NR606 final exam
What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing things
diverting attention, forgetfulness - Selective attention
What ADHD symptoms are poor problem solving, trouble completing a task, disorganization, trouble
sustaining mental effort - Lack of sustained attention
What ADHD symptoms are excessive talking, blurting things out, not waiting ones turn, interrupting -
Impulsivity
What ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing quietly -
Hyperactivity
What ADHD symptom is common in childhood - hyperactivity
Effects of maturation ADHD- young kids may experience - DD, bx less mature than peers
Effects of maturation ADHD- teens - poor academic performance, trouble driving, trouble in social
situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult - 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
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 - 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 - ADHD (stimulants first line)
Treating ADHD s/s first will give a clearer picture of the comorbidities
Work up for starting stimulant - ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
What co morbidity should the PMHNP assess for before starting a stimulant - 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 - anxiety and SUD
Increased irritability or insomnia can be tx with what - low dose non stim
Abrupt withdrawal from stimulants can cause what - irritability and rebound s/s
What to do with tx for ADHD if the pt is argumentative or oppositional - Combo therapy with stim and
non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing things
diverting attention, forgetfulness - Selective attention
What ADHD symptoms are poor problem solving, trouble completing a task, disorganization, trouble
sustaining mental effort - Lack of sustained attention
What ADHD symptoms are excessive talking, blurting things out, not waiting ones turn, interrupting -
Impulsivity
What ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing quietly -
Hyperactivity
What ADHD symptom is common in childhood - hyperactivity
Effects of maturation ADHD- young kids may experience - DD, bx less mature than peers
Effects of maturation ADHD- teens - poor academic performance, trouble driving, trouble in social
situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult - 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
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 - 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 - ADHD (stimulants first line)
Treating ADHD s/s first will give a clearer picture of the comorbidities
Work up for starting stimulant - ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
What co morbidity should the PMHNP assess for before starting a stimulant - 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 - anxiety and SUD
Increased irritability or insomnia can be tx with what - low dose non stim
Abrupt withdrawal from stimulants can cause what - irritability and rebound s/s
What to do with tx for ADHD if the pt is argumentative or oppositional - Combo therapy with stim and
non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
