NR 606 FINAL EXAM 2025/2026 QUESTIONS AND CORRECT ANSWERS GRADED A+ SUMMER-FALL CHAMBERLAIN

NR 606 FINAL EXAM 2025/2026 QUESTIONS AND
CORRECT ANSWERS GRADED A+ SUMMER-FALL
CHAMBERLAIN


ADHD is a deficiency of neurotransmitters, mainly
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dopamine and norepinephrine
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ADHD diagnostic criteria
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-A pattern of at least six symptoms of inattention and/or hyperactivity-impulsivity
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Mthat interfere with functioning or development.
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-Symptoms persist for six months or longer.
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-Symptoms interfere with social, academic, or occupational functioning.
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-Symptoms are present in two or more settings
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• for instance, home & school
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Kelsey is a 7-year-old first-grader who is the youngest of four children. During
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parent-teacher conferences, her teacher reported that she is polite, respectful, and
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gets along well with her peers. She has a hard time keeping her desk neat and she
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frequently misplaces her supplies and loses library books. She must often be told
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more than once to complete instructions. Her work is appropriate for her grade
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level, but she often makes careless mistakes on her assignments. She struggles with
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math and avoids doing arithmetic assignments. Her parents endorse that Kelsey's
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,room is "sloppy" but do not notice any of the other concerns in the home
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Menvironment.

What is the most likely diagnosis for Kelsey?
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ADHD predominantly inattentive presentation
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ADHD predominantly hyperactive-impulsive
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ADHD combined presentation
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unlikely ADHD diagnosis M M




ADHD predominantly inattentive presentation
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Rationale: Kelsey meets diagnostic criteria for ADHD with a predominantly
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inattentive presentation. Inattentive symptoms include lack of attention to detail,
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making careless mistakes, difficulty listening and following instructions, frequent
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disorganization and misplacing items, distractibility, avoiding tasks that require
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sustained mental effort, and forgetfulness. Although Kelsey's parents identify only
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one symptom in the home setting, she exhibits multiple symptoms in the school
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setting.
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Logan is a 6-year-old kindergartener who has a newborn sister. His parents are
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concerned that Logan seems to be unable to occupy himself quietly when his sister
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is napping. Logan interrupts both his parents and other adults in the home who
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come to visit his sister. He gets impatient when his questions are ignored by adults.
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His parents endorse that the behaviors began about the same time as his mom's
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pregnancy was announced. Logan's teacher does not endorse the same behaviors at
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school; his teacher states he is quiet, reserved, and plays well with others.
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What is the most likely diagnosis for Logan?
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,ADHD predominantly inattentive presentation
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ADHD predominantly hyperactive-impulsive presentation
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ADHD combined presentation
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unlikely ADHD diagnosis M M




unlikely ADHD diagnosis
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Rationale: Although Logan has some symptoms that are consistent with a
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diagnosis of ADHD, the symptom onset coincides with his mother's pregnancy.
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There are no concerns of symptoms at school; more information is needed to
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assign a diagnosis of ADHD.
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Xander is an 8-year-old second-grader who is the youngest of two children. His
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mother notes that he acts as if he has "non-stop energy." He pesters and interrupts
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his older sister to play when she is reading or doing homework, and he has little
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patience for completing his homework. Xander's mom endorses that his behavior
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has been consistent for the past few years. Xander's teacher notes that he fidgets
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during seat time, speaks out of turn in class, and runs or skips in the halls.
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What is the most likely diagnosis for Xander?
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ADHD predominantly inattentive presentation
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ADHD predominantly hyperactive-impulsive presentation
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ADHD combined presentation
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unlikely ADHD diagnosis M M

, ADHD predominantly hyperactive-impulsive presentation
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Rationale: Xander meets diagnostic criteria for ADHD with a hyperactive-
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impulsive presentation, including fidgeting, "non-stop" energy, difficulty in
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engaging in quiet activities, speaking out of turn, excessive running, and
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interrupting others. The behaviors occur in school and at home and have been
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present consistently for several years.
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Belle is a 10-year-old fourth-grader who is the oldest of two children. During
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parent-teacher conferences, her teachers expressed concerns that she has difficulty
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listening and paying attention in class. She plays with her pencil and eraser
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constantly during lessons and, when she does pay attention, she blurts out answers
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to questions without waiting to be called upon. She talks to her peers during class
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and often interrupts the teacher to share with the class. Belle often forgets to bring
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her backpack or lunch to school and often leaves school without her jacket. Belle's
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mother notes that her daughter has always been talkative and energetic; she has
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difficulty keeping her things organized and must be reminded of daily chores, such
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as feeding her hamster.
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What is the most likely diagnosis for Belle?
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ADHD predominantly inattentive presentation
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ADHD predominantly hyperactive-impulsive presentation
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ADHD combined pres
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ADHD combined presentation
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Rationale: Belle meets diagnostic criteria for ADHD combined presentation. She
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has several symptoms of hyperactive-impulsive presentation, including fidgeting,
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