NR 606 Week 8 Final Exam Study Guide

NR606 – Diagnosis and Management in Psychiatric-Mental Health II Exam Study Guide – Final Exam 914400127029 Exam Format: Non-Cumulative exam Question Type: Multiple Choice Number of Questions: 75 Number of Points: 150 points Time Allotted: 90 Minutes Testing Timeframe: The final exam will be available starting on Wednesday of Week 8 at 12:01 am MT until Saturday of Week 8 at 11:59 pm MT. 91440075060 Exam Coverage Content Areas: Week 5: 0361023Attention Deficit Hyperactivity Disorder in Children and Adolescents Attention Deficit Hyperactivity Disorder in Children and Adolescents one or the most common neuropsychiatric affecting 9.4% children in US, occurs more often in males, mild to severe , inattention, hyperactivity and impulsivity appear in childhood and usually affect development of cognitive, behavioral, emotional, social and academic functioning. Symptoms in hyperactivity and impulsivity include fidgeting or talking, feelings of restlessness and impatience, frequent interruptions and difficulty playing quietly. Symptoms usually occur together and peak in severity by age 8, symptoms in attentive adhd include difficulty organizing task, maintaining a routine and paying attention to detail, children with inattentive subtype may avoid task that are intellectually challenging resulting in poor academic or cognitive performance.seen by 8/9, ADHD associated with depression and substance abuse. Selective attention lack of attention to detail, careless mistakes, not listening, losing things, diverting attention, forgetfulness, lack of sustained attention poor problems solving, difficulty completing task, disorganization, difficulty sustaining mental effort, impulsivity, excessive talking, not waiting ones turn blurting things out, interrupting hyperactivity fidgeting leaving ones seat, running climbing, trouble playing quietly. May experience delays in speech, motor and social development. In adults hyperactivity less, but antisocial behaviors develop. adolescents may struggle with executive function attention and working memory ADHD dx criteria pattern of at least 6 symptoms 0361023of inattention and/or hyperactivity/impulsivity that interfere with functioning or development, persist for 6 months or longer, interfere with social, academic or occupational functioning, symptoms present in two or more settings, over 2/3 of children have coexisting psych conditions, ie learning disabilities, conduct d/o, tics, anxiety, depression, and language d/o, adolescents at risk for SUD, ADHD treatment multimodal, requiring educational, medical, behavioral, and psych interventions meds stimulants 70-80% effective before using obtain thorough health hx including hx of cardiac dx. ECG required if hx of cardiac hx present in first degree relative, monitor bp, height and wt regularly, assess for BPD before treatment, CNS stimulants may cause manic or psychotic symptoms in pt with no hx, or may exacerbate symptoms, may exacerbate anxiety and SUD, tx efficacy noted in first week of treatment, increased irritability and insomnia can be treated with low dose nonstimulant, can have abrupt w/d after prolonged use, irritability and rebound symptoms, when switching stimulants, dc current med and start new med next day at starting dose, Schedule ll , have high risk for abuse, short acting have high risk for diversion, careful monitoring required, UDS, common SE, restlessness, irritability, anxiety, insomnia, stomachache, headaches, tics and worsening aggression, may crash when meds wear off (IR). Take with breakfast to decrease