NR 668 WEEK 6 EXAM STUDY GUIDE 2025/2026 ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS NEWEST VERSION CHAMBERLAIN COLLEGE OF NURSING

NR 668 WEEK 6 EXAM STUDY GUIDE 2025/2026 ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS NEWEST VERSION CHAMBERLAIN COLLEGE OF NURSING 1. ADHD - ANSWER -long-term disorder characterized by either hyperactivity & impulsivity or inattention -affect the development of proper cognitive, behavioral, emotional, social, & academic function -Symptoms of the hyperactivity & impulsivity subtype: • excessive fidgeting or talking, feelings of restlessness & impatience, frequent interruption, difficultly playing quietly • reach peak severity when the child is around 8 years of age -symptoms of inattentive subtype • difficulty organizing tasks, maintaining a routine, paying attention to detail • Children may avoid tasks that are intellectually challenging, resulting in poor academic or cognitive performance • may not be distinguishable until 8-9 years of age -primarily disrupts neuronal connections within the frontal lobe & prefrontal cortex 2. FDA approved medications for ADHD - ANSWER Stimulants -Methylphenidate • Azstaryz • Concerta • Focalin • Jornay PM • Metadate CD or ER • Ritalin -Amphetamine • Adderall • Adzenys ER or XR-ODT • Dexedrine • Vyvanse Non-stimulants -Norepinephrine reuptake inhibitors • Strattera • Qelbree -Alpha agonist • Kapvay • Intuniv APPROVED-BY-THE-US-FDA- 3. Behavior Management: Parent training - ANSWER -What parents learn when trained in behavior therapy • Positive Communication • Positive Reinforcement • Structure & Discipline 4. Seamus is a 13-year-old who was referred to the psychiatric mental health nurse practitioner (PMHNP) by a family court judge for evaluation. Seamus was arrested after breaking into several cars on his street overnight and stealing loose change and small electronics. Seamus's parents endorse that he has had problems since he was a young boy. Starting in kindergarten, he has had "anger management" issues and argues with his parents and with teachers. He has difficulty sitting still in the classroom and was frequently disciplined for interrupting teachers, talking constantly, and running in the halls. At home, he often exhibits vindictive behavior towards his siblings and blames them for his actions. His parents describe him as "driven by a motor." He is irritable most of the time. He has never liked school and has struggled academically since first grade. He was suspended twice in elementary school for bullyi - ANSWER yes Rationale: symptoms consistent with ODD include anger and irritability, argumentative and vindictive behavior, and blaming others. 5. According to the DSM-5-TR, does Seamus meet the diagnostic criteria for conduct disorder? yes no unable to determine - ANSWER yes Rationale: Symptoms consistent with conduct disorder include a history of repetitive, persistent behavior that violates societal norms within the past twelve months, including bullying, fighting, vandalism, theft, and truancy. 6. According to the DSM-5-TR, does Seamus meet the diagnostic criteria for intermittent explosive disorder? yes no unable to determine - ANSWER no 7. Pediatric mental health: Tourette's Disorder - ANSWER -Most severe form of Tic disorder -Coprolalia -Echolalia -Increased: OCD, ADHD -Mild cases may not need Tx -Treatment • Habit reversal • Exposure/Response prevention • Risperdal 8. Pediatric mental health: ADHD - ANSWER -Genetic component: 75% Heritable risk -Parents have increased substance d/o -Impulsive, emotionally labile, lack focus, can be explosive or irritable -Treatment • Meds are first line! Must be carful & aware of cardiac risk of stimulants • Methylphenidate, Amphetamines • Nonstimulants: Atomoxetine, Catapres 9. PTSD in those 21 years old - ANSWER -Need at least 1 month duration -Acting scene through play, nightmares -Dissociative state -Delayed onset = worse -Treatment • Psychotherapy / exposuretherapy / Trauma focused CBT • EMDR • SSRI's • Prazosin 10. Pediatric mental health: MDD - ANSWER -Substitute Irritability for depressed mood -Angry rather than sad -Increased somatic complaints -Children of parents with early onset MDD -Bereavement -Treatment • CBT • SSRI • Nonstimulants: Atomoxetine, Catapres 11. Pediatric mental health: Bipolar Disorder - Early onset - ANSWER -Peak symptoms begins in teen years -Substance abuse common -Treatment • Lithium ok after 12 years of age • VPA approved for seizures • Short term SGA ok • Hospitalization may be necessary 12. Pediatric mental health: Schizophrenia - ANSWER -Preschool children can hallucinate -Early onset Schizophrenia is rare -1st degree relatives increase prevalence -Soft neurologic signs -Peer relationships -Social rejection -Academic trouble -Treatment • Antipsychotics