NURS 663 EXAM 1 QUESTIONS
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
Acting out - correct answer- direct expression
of an unconscious wish or impulse in action to avoid being
conscious of the accompanying affect
Adderall, Adderall XR - correct answer-
amphetamine and dextroamphetamine salts
ADHD additional criteria - correct answer-
present prior age 12
can't be dx under 4 y/o and diff to confirm 4-6 y/o;
monitor developmental milestones
sx present in 2 or more settings
Indicate: inattentive or hyperactive/impulsive
Indicate severity and remission status
,ADHD basics - correct answer- Inattention,
hyperactivity, impulsivity
ADHD Hyperactivity and Impulsivity - correct
answer- 6 or more sx for at least 6 mo
Fidgets with or taps hands or feet, or squirms in seat,
Leaves seat that otherwise require stay
Feels restless,
Unable to play or take part in leisure activities quietly,
Unable to be or comfortable being still for extended time,
Talks excessively,
Blurts out an answer before a question has been
completed,
Has trouble waiting his or her turn, Interrupts or intrudes
on others.
ADHD inattention criteria - correct answer- 6 or
more sx for at least 6 mo
fails close attention or careless mistakes
difficulty sustaining attention
,doesn't seem to listen
not follow instructions, fails to finish work
diff organizing tasks/activities
avoids, dislikes sustained attn activities
loses necessary things: materials, keys, pencils
easily distracted by external stim
forgetful of daily activities
ADHD types - correct answer- inattentive,
hyperactive-impulsive, combined
alexythymia - correct answer- difficulty
recognizing and understanding emotions in others and
oneself and identifying and describing emotions using
words.
All stimulant major contraindications - correct
answer- May exacerbate glaucoma, HTN,
cardiovascular disorders, hyperthyroidism; anxiety,
psychotic, & seizure disorders.
, All stimulant major SE - correct answer-
Adrenergic effects (increased BP & HR).
Dose-related SEs: insomnia (late admin), decreased
appetite, irritability or nervousness, weight loss (50-60%);
give with meals, max other meals
Stomach pain (30-40%), anxiety, HTN, tachycardia, cardiac
arrhythmias, dysphoria.
headache: (20-40%)
Less common: possible induction of movements
disorders, such as tics, Tourette's d/o-like symptoms, &
dyskinesias (all often self-limited over 7-10 days).
schedule 2 drug, can suppress child growth (use
"holidays" for children to allow growth);
All stimulant major SE high doses - correct answer-
High doses may cause dry mouth, pupillary dilation,
bruxism, formication, excessive ebullience, restlessness,
emotional liability, & occasionally seizures.Long-term use
of high doses associated with delusional disorder that
resembles paranoid schizophrenia.
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
Acting out - correct answer- direct expression
of an unconscious wish or impulse in action to avoid being
conscious of the accompanying affect
Adderall, Adderall XR - correct answer-
amphetamine and dextroamphetamine salts
ADHD additional criteria - correct answer-
present prior age 12
can't be dx under 4 y/o and diff to confirm 4-6 y/o;
monitor developmental milestones
sx present in 2 or more settings
Indicate: inattentive or hyperactive/impulsive
Indicate severity and remission status
,ADHD basics - correct answer- Inattention,
hyperactivity, impulsivity
ADHD Hyperactivity and Impulsivity - correct
answer- 6 or more sx for at least 6 mo
Fidgets with or taps hands or feet, or squirms in seat,
Leaves seat that otherwise require stay
Feels restless,
Unable to play or take part in leisure activities quietly,
Unable to be or comfortable being still for extended time,
Talks excessively,
Blurts out an answer before a question has been
completed,
Has trouble waiting his or her turn, Interrupts or intrudes
on others.
ADHD inattention criteria - correct answer- 6 or
more sx for at least 6 mo
fails close attention or careless mistakes
difficulty sustaining attention
,doesn't seem to listen
not follow instructions, fails to finish work
diff organizing tasks/activities
avoids, dislikes sustained attn activities
loses necessary things: materials, keys, pencils
easily distracted by external stim
forgetful of daily activities
ADHD types - correct answer- inattentive,
hyperactive-impulsive, combined
alexythymia - correct answer- difficulty
recognizing and understanding emotions in others and
oneself and identifying and describing emotions using
words.
All stimulant major contraindications - correct
answer- May exacerbate glaucoma, HTN,
cardiovascular disorders, hyperthyroidism; anxiety,
psychotic, & seizure disorders.
, All stimulant major SE - correct answer-
Adrenergic effects (increased BP & HR).
Dose-related SEs: insomnia (late admin), decreased
appetite, irritability or nervousness, weight loss (50-60%);
give with meals, max other meals
Stomach pain (30-40%), anxiety, HTN, tachycardia, cardiac
arrhythmias, dysphoria.
headache: (20-40%)
Less common: possible induction of movements
disorders, such as tics, Tourette's d/o-like symptoms, &
dyskinesias (all often self-limited over 7-10 days).
schedule 2 drug, can suppress child growth (use
"holidays" for children to allow growth);
All stimulant major SE high doses - correct answer-
High doses may cause dry mouth, pupillary dilation,
bruxism, formication, excessive ebullience, restlessness,
emotional liability, & occasionally seizures.Long-term use
of high doses associated with delusional disorder that
resembles paranoid schizophrenia.
