NR606 Final Exam UPDATED ACTUAL Exam Questions and CORRECT Answers
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Course
NR606
Institution
NR606
NR606 Final Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
Stimulant Medications: Methylphenidate - CORRECT ANSWER- -Low risk of adverse
effects
-Available formulations:
• Ritalin - available in immediate release (IR) and extended release (XR) available in beads
that may be spri...
NR606 Final Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
Stimulant Medications: Methylphenidate - CORRECT 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
Stimulant Medications: Dexmethylphenidate (Focalin) - CORRECT ANSWER✔✔- -
Available in IR and ER
-More potent than Ritalin
-High risk of adverse effects
Stimulant Medications: Amphetamine (Adzenys) - CORRECT 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) - CORRECT 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
Stimulant Medications: Lisdexamfetamine (Vyvanse) - CORRECT ANSWER✔✔- -
Biologically inactive until metabolized by the body (Prodrug)
-Less abuse & diversion potential than other stimulants
-Higher-cost medication
,-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
Non-stimulant medication: Clonidine - CORRECT 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 - CORRECT 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
-tolerability & 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
Non-stimulant medication: Bupropion (Wellbutrin) - CORRECT ANSWER✔✔- -
Norepinephrine Dopamine Reuptake Inhibitor
-off-label use for ADHD in adults
,-appropriate for clients with concurrent depression or tobacco abuse
Attention-deficit/hyperactivity disorder (ADHD) - CORRECT ANSWER✔✔- -one of the
most common neuropsychiatric disorders
-approximately 9.4% of children in the U.S.
-more frequently males than females, ratio 2:1
-symptom burden mild to severe
-characterized by consistent pattern of inattention &/or hyperactivity & impulsivity that
interferes with functioning & development
• affect development of proper cognitive, behavioral, emotional, social, & academic function
-hyperactivity and impulsivity ADHD subtype symptoms: excessive fidgeting or talking,
feelings of restlessness and impatience, frequent interruption, and difficultly playing quietly
-inattentive ADHD subtype symptoms: difficulty organizing tasks, maintaining a routine, and
paying attention to detail
• may not be distinguishable until eight or nine years of age
-primarily disrupts neuronal connections within the frontal lobe & prefrontal cortex
Without early identification and proper treatment, ADHD can cause disruptions in: -
CORRECT ANSWER✔✔- academic performance
family stress
difficulties in social relationships
accidental injuries
ADHD is associated with: - CORRECT ANSWER✔✔- increased rates of depression & SUD
Symptoms of ADHD - CORRECT ANSWER✔✔- -Selective Attention
• Lack of attention to detail
• Careless mistakes
• Not listening
• Losing things
• Diverting attention
• Forgetfulness
, -Lack of Sustained Attention
• Poor problem solving
• Difficulty completing tasks
• Disorganization
• Difficulty sustaining mental effort
-Impulsivity
• Excessive talking
• Blurting things out
• Not waiting for one's turn
• Interrupting
When is ADHD most often diagnosed - CORRECT ANSWER✔✔- -preschool and
elementary school
• inattentive features become more prominent
ADHD Lifespan Considerations: Symptoms Change with Age - CORRECT ANSWER✔✔- -
Young children with ADHD
• often have developmental delays
• may engage in behaviors less mature than peers
-Teens with ADHD at risk for:
• poor academic performance
• problems with driving
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