NR 546 Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner FINAL EXAM- Chamberlain

NR 546 Advanced Pharmacology Psychopharmacology
for the Psychiatric-Mental Health Nurse Practitioner
FINAL EXAM- Chamberlain


1. Layla just started school and her parent's received a call from her teacher
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k, about her behavior. The teacher states Layla runs and climbs on the chairs
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k, and desks, has trouble playing quietly, and refuses to stay in her seat. this is
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an example of which ADHD symptoms?
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ANS>> Hyperactivity k,




2. ADHD Lifespan Considerations) •Which symptom decreases markedly with
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k, age?

ANS>> hyperactivity k,




3. (ADHD lifespan consideration) primary symptoms are?
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ANS>> inattention, restless- ness, cognitive & emotional impulsivity, executive
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functioning deficits, and self-rag- elation
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1/8

,4. (ADHD Lifespan) What might adults who struggle with executive
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k, function- in difficulties and disorganization also experience?
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ANS>> Occupational stress and anxiety
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5. ADHD symptoms may arise from abnormalities within circuits
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in the
k, k, , which affect
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ANS>> Prefrontal cortex (PFC), Executive function
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6. ADHD symptoms become noticeable around what age and why?
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ANS>> 6-7 y/o, possibly due to abnormalities in the prefrontal cortex circuits or
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k, errors in the synaptic pruning process.
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7. Mary was reprimanded by her boss for not listening during their last meeting
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k, and making careless mistakes on their current project. Mary apologizes
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k, and says she's been feeling very forgetful lately. this is an example of which
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ADHD symptoms?
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ANS>> Selective attention
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8. Jim is a college student who can't find the motivation to complete his
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homework or pay attention in class. this is an example of which ADHD sump-
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k, toms?
2/8

, ANS>> Lack of sustained attention
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9. Anxiety and ADHD are regulated by which loop?
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ANS>> corticostriatal-thalaṃocorti- coal (CSTC) loop
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10. What Neurotransmitters’ are associated with inefficient information
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k, pro- cussing in the prefrontal circuits?
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ANS>> Norepinephrine and Dopamine
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11. What scheduled drug level are stimulant medications’?
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ANS>> Stimulants are scheduled II controlled substances
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Refill are NOT permitted
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12. what diagnostic test must be obtained for ADHD?
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ANS>> •Most obtain a thorough health hex first
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• Assess for cardiac disease and, if present, obtain an EKG •Blood pressure,
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k, height, and weight should be monitored regularly •Assess for bipolar disorder
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k, before treat- mint
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• Treatment efficacy will be noted within the first week of treatment •Can cause
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k, or worsen tics
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3/8