Page 1 of 192
NR606 FINAL EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| NR606 DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH II FINAL EXAM REVIEW
WITH 450 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (BRAND
NEW!!)
Stimulant Medications: Methylphenidate .....ANSWER.....-Low risk
of adverse effects
-Available formulations:
• Ritalin - available in immediate release (IR) and extended
release (XR) available in beads that may be sprinkled on food
for children who cannot swallow pills
• Concerta biphasic - combined immediate and delayed release
in one medication
• Daytrana - patch applied in AM and removed after 9 hour
,Page 2 of 192
Stimulant Medications: Dexmethylphenidate (Focalin)
.....ANSWER.....-Available in IR and ER
-More potent than Ritalin
-High risk of adverse effects
Stimulant Medications: Amphetamine (Adzenys) .....ANSWER.....-
available in orally disintegrating ER formula for children who
cannot swallow pills
-Avoid prescribing when an MAOI has been used within 14 days
Stimulant Medications: Dextroamphetamine (Adderall)
.....ANSWER.....-Available in IR and extended-release
formulations
-Often dosed in morning (IR or XR) with an evening or evening
prn (IR) dose if med effects diminish prior to end of school, study
or the workday
-Most abused & diverted prescription stimulant
,Page 3 of 192
Stimulant Medications: Lisdexamfetamine (Vyvanse)
.....ANSWER.....-Biologically inactive until metabolized by the
body (Prodrug)
-Less abuse & diversion potential than other stimulants
-Higher-cost medication
Non-stimulant medication: Atomoxetine (Strattera)
.....ANSWER.....-Noradrenergic (NRI)
-Initial drug of choice for adults with ADHD
-no abuse potential
-tolerated well when prescribed in BID dosing
-appropriate choice for comorbid substance abuse
-may augment the effects of antidepressants & antianxiety meds
-can be dosed at bedtime if fatigue is noted
-unlikely to worsen tics
, Page 4 of 192
Non-stimulant medication: Clonidine .....ANSWER.....-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-enhances precortical function for better mental focus
-appetite neutral
-may help with sleep disturbances, administer at bedtime
-adverse effects:
• sedation, brain fog
-monitor of BP closely during initial titration, risk of hypotension
-tapered to avoid rebound hypertension post discontinuation
Non-stimulant medication: guanfacine .....ANSWER.....-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-may also be used for children with tics, sleep disturbances, or
aggression
NR606 FINAL EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| NR606 DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH II FINAL EXAM REVIEW
WITH 450 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (BRAND
NEW!!)
Stimulant Medications: Methylphenidate .....ANSWER.....-Low risk
of adverse effects
-Available formulations:
• Ritalin - available in immediate release (IR) and extended
release (XR) available in beads that may be sprinkled on food
for children who cannot swallow pills
• Concerta biphasic - combined immediate and delayed release
in one medication
• Daytrana - patch applied in AM and removed after 9 hour
,Page 2 of 192
Stimulant Medications: Dexmethylphenidate (Focalin)
.....ANSWER.....-Available in IR and ER
-More potent than Ritalin
-High risk of adverse effects
Stimulant Medications: Amphetamine (Adzenys) .....ANSWER.....-
available in orally disintegrating ER formula for children who
cannot swallow pills
-Avoid prescribing when an MAOI has been used within 14 days
Stimulant Medications: Dextroamphetamine (Adderall)
.....ANSWER.....-Available in IR and extended-release
formulations
-Often dosed in morning (IR or XR) with an evening or evening
prn (IR) dose if med effects diminish prior to end of school, study
or the workday
-Most abused & diverted prescription stimulant
,Page 3 of 192
Stimulant Medications: Lisdexamfetamine (Vyvanse)
.....ANSWER.....-Biologically inactive until metabolized by the
body (Prodrug)
-Less abuse & diversion potential than other stimulants
-Higher-cost medication
Non-stimulant medication: Atomoxetine (Strattera)
.....ANSWER.....-Noradrenergic (NRI)
-Initial drug of choice for adults with ADHD
-no abuse potential
-tolerated well when prescribed in BID dosing
-appropriate choice for comorbid substance abuse
-may augment the effects of antidepressants & antianxiety meds
-can be dosed at bedtime if fatigue is noted
-unlikely to worsen tics
, Page 4 of 192
Non-stimulant medication: Clonidine .....ANSWER.....-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-enhances precortical function for better mental focus
-appetite neutral
-may help with sleep disturbances, administer at bedtime
-adverse effects:
• sedation, brain fog
-monitor of BP closely during initial titration, risk of hypotension
-tapered to avoid rebound hypertension post discontinuation
Non-stimulant medication: guanfacine .....ANSWER.....-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-may also be used for children with tics, sleep disturbances, or
aggression
