NURS 629 PEDS MENTAL HEALTH EXAM QUESTIONS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A+
attention-deficit/hyperactivity disorder (ADHD)
Most commonlly treated mental illness for pediatric primary care.
Inattentin
Not all patients with ADHD meet all of the criteria or suffer from these classes but
which one of the classes causes a
lack of detail orientation, difficulty staying on track, looses things, difficulty organizing,
forgetful.
hyperactivity
A class of ADHD that causes the client to not be able to sit still, talks excessively,
moves often
This class is seen during observation during physical assessment.
Impulsivity
A class of ADHD that cuases the client not to be able to wait turns, interrupts/intrudes,
blurts out answers.
Environmental influences
•Maternal tobacco &/or alcohol and drug (esp. heroin/methadone) use, fetal distress,
low birth weight.are all ____ _____of ADHD
Leads to Altered self-esteem
Genetic factors
____ ____ are believed to be related to effects on dopamine & norepinephrine for the
ADHD client.
Norepinephrine
•Inattention and distraction seen in ADHD is r/t low levels of
Dopamine
•Impulsivity and behavior problems seen in ADHD clients are r/t low levels of
ADHD (Attention-Deficit Hyperactivity Disorder)
, •Essential features – Symptoms (>6mons) occur in >2 settings (school, work, home) &
evidence of impairment in social, academic and/or occupational areas.
•At lease 6 inattention symptoms and/or 6 hyperactivity/ impulsivity symptoms
•Some hyperactive/impulsive symptoms must have been present <7 years of age.
Will really start to see the effect of this disorder in grades 2, 3,4 b/c academics get
harder around this age.
Depression
Anxiety
Adjustment Issues
If the "ADHD" like symptoms come on abruptly this is not a true diagnosis for ADHD.
List some differential diagnosis for abrupt appearing
Inattention symptoms of ADHD
•Routine careless mistakes in work or schoolwork
•Difficulty keeping focused on tasks at work or play
•Doesn't seem to hear when spoke to - "zones out"
•Difficulty organizing
•Avoids or puts off tasks that require sustained mental effort
•Often loses things
•Easily distracted
•Forgets things in daily activities
Hyperactivity/Impulsivity ADHD
•Squirms/fidgets often
•Has difficulty remaining in seat
•Runs, climbs, moves when not appropriate
•Difficulty playing quietly/being still
•"on the go"
•Talks too much
•Interrupts often or blurts out answers
•Not good at taking turns
•Interrupts or "butts in" on others
ADHD combined type
SOLUTIONS VERIFIED GRADED A+
attention-deficit/hyperactivity disorder (ADHD)
Most commonlly treated mental illness for pediatric primary care.
Inattentin
Not all patients with ADHD meet all of the criteria or suffer from these classes but
which one of the classes causes a
lack of detail orientation, difficulty staying on track, looses things, difficulty organizing,
forgetful.
hyperactivity
A class of ADHD that causes the client to not be able to sit still, talks excessively,
moves often
This class is seen during observation during physical assessment.
Impulsivity
A class of ADHD that cuases the client not to be able to wait turns, interrupts/intrudes,
blurts out answers.
Environmental influences
•Maternal tobacco &/or alcohol and drug (esp. heroin/methadone) use, fetal distress,
low birth weight.are all ____ _____of ADHD
Leads to Altered self-esteem
Genetic factors
____ ____ are believed to be related to effects on dopamine & norepinephrine for the
ADHD client.
Norepinephrine
•Inattention and distraction seen in ADHD is r/t low levels of
Dopamine
•Impulsivity and behavior problems seen in ADHD clients are r/t low levels of
ADHD (Attention-Deficit Hyperactivity Disorder)
, •Essential features – Symptoms (>6mons) occur in >2 settings (school, work, home) &
evidence of impairment in social, academic and/or occupational areas.
•At lease 6 inattention symptoms and/or 6 hyperactivity/ impulsivity symptoms
•Some hyperactive/impulsive symptoms must have been present <7 years of age.
Will really start to see the effect of this disorder in grades 2, 3,4 b/c academics get
harder around this age.
Depression
Anxiety
Adjustment Issues
If the "ADHD" like symptoms come on abruptly this is not a true diagnosis for ADHD.
List some differential diagnosis for abrupt appearing
Inattention symptoms of ADHD
•Routine careless mistakes in work or schoolwork
•Difficulty keeping focused on tasks at work or play
•Doesn't seem to hear when spoke to - "zones out"
•Difficulty organizing
•Avoids or puts off tasks that require sustained mental effort
•Often loses things
•Easily distracted
•Forgets things in daily activities
Hyperactivity/Impulsivity ADHD
•Squirms/fidgets often
•Has difficulty remaining in seat
•Runs, climbs, moves when not appropriate
•Difficulty playing quietly/being still
•"on the go"
•Talks too much
•Interrupts often or blurts out answers
•Not good at taking turns
•Interrupts or "butts in" on others
ADHD combined type
