NR-606 Final Exam 2026/2027 – 150+ Questions & Answers | ADHD, Conduct Disorders, Eating Disorders, PTSD & Pediatric Psychiatry

This NR-606 Final Exam 2026/2027 study resource contains 150+ exam-style questions with correct answers across 73 pages, providing a comprehensive review of pediatric and adolescent psychiatric assessment, diagnosis, psychopharmacology, psychotherapy, behavioral disorders, eating disorders, trauma, and substance-use concepts. Major topics include ADHD, oppositional defiant disorder (ODD), conduct disorder, intermittent explosive disorder, fetal alcohol spectrum disorder (FASD), anorexia nervosa, bulimia nervosa, binge-eating disorder, pica, avoidant/restrictive food intake disorder (ARFID), gender dysphoria, adolescent substance use, trauma-informed care, PTSD, acute stress disorder, and adjustment disorders. The document identifies the course code as NR-606 and the academic year as 2026/2027, but it does not identify a university, so the institution is accurately stated as University Not Specified rather than assigning an unsupported school. NR1 A substantial section focuses on attention-deficit/hyperactivity disorder (ADHD), including DSM-based diagnostic characteristics, inattentiveness, impulsivity, hyperactivity, developmental presentation, functional impairment, common comorbidities, and differential assessment. It reviews the Vanderbilt and Conners scales, multimodal treatment, stimulant and non-stimulant medications, cardiovascular and biometric monitoring, psychiatric considerations before stimulant initiation, medication adverse effects, abuse and diversion concerns, and behavioral interventions. Parent training, positive reinforcement, structure, discipline, CBT, social and organizational skills training, and family therapy are also addressed. NR1 The resource provides extensive examination preparation for disruptive, impulse-control, and conduct disorders. It distinguishes ODD, conduct disorder, and intermittent explosive disorder through diagnostic duration, behavioral patterns, aggression, defiance, vindictiveness, rule violations, property destruction, and impulse-control difficulties. Risk factors and comorbid psychiatric disorders are reviewed alongside the Minnesota Impulse Disorders Interview (MIDI) and interventions such as parent-caregiver training, cognitive problem-solving skills, school-based programs, consistent parenting strategies, and pharmacological approaches to associated symptoms. NR1 Another major section covers fetal alcohol spectrum disorder and fetal alcohol syndrome, including prenatal alcohol exposure, characteristic physical findings, neurobehavioral impairment, developmental problems, executive-function deficits, learning and memory difficulties, emotional and behavioral concerns, and diagnostic challenges. The notes discuss early intervention, behavioral and social-skills training, speech and occupational therapy, school accommodations, family education, and pharmacological approaches. Educational support is also addressed through the Individuals with Disabilities Education Act (IDEA), Individualized Education Programs (IEPs), Section 504 plans, and free appropriate public education (FAPE). NR1 The eating-disorder material is especially detailed. Anorexia nervosa is reviewed through restrictive eating, significantly low body weight, fear of weight gain, disturbed body image, BMI-based severity, and multisystem complications affecting cardiovascular, endocrine, gastrointestinal, renal, pulmonary, hematological, neurological, reproductive, and dermatological functioning. Treatment emphasizes nutritional restoration and healthy weight restoration alongside psychotherapy, including family therapy and CBT. Bulimia nervosa is differentiated through recurrent binge eating and compensatory behaviors such as vomiting, laxative or diuretic misuse, fasting, and excessive exercise, with extensive coverage of dental, gastrointestinal, endocrine, renal, and electrolyte complications. NR1 The resource also examines binge-eating disorder (BED), pica, and ARFID. BED material covers recurrent loss-of-control eating, diagnostic frequency and severity, CBT, antidepressant treatment discussed in the notes, and lisdexamfetamine for moderate-to-severe BED in adults. Pica content reviews persistent ingestion of nonfood substances, iron and zinc deficiencies, lead exposure, anemia, gastrointestinal injury, relevant laboratory assessment, and behavioral interventions. ARFID is explained through restricted food volume or variety, nutritional deficiencies, weight loss, supplement or enteral-feeding dependence, and psychosocial impairment. The SCOFF screening tool and family-based treatment for adolescent eating disorders are also included. NR1 Later sections address gender dysphoria and gender-affirming clinical support, including social, legal, and medical affirmation concepts and psychotherapy. The notes discuss inclusive clinical environments, chosen names and pronouns, family support, nondiscrimination policies, inclusive documentation, provider education, and approaches intended to reduce healthcare disparities. NR1 The adolescent substance-use section covers commonly used substances, physical versus psychological dependence, intoxication, withdrawal, screening, and treatment. The CRAFFT screening tool is presented through its Car, Relax, Alone, Forget, Friends, and Trouble questions, while the document also discusses SBIRT principles, CBT, group therapy, contingency management, motivational interviewing, peer programs, residential treatment, and the importance of family involvement in adolescent treatment. NR1 The trauma section reviews the core principles of trauma-informed care: safety, trust and transparency, peer support, collaboration, empowerment and choice, and cultural, historical, and gender awareness. Pediatric PTSD material covers trauma exposure, intrusive symptoms, avoidance, negative cognitive and mood alterations, hyperarousal, dissociation, flashbacks, nightmares, hypervigilance, sleep disturbances, and functional impairment. The Child and Adolescent Trauma Screen (CATS) is included, alongside trauma-focused CBT, EMDR, narrative exposure therapy, classroom interventions, and parental involvement. NR1 The final material extends into adjustment disorder and acute stress disorder, distinguishing these conditions by their relationship to stressors, duration, symptom patterns, and diagnostic timing. Adjustment-disorder specifiers include depressed mood, anxiety, mixed anxiety and depressed mood, disturbance of conduct, and mixed emotional and conduct symptoms, while treatment in the document emphasizes individual and family therapy. NR1 Relevant students: This document is particularly relevant for NR-606 students, PMHNP students, MSN and DNP psychiatric nursing students, advanced practice nursing students, pediatric and adolescent mental-health learners, psychiatric nursing students, and students preparing for comprehensive behavioral-health or psychiatric final examinations. It is especially useful for learners reviewing DSM-based diagnostic criteria, pediatric psychopharmacology, developmental psychiatry, behavioral disorders, eating disorders, trauma, adolescent substance use, psychiatric screening tools, and evidence-informed psychotherapy. Academic references: The document references the American Psychiatric Association (APA, 2022/DSM-5-TR) as well as sources including NIAAA (2021), U.S. Department of Education, MedlinePlus (2021), Mela et al. (2020), Walsh (2021), Robertson & Thornton (2021), Hornberger et al. (2021), Fariba & Gokarakonda (2021), Fey et al. (2020), Carr (2019), and Calihan & Levy (2022). These references underpin portions of the document dealing with DSM diagnostic criteria, FASD, educational disability services, eating disorders, disruptive disorders, gender-related care, and adolescent substance-use interventions. 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