected the response and does not last longer than 30 minutes -Verbal outbursts: twice a week for 3 months Intermittent explosive disorder description How often do intermittent explosive disorder verbal outbursts occur - CORRECT ANSWER :twice a week for 3 months What are the 8 facial features of FAS - CORRECT ANSWER :Skin folds at the corner of the eye Small head circumference Low nasal bridge Small eye opening Short nose Small midface Indistinct philtrum Thin upper lip Functional issues with FAS- ADLs - CORRECT ANSWER :Difficulties with sleeping, feeding in infancy and difficulties with self care Bx interventions indicated for FAS - CORRECT ANSWER :Training in social skills, problem solving, personal safety, assist students in improving special and functional skills Relaxation, medication, art therapy, yoga, exercise, animal assisted therapy, vitamins/herbals, massage/reiki, energy work, acupuncture Benefits of early interventions for FAS - CORRECT ANSWER :Helps patient develop basic skills like walking, talking, interacting with others. It is a combo of pharm and nonpharm Pharmacology for FAS - CORRECT ANSWER :SSRI, alpha 2 agonist, anticonvulsant, stimulants, atypical antipsychotic PMHNP role in identifying early with diagnosis for disabilities education act - CORRECT ANSWER :A federal law to ensure kids with disabilities receive free appropriate education -IDEA Receive individualized special education services to address needs, receive preparation for employment and independent living, protected by law, federal agency, state/local/educational service agencies receive support - CORRECT ANSWER :IDEA- individuals with disabilities education act Risk factors for developing eating disorders - CORRECT ANSWER :-Fmly hx, close relative with an eating disorder -Weight stigma in the culture or family -Trauma (Physical or sexual abuse) -Hx of being bullied about weight or physical appearance -Biopsychological involving Se and Da Lab values for PICA - CORRECT ANSWER :CBC and zinc- iron deficiency anemia may cause pica) and a Lead level Lab alues for anorexia - CORRECT ANSWER :CBC- anmeia, thrombocytopenia, low WBC common in anorexia due to marrow response to starvation Lab values for bulimia - CORRECT ANSWER :Urea and electrolytes- dehydration, hypokalemia, hypochloremia, hyponatremia, metabolic alkalosis, hypomagnesemia, hypophosphatenmia Restrictive eating patterns, extremely low body weight intense fear of gaining weight, excessive exercise to control it. - CORRECT ANSWER :Anorexia Recurrent episodes of eating unusually large amounts of food paired with feeling a lack of control over eating, binge eating alone or in secrecy about eating or eating when not hungry - CORRECT ANSWER :Binge eating Recurrent episodes of eating unusually large amounts of food paired with a feeling of lack of control of eating behaviors. To compensate for overeating, individuals with bulimia nervosa engage in behaviors to prevent weight gain, including self-induced vomiting, excessive use of laxatives or diuretics, excessive exercise, fasting, or a combination of these behaviors - CORRECT ANSWER :At least once a week for 3 months Bulimia Nervosa Persistent ingestion of nonfood items that do not contain nutritional value at least once a month. Clay paper soap hair soil chalk paint metal pebbles ice - CORRECT ANSWER :Pica Reduced intake of food volume or variety due to fear of aversive consequences of eating, lack of interest in food or eating or sensory sensitivity. Associated with nutritional, medical, or psychological impairment. Eating only a few foods that do not meet nutritional needs - CORRECT ANSWER :ARFID What dx criteria for AFRID - CORRECT ANSWER :Significant weight loss, nutritional deficiency, dependence of an E tube or nutritional supplements, impaired psychosocial functioning Pica Tx - CORRECT ANSWER :Non contingent reinforcement, environmental enrichment, overcorrection What is the SCOFF tool used for - CORRECT ANSWER :eating disorders Content of SCOFF tool - CORRECT ANSWER :Sick: Eat until feeling sick Control: loss of control One: Have you recently lost one stone (14 pounds) in 3 mo. Fat: Believe you're fat when others say you're too thin Food: Does food dominate your life Over 2 needs investigation What is one of the most successful tx for eating d/o in kids and teens - CORRECT ANSWER :Family based tx for eating d/o What are the 3 phases to family based tx for eating disorder - CORRECT ANSWER :Full parental control, gradual return of control, autonomy One's concept of oneself as male female or both that is not derived from an interconnection of biotraits, developmental influences, or environmental factors - CORRECT ANSWER :Gender identity At what age do kids become aware of the physical differences between boys and girls - CORRECT ANSWER :2 What age have kids established their gender identity - CORRECT ANSWER :4 Social affirmations for gender - CORRECT ANSWER :Pronouns and gender expression like hairstyle or clothing A supportive family of gender dysmorphia increases - CORRECT ANSWER :Resilience for pt while a family that is resistant or discriminates cause significant distress Adolescent prevalence for alcohol - CORRECT ANSWER :38.3% Adolescent prevalence for marijuana - CORRECT ANSWER :24.6% Adolescent prevalence for tobacco - CORRECT ANSWER :27.1% Adolescent prevalence for other drugs - CORRECT ANSWER :9.2% CRAFFT tool content - CORRECT ANSWER :Car: Driven with someone high or drunk Relax: Use substances to relax/feel better about self Alone: Use substance alone Forget: Forget things you shouldn't while using Fmly/Friends: Tell you you should cut down Trouble: while using substance Over the last 12 months, 2 or more need further assessment What is the most prevalent intervention for adolescence with SUD - CORRECT ANSWER :Counseling- CBT, group contingency management, MI, 12 step program or peer to peer program Recurrent use of substances causing significant impairment including health problems, disability, or failure to meet responsibilities at home work or school - CORRECT ANSWER :Definition of addiction Can affect growth development of the brain and increase risky behavior like unprotected sex and impaired driving - CORRECT ANSWER :Addiction