Exam Week 6: NR668 / NR 668
(Latest ) Psychiatric-
Mental Health Capstone Practicum
& Intensive | Review Questions and
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Pediatric mental health: ADHD
Answer:
-Genetic link - 75% Heritable Risk
-Parents have increased substance use d/o's
-Impulsive, emotionally labile, irritable
-Social rejection may hurt self- esteem
-Prognosis: 60% persist into adulthood
-Treatment: Meds are 1st line!!
Question:
Pediatric mental health: PTSD
Answer:
,-Exposure to a stressful or traumatic event
-Symptoms must be at least 1 month in duration
-Risks include a preexisting anxiety disorder or depression
-Survivor guilt
-Avoidance, hypervigilance, hyperarousal
**Delayed onset = worse prognosis
-Treatment includes; Exposure therapy, Trauma Focused CBT, EMDR, SSRI,
Prazosin
Question:
Vanderbilt Scale facts
Answer:
-validated in community and referral settings using longitudinal assessment
for children between ages 6-12 years
-developed to include common comorbid conditions associated with ADHD
-should not be used alone to make a diagnosis
• clinician should consider info from multiple sources & confirm info with
interviews with the primary caregivers & patients
Question:
National Institute for Children's Health Quality (NICHQ) Vanderbilt
Assessment Scale
Answer:
-Parent info
,• 55 questions
-Teacher info
• 43 questions
Question:
Scoring Vanderbilt Parent Assessment Scale - Past 6 months
Answer:
Parent Assessment Scale
-Predominantly Inattentive subtype
• must score a 2 or 3 on 6 out of 9 items on questions 1-9 AND
• score a 4 or 5 on any of the performance questions 48-55
-Predominantly Hyperactive/Impulsive subtype
• must score a 2 or 3 on 6 out of 9 items on questions 10-18 AND
• score a 4 or 5 on any of the performance questions 48-55
-ADHD combined Inattention/Hyperactivity
• requires the above criteria on both inattention & hyperactivity/impulsivity
-Oppositional-Defiant Disorder Screen
• must score a 2 or 3 on 4 out of 8 behaviors on questions 19-26 AND
• score a 4 or 5 on any of the performance questions 48-55
-Conduct Disorder Screen
• Must score a 2 or 3 on 3 out of 14 behaviors on questions 27-40 AND
, • score a 4 or 5 on any of the performance questions 48-55
-Ax/Depression Screen
• must score a 2 or 3 on 3 out of 7 behaviors on questions 41-47 AND
• score a 4 or 5 on any of the performance questions 48-55
Question:
Scoring Vanderbilt Teacher Assessment Scale - Past 6 months
Answer:
Teacher Assessment Scale
-Predominantly Inattentive subtype
• must score a 2 or 3 on 6 out of 9 items on questions 1-9 AND
• score a 4 or 5 on any of the performance questions 36-43
-Predominantly Hyperactive/Impulsive subtype
• must score a 2 or 3 on 6 out of 9 items on questions 10-18 AND
• score a 4 or 5 on any of the performance questions 36-43
-ADHD Combined Inattention/Hyperactivity
• requires the above criteria on both inattention & hyperactivity/impulsivity
-Oppositional-Defiant/Conduct Disorder Screen
• Must score a 2 or 3 out of 10 items on questions 19-28 AND
• score a 4 or 5 on any of the performance questions 36-43
-Ax/Depression Screen
• must score a 2 or 3 on 3 out of 7 items on questions 29-35 AND
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