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NR606 Final Exam Questions and Answers (100% Correct Answers) Already Graded A+

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NR606 Final Exam Questions and Answers (100% Correct Answers) Already Graded A+

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NR606 Final Exam Questions and Answers
(100% Correct Answers) Already Graded
A+

Stimulant Medications: Methylphenidate [ Ans: ] -Low risk of
adverse effects
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-Available formulations:

• Ritalin - available in immediate release (IR) and extended
release (XR) available in beads that may be sprinkled on food for
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children who cannot swallow pills

• Concerta biphasic - combined immediate and delayed release
in one medication

• Daytrana - patch applied in AM and removed after 9 hour

Stimulant Medications: Dexmethylphenidate (Focalin) [ Ans: ] -
Available in IR and ER

-More potent than Ritalin

-High risk of adverse effects

Stimulant Medications: Amphetamine (Adzenys) [ Ans: ] -
available in orally disintegrating ER formula for children who
cannot swallow pills

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-Avoid prescribing when an MAOI has been used within 14 days

Stimulant Medications: Dextroamphetamine (Adderall) [ Ans: ] -
Available in IR and extended-release formulations

-Often dosed in morning (IR or XR) with an evening or evening prn
(IR) dose if med effects diminish prior to end of school, study or the
workday

-Most abused & diverted prescription stimulant
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Stimulant Medications: Lisdexamfetamine (Vyvanse) [ Ans: ] -
Biologically inactive until metabolized by the body (Prodrug)
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-Less abuse & diversion potential than other stimulants

-Higher-cost medication

Non-stimulant medication: Atomoxetine (Strattera) [ Ans: ] -
Noradrenergic (NRI)

-Initial drug of choice for adults with ADHD

-no abuse potential

-tolerated well when prescribed in BID dosing

-appropriate choice for comorbid substance abuse

-may augment the effects of antidepressants & antianxiety meds

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-can be dosed at bedtime if fatigue is noted

-unlikely to worsen tics

Non-stimulant medication: Clonidine [ Ans: ] -α 2 agonist

• May be taken as monotherapy or with stimulant medications

-enhances precortical function for better mental focus
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-appetite neutral

-may help with sleep disturbances, administer at bedtime
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-adverse effects:

• sedation, brain fog

-monitor of BP closely during initial titration, risk of hypotension

-tapered to avoid rebound hypertension post discontinuation

Non-stimulant medication: guanfacine [ Ans: ] -α 2 agonist

• May be taken as monotherapy or with stimulant medications

-may also be used for children with tics, sleep disturbances, or
aggression

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-tolerability & convenience enhanced by once-daily oral
controlled-release formulation

-adverse effects:

• sedation, headache, decreased appetite

-reduced side-effect profile comparable to clonidine
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-bedtime administration to avoid daytime sedation

Non-stimulant medication: Bupropion (Wellbutrin) [ Ans: ] -
Norepinephrine Dopamine Reuptake Inhibitor
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-off-label use for ADHD in adults

-appropriate for clients with concurrent depression or tobacco
abuse

Attention-deficit/hyperactivity disorder (ADHD) [ Ans: ] -one of
the most common neuropsychiatric disorders

-approximately 9.4% of children in the U.S.

-more frequently males than females, ratio 2:1

-symptom burden mild to severe

-characterized by consistent pattern of inattention &/or
hyperactivity & impulsivity that interferes with functioning &
development

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