Finall Exam:l NRl 606/l NR606l (Latestl
2026/l 2027l Update)l Diagnosisl andl
Managementl inl Psychiatric-Mentall Healthl
IIl Practicuml Guide|l Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)l -
Chamberlain
Q:l Whatl arel twol teachingl pointsl forl patientsl ifl theyl beginl tol complainl ofl insomnial
whilel onl al stimulant?
Answer:
Takel thel medicationl ATl NIGHTl orl dol notl takel thel medicationl pastl al certainl time.
Increasedl irritabilityl andl insomnial canl bel treatedl withl al lowl dosel ofl nonstimulantl
medicationl whichl willl allowl thel clientl tol falll asleep.
Q:l Ifl al patientl hasl currentl tics,l whatl isl al greatl teachingl recommendation?
Answer:
Stimulantsl canl causel orl worsenl tics;l stimulantsl mayl unmaskl thel presencel ofl tics.
Q:l Howl soonl wouldl al patient/parentsl seel thel efficacyl ofl al stimulantl orl non-stimulant?
Answer:
withinl thel firstl week!l Thesel medicationsl beginl tol workl 30-60l minutesl afterl ingestionl
andl lastl forl al durationl ofl upl tol 4-12l hours.
,Q:l Ifl al patientl neededl tol bel switchedl froml onel stimulantl medicationl tol thel next,l
howl wouldl youl dol it?
Answer:
Discontinuel onel medicationl andl startl thel nextl medicationl atl thel startingl dosel thel nextl
day.l NOTl THEl SAMEl DAY
Q:l Howl wouldl youl educatel thel patientl onl howl tol discontinuel anl ADHDl medication?
Answer:
Abruptl withdrawall canl causel irritabilityl andl reboundl symptomsl afterl prolongedl use.l
Medicationl needsl tol bel taperedl vial PMHNP.
Q:l Ifl al patient'sl parentl askedl ifl theirl childsl ADHDl medicationl hadl al highl possibilityl
forl addiction,l whatl wouldl youl say?
Answer:
Severall stimulantl medicationsl arel classifiedl asl Schedulel IIl indicatingl thatl theyl havel al
highl potentiall forl abuse.
l Thel PMHNPl mustl adherel tol federall andl state-specificl guidelinesl forl prescribingl thesel
medications.l
Carefull monitoringl isl required.l Occasionall urinel drugl screensl shouldl bel obtainedl tol
verifyl thel presencel ofl amphetaminesl andl thel absencel ofl otherl substancesl ofl abuse.
Q:l Whatl typel ofl stimulantsl arel atl thel highestl riskl forl abusel orl diversion?
Answer:
Ritalin,l Adderalll andl Dexedrine
short-actingl medicationsl arel atl higherl riskl forl diversionl (Short-actingl medicationsl forl
ADHDl thatl arel consideredl highl riskl forl diversionl includel methylphenidatel (Ritalin),l
mixedl amphetaminel saltsl (Adderall),l andl dextroamphetaminel (Dexedrine),l asl theyl takel
,effectl quicklyl andl wearl offl relativelyl fast,l makingl theml morel susceptiblel tol misusel andl
potentiall forl diversion.)l
Sustainedl releasel medicationsl arel betterl forl preventingl this.
Q:l Whatl arel somel commonl sidel effectsl ofl stimulants?
Answer:
restlessness,l irritability,l anxiety,l insomnia,l stomachache,l headaches,l tics,l andl worseningl
aggressionl symptoms
al worseningl ofl symptomsl orl "crash"l mayl occurl whenl thel medicationl wearsl off,l
especiallyl withl immediate-releasel (IR)l medications
Q:l Whatl isl thel bestl wayl tol avoidl anorexial whenl takingl al stimulant?
Answer:
takel medicationl withl breakfastl tol decreasel anorexial orl associatedl weightl loss
Q:l Forl youngerl childrenl underl thel agel ofl ______l thel Americanl Academyl ofl
Pediatricsl (AAP)l recommendsl ________l inl behaviorl managementl asl al first-linel
interventionl forl psychotherapyl withl ADHD.
Answer:
6!!!!!!
PARENTl TRAINING
Q:l Reviewl whatl parentsl teachingl parentsl receivel whenl theyl participatel inl parentl
training:
Answer:
·l Positivel Communication
·l Positivel Reinforcement
, ·l Structurel andl Discipline
Behaviorl therapy,l givenl byl parents,l teachesl childrenl tol betterl controll theirl ownl
behavior,l leadingl tol improvedl functioningl atl schooll homel andl inl relationships.l Learningl
andl practicingl behaviorl therapyl requiresl timel andl effort,l butl hasl lastingl benefitsl forl thel
child.
Q:l Inl olderl childrenl andl adolescents,l treatmentl oftenl involvesl bothl medicationl andl
psychotherapy.l Psychotherapeuticl interventionsl mayl includel cognitive-behaviorall therapyl
(CBT),l sociall andl organizationall skilll training,l andl familyl therapy.
Answer:
Q:l Whatl isl thel DSM-5l forl O.D.D.?
Answer:
Al patternl ofl angry/irritablel mood,l argumentative/defiantl behavior,l orl vindictivenessl
lastingl atl leastl 6l monthsl asl evidencedl byl atl leastl fourl symptomsl ofl thel followingl
categories,l andl exhibitedl duringl interactionl withl atl leastl onel individuall whol isl notl al
sibling:Angry/Irritablel Mood
Oftenl losesl temper
Isl oftenl touchyl orl easilyl annoyed
3.
Isl oftenl angryl andl resentful
Argumentative/Defiantl Behavior
4.
Oftenl arguesl withl authorityl figuresl or,l forl childrenl andl adolescents,l withl adults
5.
Oftenl activelyl defiesl orl refusesl tol complyl withl requestsl froml authorityl figuresl orl withl
rules
6.
Oftenl deliberatelyl annoysl others
7.
Oftenl blamesl othersl forl hisl orl herl mistakesl orl misbehavior
2026/l 2027l Update)l Diagnosisl andl
Managementl inl Psychiatric-Mentall Healthl
IIl Practicuml Guide|l Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)l -
Chamberlain
Q:l Whatl arel twol teachingl pointsl forl patientsl ifl theyl beginl tol complainl ofl insomnial
whilel onl al stimulant?
Answer:
Takel thel medicationl ATl NIGHTl orl dol notl takel thel medicationl pastl al certainl time.
Increasedl irritabilityl andl insomnial canl bel treatedl withl al lowl dosel ofl nonstimulantl
medicationl whichl willl allowl thel clientl tol falll asleep.
Q:l Ifl al patientl hasl currentl tics,l whatl isl al greatl teachingl recommendation?
Answer:
Stimulantsl canl causel orl worsenl tics;l stimulantsl mayl unmaskl thel presencel ofl tics.
Q:l Howl soonl wouldl al patient/parentsl seel thel efficacyl ofl al stimulantl orl non-stimulant?
Answer:
withinl thel firstl week!l Thesel medicationsl beginl tol workl 30-60l minutesl afterl ingestionl
andl lastl forl al durationl ofl upl tol 4-12l hours.
,Q:l Ifl al patientl neededl tol bel switchedl froml onel stimulantl medicationl tol thel next,l
howl wouldl youl dol it?
Answer:
Discontinuel onel medicationl andl startl thel nextl medicationl atl thel startingl dosel thel nextl
day.l NOTl THEl SAMEl DAY
Q:l Howl wouldl youl educatel thel patientl onl howl tol discontinuel anl ADHDl medication?
Answer:
Abruptl withdrawall canl causel irritabilityl andl reboundl symptomsl afterl prolongedl use.l
Medicationl needsl tol bel taperedl vial PMHNP.
Q:l Ifl al patient'sl parentl askedl ifl theirl childsl ADHDl medicationl hadl al highl possibilityl
forl addiction,l whatl wouldl youl say?
Answer:
Severall stimulantl medicationsl arel classifiedl asl Schedulel IIl indicatingl thatl theyl havel al
highl potentiall forl abuse.
l Thel PMHNPl mustl adherel tol federall andl state-specificl guidelinesl forl prescribingl thesel
medications.l
Carefull monitoringl isl required.l Occasionall urinel drugl screensl shouldl bel obtainedl tol
verifyl thel presencel ofl amphetaminesl andl thel absencel ofl otherl substancesl ofl abuse.
Q:l Whatl typel ofl stimulantsl arel atl thel highestl riskl forl abusel orl diversion?
Answer:
Ritalin,l Adderalll andl Dexedrine
short-actingl medicationsl arel atl higherl riskl forl diversionl (Short-actingl medicationsl forl
ADHDl thatl arel consideredl highl riskl forl diversionl includel methylphenidatel (Ritalin),l
mixedl amphetaminel saltsl (Adderall),l andl dextroamphetaminel (Dexedrine),l asl theyl takel
,effectl quicklyl andl wearl offl relativelyl fast,l makingl theml morel susceptiblel tol misusel andl
potentiall forl diversion.)l
Sustainedl releasel medicationsl arel betterl forl preventingl this.
Q:l Whatl arel somel commonl sidel effectsl ofl stimulants?
Answer:
restlessness,l irritability,l anxiety,l insomnia,l stomachache,l headaches,l tics,l andl worseningl
aggressionl symptoms
al worseningl ofl symptomsl orl "crash"l mayl occurl whenl thel medicationl wearsl off,l
especiallyl withl immediate-releasel (IR)l medications
Q:l Whatl isl thel bestl wayl tol avoidl anorexial whenl takingl al stimulant?
Answer:
takel medicationl withl breakfastl tol decreasel anorexial orl associatedl weightl loss
Q:l Forl youngerl childrenl underl thel agel ofl ______l thel Americanl Academyl ofl
Pediatricsl (AAP)l recommendsl ________l inl behaviorl managementl asl al first-linel
interventionl forl psychotherapyl withl ADHD.
Answer:
6!!!!!!
PARENTl TRAINING
Q:l Reviewl whatl parentsl teachingl parentsl receivel whenl theyl participatel inl parentl
training:
Answer:
·l Positivel Communication
·l Positivel Reinforcement
, ·l Structurel andl Discipline
Behaviorl therapy,l givenl byl parents,l teachesl childrenl tol betterl controll theirl ownl
behavior,l leadingl tol improvedl functioningl atl schooll homel andl inl relationships.l Learningl
andl practicingl behaviorl therapyl requiresl timel andl effort,l butl hasl lastingl benefitsl forl thel
child.
Q:l Inl olderl childrenl andl adolescents,l treatmentl oftenl involvesl bothl medicationl andl
psychotherapy.l Psychotherapeuticl interventionsl mayl includel cognitive-behaviorall therapyl
(CBT),l sociall andl organizationall skilll training,l andl familyl therapy.
Answer:
Q:l Whatl isl thel DSM-5l forl O.D.D.?
Answer:
Al patternl ofl angry/irritablel mood,l argumentative/defiantl behavior,l orl vindictivenessl
lastingl atl leastl 6l monthsl asl evidencedl byl atl leastl fourl symptomsl ofl thel followingl
categories,l andl exhibitedl duringl interactionl withl atl leastl onel individuall whol isl notl al
sibling:Angry/Irritablel Mood
Oftenl losesl temper
Isl oftenl touchyl orl easilyl annoyed
3.
Isl oftenl angryl andl resentful
Argumentative/Defiantl Behavior
4.
Oftenl arguesl withl authorityl figuresl or,l forl childrenl andl adolescents,l withl adults
5.
Oftenl activelyl defiesl orl refusesl tol complyl withl requestsl froml authorityl figuresl orl withl
rules
6.
Oftenl deliberatelyl annoysl others
7.
Oftenl blamesl othersl forl hisl orl herl mistakesl orl misbehavior
