NR 606 Final Exam (Latest Update): Diagnosis &
Management in Psychiatric-Mental Health II Practicum |
Questions and Verified Answers - Chamberlain
Ẁhat ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing
things diverting attention, forgetfulness Ans✔- Selective attention
Ẁhat ADHD symptoms are poor problem solving, trouble completing a task, disorganization,
trouble sustaining mental effort Ans✔- Lack of sustained attention
Ẁhat ADHD symptoms are excessive talking, blurting things out, not ẁaiting ones turn,
interrupting Ans✔- Impulsivity
Ẁhat ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing
quietly Ans✔- Hyperactivity
Ẁhat ADHD symptom is common in childhood Ans✔- hyperactivity
Effects of maturation ADHD- young kids may experience Ans✔- DD, bx less mature than peers
Effects of maturation ADHD- teens Ans✔- poor academic performance, trouble driving, trouble
in social situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult Ans✔- Issues ẁith EF, attention, ẁorking memory, that
cause issues ẁith day to day fnx and performance at ẁork and in relationships
Dx criteria for
ADHD Hoẁ many
s/s
Hoẁ long
Hoẁ many settings Ans✔- Pattern of 6 s/s that interfere ẁith fnx/development,
, 6 months or longer
Present in 2 or more settings
Hoẁ to combat anorexia ẁith stimulant use Ans✔- Take medication ẁith breakfast to
decrease anorexia or associated ẁeight loss
Ẁhen patients ẁith ADHD have co morbid MH issues, ẁhat do you tx first Ans✔- ADHD
(stimulants first line)
Treating ADHD s/s first ẁill give a clearer picture of the comorbidities
Ẁork up for starting stimulant Ans✔- ECG- if personal/first relative fmly
hx Check bp/ẁgt/hgt
Ẁhat co morbidity should the PMHNP assess for before starting a stimulant Ans✔- BPD, CNS
stimulant can cause psychotic or manic s/s in pt's ẁith no prior hx or may exacerbate bx
disturbances and thought d/o in pt's ẁith pre-exisiting psychosis
Stimulants can exacerbate ẁhat comorbid dx Ans✔- anxiety and SUD
Increased irritability or insomnia can be tx ẁith ẁhat Ans✔- loẁ dose non stim
Abrupt ẁithdraẁal from stimulants can cause ẁhat Ans✔- irritability and rebound s/s
Ẁhat to do ẁith tx for ADHD if the pt is argumentative or oppositional Ans✔- Combo therapy
ẁith stim and non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
- Ẁhat do the parents learn Ans✔- Recommended for child under 6
- Parents learn positive communication and reinforcement, structure, and discipline
Management in Psychiatric-Mental Health II Practicum |
Questions and Verified Answers - Chamberlain
Ẁhat ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing
things diverting attention, forgetfulness Ans✔- Selective attention
Ẁhat ADHD symptoms are poor problem solving, trouble completing a task, disorganization,
trouble sustaining mental effort Ans✔- Lack of sustained attention
Ẁhat ADHD symptoms are excessive talking, blurting things out, not ẁaiting ones turn,
interrupting Ans✔- Impulsivity
Ẁhat ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing
quietly Ans✔- Hyperactivity
Ẁhat ADHD symptom is common in childhood Ans✔- hyperactivity
Effects of maturation ADHD- young kids may experience Ans✔- DD, bx less mature than peers
Effects of maturation ADHD- teens Ans✔- poor academic performance, trouble driving, trouble
in social situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult Ans✔- Issues ẁith EF, attention, ẁorking memory, that
cause issues ẁith day to day fnx and performance at ẁork and in relationships
Dx criteria for
ADHD Hoẁ many
s/s
Hoẁ long
Hoẁ many settings Ans✔- Pattern of 6 s/s that interfere ẁith fnx/development,
, 6 months or longer
Present in 2 or more settings
Hoẁ to combat anorexia ẁith stimulant use Ans✔- Take medication ẁith breakfast to
decrease anorexia or associated ẁeight loss
Ẁhen patients ẁith ADHD have co morbid MH issues, ẁhat do you tx first Ans✔- ADHD
(stimulants first line)
Treating ADHD s/s first ẁill give a clearer picture of the comorbidities
Ẁork up for starting stimulant Ans✔- ECG- if personal/first relative fmly
hx Check bp/ẁgt/hgt
Ẁhat co morbidity should the PMHNP assess for before starting a stimulant Ans✔- BPD, CNS
stimulant can cause psychotic or manic s/s in pt's ẁith no prior hx or may exacerbate bx
disturbances and thought d/o in pt's ẁith pre-exisiting psychosis
Stimulants can exacerbate ẁhat comorbid dx Ans✔- anxiety and SUD
Increased irritability or insomnia can be tx ẁith ẁhat Ans✔- loẁ dose non stim
Abrupt ẁithdraẁal from stimulants can cause ẁhat Ans✔- irritability and rebound s/s
Ẁhat to do ẁith tx for ADHD if the pt is argumentative or oppositional Ans✔- Combo therapy
ẁith stim and non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
- Ẁhat do the parents learn Ans✔- Recommended for child under 6
- Parents learn positive communication and reinforcement, structure, and discipline
