NR 606 FINAL EXAM (LESSONS 5-8) QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NR 606 FINAL EXAM (LESSONS 5-8) QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 available in beads that may be sprinkled on food for children who cannot swallow pills - Answers ritalin patch applied in the morning and removed after 9 hour - Answers Daytrana Available in immediate release and extended release More potent than Ritalin High risk of adverse effects - Answers Dexmethylphenidate (Focalin) It is available in orally disintegrating extended-release formula for children who cannot swallow pills. Avoid prescribing when an monoamine oxidase inhibitors (MAOIs) has been used within 14 days. - Answers amphetamine (Adzenys Available in immediate and extended-release formulations Most abused and diverted prescription stimulant - Answers dextroamphetamine (Adderall) Prodrug, Less abuse and diversion potential than other stimulants Higher-cost medication - Answers lisdexamfetamine (Vyvanse) drug of choice for adults with ADHD, no abuse potential tolerated well when prescribed in twice daily dosing appropriate choice for comorbid substance abuse may augment the effects of antidepressants and antianxiety medications can be dosed at bedtime if fatigue is noted unlikely to worsen tics - Answers noradrenergic (NRI) atomoxetine (Strattera) enhances precortical function for better mental focus appetite neutral may help with sleep disturbances, administer at bedtime adverse effects: sedation, brain fog monitor of blood pressure closely during initial titration, risk of hypotension tapered to avoid rebound hypertension post discontinuation - Answers clonidine may also be used for children with tics, sleep disturbances, or aggression tolerability and convenience enhanced by once-daily oral controlled-release formulation adverse effects: sedation, headache, decreased appetite reduced side-effect profile comparable to clonidine bedtime administration to avoid daytime sedation - Answers guanfacine off-label use for ADHD in adults appropriate for clients with concurrent depression or tobacco abuse - Answers bupropion (Wellbutrin) a long-term disorder characterized by either hyperactivity and impulsivity or inattention. - Answers ADHD The following describe which type of ADHD symptoms: Lack of attention to detail Careless mistakes Not listening Losing things Diverting attention Forgetfulness - Answers selective attention The following describe which type of ADHD symptoms: Poor problem solving Difficulty completing tasks Disorganization Difficulty sustaining mental effort - Answers lack of sustained attention The following describe which type of ADHD symptoms: Excessive talking Blurting things out Not waiting for one's turn Interrupting - Answers impulsivity The following describe which type of ADHD symptoms: Fidgeting Leaving one's seat Running, climbing Trouble playing quietly - Answers hyperactivity Dx criteria for ADHD - Answers A pattern of at least six symptoms of inattention and/or hyperactivity-impulsivity that interfere with functioning or development. Symptoms persist for six months or longer. Symptoms interfere with social, academic, or occupational functioning. Symptoms are present in two or more settings (for instance, home and school). diagnostic criteria for ADHD with a predominantly inattentive presentation (symptoms) - Answers lack of attention to detail, making careless mistakes, difficulty listening and following instructions, frequent disorganization and misplacing items, distractibility, avoiding tasks that require sustained mental effort, and forgetfulness. diagnostic criteria for ADHD with a hyperactive-impulsive presentation (symptoms) - Answers fidgeting, "non-stop" energy, difficulty in engaging in quiet activities, speaking out of turn, excessive running, and interrupting others. The behaviors occur in school and at home and have been present consistently for several years. diagnostic criteria for ADHD combined presentation (symptoms) - Answers several symptoms of hyperactive-impulsive presentation, including fidgeting, speaking out of turn, excessive talking, and interrupting. Also has symptoms of inattentive presentation, including difficulty listening, paying attention, forgetfulness, and difficulty with organization. symptoms in both environments. may cause psychotic or manic symptoms in clients with no prior history or may exacerbate behavior disturbance symptoms and thought disorders in clients with pre-existing psychosis. - Answers Central nervous system (CNS) stimulants Treatment efficacy for ADHD will be noted within - Answers the first week Stimulants can cause, worsen, or unmask the presence of - Answers Tics For younger children under the age of 6, the American Academy of Pediatrics (AAP) recommends what intervention as first line intervention? - Answers parent training in behavior management hallmark characteristics of include persistent angry and irritable mood, argumentative and defiant behavior, and vindictiveness - Answers oppositional defiant disorder (ODD) Typically, symptom expression occurs in only one setting, most commonly, the home - Answers ODD ODD frequently occurs comorbidly with ________ and often precedes ________ - Answers attention deficit/hyperactivity disorder (ADHD) and often precedes the development of conduct disorder Dx criteria for ODD - Answers must have 4+/ 6 symptoms during an interaction with 1+ people that are not siblings within the last 6 months and symptoms persistence and frequency must exceed typical developmental behaviors related to age, gender, and culture. symptoms of ODD (4+/6) - Answers Angry/Irritable Mood- often loses temper is often easily annoyed is often angry and resentful Argumentative/Defiant Behavior- argues with authority figures or adults actively defies or refuses to follow rules or requests from authority figures deliberately annoys others blames others for their mistakes or misbehavior Vindictiveness- has been spiteful or vindictive at least twice within the past 6 months Differences between diagnostic criteria for children under and over the age of 5 in ODD - Answers For children under age 5, behaviors must occur on most days for at least six months. For people 5 and older, the behaviors must occur at least once per week for at least six months. characterized by severe behaviors that violate societal norms or the rights of others and may involve aggression towards others, animals, theft, and/or the destruction of property. - Answers Conduct disorder what must be ruled out before conduct disorder can be dx? - Answers antisocial personality disorder diagnostic criteria for conduct disorder - Answers three or more of the following symptoms in the past 12 months with one symptom occurring within the last 6 months: aggression to people and animals, destroys property, deceitfulness or theft, serious violations of rules involves a low tolerance for frustration and adversity - Answers Intermittent explosive disorder (IED) The essential features of IED - Answers frequent impulsive or angry outbursts that often include temper tantrums, verbal assaults, or physical assaults towards others, animals, or property, unplanned, have a rapid onset, are out of proportion to the trigger that elicited the response, and lasts no longer than 30 minutes Symptom-specific screening instrument for disruptive disorders - Answers Minnesota Impulse Disorders Interview (MIDI) Recommended for children aged 3-11 years and their families. Provides psychoeducation about the disorder and support for caregivers. - Answers Group parent-caregiver training programs: Recommended when a child's behavior is extreme or complex and requires individualized attention to meet the family's unique circumstances. - Answers Individual parent-caregiver training: Recommended for children aged 9-14 years to enhance social and problem-solving skills - Answers Group child-focused programs: Recommended for children to help them see situations differently and respond appropriately. - Answers Cognitive problem-solving skills training: Recommended for children and adolescents to help them relate to peers and improve school performance. - Answers School-based programs Facial features of FAS - Answers Skin folds at the corner of the eye Small head circumference Low nasal bridge Small eye opening Short nose Small midface Indistinct philtrum (groove between nose and upper lip) Thin upper lip best prognosis for FASD - Answers if children receive a diagnosis and begin treatment before the age of six best med class for hyperarousal in FADS - Answers 1st line= adrenergic agent (clonidine, guanfacine) 2nd line= SSRI, fluoxetine, escitalopram, sertraline best med class for emotional regulation (mood swings, A/D, excitability) in FADS - Answers 1st line= mood stabilizer (divalproex, lamotrigine 2nd line= SSRI best med class for hyperactivity/ neurocognitive (restlessness, impulse, executive dysfunction) in FASD - Answers 1st line= amphetamine based stimulants (lisdexamfetamine, dexedrine) 2nd line- other stimulants (methylphenidate, atomoxetine, bupropion) best med class for cognitive inflexibility (impairments in perspective taking, frustration tolerance, social skills, reasoning, reality testing, abstraction) in FASD - Answers 1st line= atypical neuroleptic (risperidone) olanzapine, aripiprazole protects the rights of individuals with disabilities who are enrolled in programs receiving federal financial assistance through the U.S. Department of Education - Answers Section 504 of the Rehabilitation Act of 1973 describe the services and accommodations that will be provided to students with qualifying disabilities. - Answers Individualized Education Plans (IEP) or 504 plans Symptoms must be present in how many settings to meet ADHD dx criteria - Answers present in more than one setting (such as both at home and in school or work) to meet DSM-5 criteria scale that assesses 18 items for ADHD symptoms and severity in context of functional impairment domains - Answers ADHD rating scale (ADHD-RS-V) screening test that consists of a Full version (90 items) or short version 26 items and assesses for both ADHD & ODD symptoms - Answers swanson, nolan, and pelham (SNAP) scale scale that assesses for symptom assessment and performance impairment by parents and teachers - Answers vanderbilt scales scale that assesses for ADHD with 18 items for ages 6-18 - Answers Conner's scale NTM involves in eating disorders - Answers serotonin and dopamine factors that increase the risk for eating disorders - Answers Family history that includes a close relative with an eating disorder, weight stigma in the culture or family, trauma (especially physical or sexual abuse), and a history of being bullied about weight or physical appearance common characteristics of individuals with eating disorders - Answers negative, subjective appraisal of themselves, perfectionism, body image dissatisfaction, and a history of an anxiety disorder characterized by restrictive eating patterns, extremely low body weight, and an intense fear of gaining weight. - Answers Anorexia nervosa DSM-5-TR: the diagnosis of anorexia nervosa requires: - Answers restriction of intake leads to significantly low body weight