NR605 Exam 4 Actual Exam Style V1 | NR 605
Diagnosis & Management in Psychiatric-Mental
Health across the Lifespan | Chamberlain
1. Which of the following is considered a first-line pharmacological treatment for
ADHD in children?
A. Fluoxetine
B. Methylphenidate
C. Haloperidol
D. Lithium
Correct Answer: B
Expert Explanation: Methylphenidate is a stimulant medication commonly used as
a first-line treatment for ADHD. It works by increasing dopamine and
norepinephrine levels in the brain to improve focus. Stimulants are generally
preferred due to their high efficacy and rapid onset of action in pediatric patients.
2. What is a core clinical feature required for the diagnosis of Autism Spectrum
Disorder (ASD)?
A. Persistent deficits in social communication and interaction
B. Delusions and hallucinations
C. High levels of physical aggression
,D. Acute confusion and disorientation
Correct Answer: A
Expert Explanation: Autism Spectrum Disorder is characterized by persistent
deficits in social communication and social interaction across multiple contexts. It
also includes restricted, repetitive patterns of behavior, interests, or activities.
These symptoms must be present in the early developmental period for a diagnosis
to be made.
3. How does Conduct Disorder (CD) primarily differ from Oppositional Defiant Disorder
(ODD)?
A. ODD is only diagnosed in adults over the age of 18.
B. CD involves a violation of the basic rights of others or societal norms.
C. CD is characterized by a lack of symptoms in school settings.
D. ODD requires the presence of auditory hallucinations.
Correct Answer: B
Expert Explanation: Conduct Disorder is a more severe condition than ODD that
involves the violation of the basic rights of others or major age-appropriate societal
norms. This can include aggression toward people or animals, destruction of
property, or theft. ODD is primarily characterized by a pattern of angry or irritable
mood and argumentative behavior without major violations of rights.
,4. What is the hallmark characteristic of Delirium?
A. Acute change in consciousness and fluctuating attention
B. Steady improvement in cognitive function over time
C. Gradual loss of long-term memory over years
D. Superior ability to multitask and focus
Correct Answer: A
Expert Explanation: Delirium is defined by an acute change in mental status that
fluctuates throughout the course of the day. The hallmark symptom is a disturbance
in attention and awareness that develops over a short period. It is usually caused by
an underlying medical condition, substance intoxication, or medication side effects.
5. Which medication is a cholinesterase inhibitor used to treat mild to moderate
Alzheimer’s disease?
A. Donepezil
B. Memantine
C. Risperidone
D. Sertraline
Correct Answer: A
, Expert Explanation: Donepezil is a cholinesterase inhibitor used to treat mild to
moderate symptoms of Alzheimer’s disease. It works by preventing the breakdown
of acetylcholine, which is a neurotransmitter involved in memory and learning. This
medication helps manage cognitive symptoms but does not provide a cure for the
underlying disease.
6. Which of the following is a non-stimulant medication approved for the treatment of
ADHD?
A. Lisdexamfetamine
B. Alprazolam
C. Atomoxetine
D. Valproate
Correct Answer: C
Expert Explanation: Atomoxetine is a selective norepinephrine reuptake inhibitor
(SNRI) and is a non-stimulant option for ADHD treatment. It is often used when
stimulants are not tolerated or when there is a concern regarding substance abuse.
The onset of action for atomoxetine is slower than that of stimulants, often taking
several weeks to reach full effect.
Diagnosis & Management in Psychiatric-Mental
Health across the Lifespan | Chamberlain
1. Which of the following is considered a first-line pharmacological treatment for
ADHD in children?
A. Fluoxetine
B. Methylphenidate
C. Haloperidol
D. Lithium
Correct Answer: B
Expert Explanation: Methylphenidate is a stimulant medication commonly used as
a first-line treatment for ADHD. It works by increasing dopamine and
norepinephrine levels in the brain to improve focus. Stimulants are generally
preferred due to their high efficacy and rapid onset of action in pediatric patients.
2. What is a core clinical feature required for the diagnosis of Autism Spectrum
Disorder (ASD)?
A. Persistent deficits in social communication and interaction
B. Delusions and hallucinations
C. High levels of physical aggression
,D. Acute confusion and disorientation
Correct Answer: A
Expert Explanation: Autism Spectrum Disorder is characterized by persistent
deficits in social communication and social interaction across multiple contexts. It
also includes restricted, repetitive patterns of behavior, interests, or activities.
These symptoms must be present in the early developmental period for a diagnosis
to be made.
3. How does Conduct Disorder (CD) primarily differ from Oppositional Defiant Disorder
(ODD)?
A. ODD is only diagnosed in adults over the age of 18.
B. CD involves a violation of the basic rights of others or societal norms.
C. CD is characterized by a lack of symptoms in school settings.
D. ODD requires the presence of auditory hallucinations.
Correct Answer: B
Expert Explanation: Conduct Disorder is a more severe condition than ODD that
involves the violation of the basic rights of others or major age-appropriate societal
norms. This can include aggression toward people or animals, destruction of
property, or theft. ODD is primarily characterized by a pattern of angry or irritable
mood and argumentative behavior without major violations of rights.
,4. What is the hallmark characteristic of Delirium?
A. Acute change in consciousness and fluctuating attention
B. Steady improvement in cognitive function over time
C. Gradual loss of long-term memory over years
D. Superior ability to multitask and focus
Correct Answer: A
Expert Explanation: Delirium is defined by an acute change in mental status that
fluctuates throughout the course of the day. The hallmark symptom is a disturbance
in attention and awareness that develops over a short period. It is usually caused by
an underlying medical condition, substance intoxication, or medication side effects.
5. Which medication is a cholinesterase inhibitor used to treat mild to moderate
Alzheimer’s disease?
A. Donepezil
B. Memantine
C. Risperidone
D. Sertraline
Correct Answer: A
, Expert Explanation: Donepezil is a cholinesterase inhibitor used to treat mild to
moderate symptoms of Alzheimer’s disease. It works by preventing the breakdown
of acetylcholine, which is a neurotransmitter involved in memory and learning. This
medication helps manage cognitive symptoms but does not provide a cure for the
underlying disease.
6. Which of the following is a non-stimulant medication approved for the treatment of
ADHD?
A. Lisdexamfetamine
B. Alprazolam
C. Atomoxetine
D. Valproate
Correct Answer: C
Expert Explanation: Atomoxetine is a selective norepinephrine reuptake inhibitor
(SNRI) and is a non-stimulant option for ADHD treatment. It is often used when
stimulants are not tolerated or when there is a concern regarding substance abuse.
The onset of action for atomoxetine is slower than that of stimulants, often taking
several weeks to reach full effect.
