NR606 final Exam Questions and Answers (Verified
Answers) ||ACTUAL EXAM 2026 TEST!! Graded A+
| 2026|2027 EXAM UPDATE
What ADHD symptoms are lack of attention to detail, careless mistakes,
not listening, losing things diverting attention, forgetfulness
......ANSWER......Selective attention
What ADHD symptoms are poor problem solving, trouble completing a
task, disorganization, trouble sustaining mental effort
......ANSWER......Lack of sustained attention
What ADHD symptoms are excessive talking, blurting things out, not
waiting ones turn, interrupting ......ANSWER......Impulsivity
What ADHD symptoms are fidgeting, leaving ones seat, running,
climbing, trouble playing quietly ......ANSWER......Hyperactivity
What ADHD symptom is common in childhood
......ANSWER......hyperactivity
Effects of maturation ADHD- young kids may experience
......ANSWER......DD, bx less mature than peers
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Effects of maturation ADHD- teens ......ANSWER......poor academic
performance, trouble driving, trouble in social situations, risky sexual
bx, SUD
Effects of maturation ADHD- Adult ......ANSWER......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 ......ANSWER......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 ......ANSWER......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 ......ANSWER......ADHD (stimulants first line)
Treating ADHD s/s first will give a clearer picture of the comorbidities
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Work up for starting stimulant ......ANSWER......ECG- if personal/first
relative fmly hx
Check bp/wgt/hgt
What co morbidity should the PMHNP assess for before starting a
stimulant ......ANSWER......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 ......ANSWER......anxiety
and SUD
Increased irritability or insomnia can be tx with what
......ANSWER......low dose non stim
Abrupt withdrawal from stimulants can cause what
......ANSWER......irritability and rebound s/s
What to do with tx for ADHD if the pt is argumentative or oppositional
......ANSWER......Combo therapy with stim and non stim
Recommendations for parent training in behavior management for
ADHD as a first-line
Intervention
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- What do the parents learn ......ANSWER......Recommended for child
under 6
- Parents learn positive communication and reinforcement, structure,
and discipline
- Teaches kids to better control their own bx = improved fnx at school,
home, and relationships
What setting is ODD most common ......ANSWER......Home setting with
peers or adults that the pt knows
What is ODD proceeds ......ANSWER......Conduct disorder and ADHD,
more common in boys anxiety and depression. Increased risk of SI
Dx criteria for ODD ......ANSWER......-4 or more symptoms have
occurred during an interaction with one or more individuals not
including siblings within the last 6 months
-Kids under 5 bx occur on most days for at least 6 months
ODD s/s ......ANSWER......Angry/irritable mood: Loss of temper, easily
annoyed, anger and resentment
Argumentative/Defiant: Argues with authority figures, actively defiant
or refusing to follow rules or requests from authority figure,
deliberately annoys others, blames others for their mistakes/misbx
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