What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing things diverting attention, forgetfulness correct answers Selective attention
What ADHD symptoms are poor problem solving, trouble completing a task, disorganization, trouble sustaining mental effort cor...
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What ADHD symptoms are lack of attention to detail, careless mistakes, not listening, losing
things diverting attention, forgetfulness correct answers Selective attention
What ADHD symptoms are poor problem solving, trouble completing a task, disorganization,
trouble sustaining mental effort correct answers Lack of sustained attention
What ADHD symptoms are excessive talking, blurting things out, not waiting ones turn,
interrupting correct answers Impulsivity
What ADHD symptoms are fidgeting, leaving ones seat, running, climbing, trouble playing
quietly correct answers Hyperactivity
What ADHD symptom is common in childhood correct answers hyperactivity
Effects of maturation ADHD- young kids may experience correct answers DD, bx less mature
than peers
Effects of maturation ADHD- teens correct answers poor academic performance, trouble driving,
trouble in social situations, risky sexual bx, SUD
Effects of maturation ADHD- Adult correct answers Issues with EF, attention, working memory,
that cause issues with day to day fnx and performance at work and in relationships
Dx criteria for ADHD
How many s/s
How long
How many settings correct answers Pattern of 6 s/s that interfere with fnx/development,
6 months or longer
Present in 2 or more settings
How to combat anorexia with stimulant use correct answers Take medication with breakfast to
decrease anorexia or associated weight loss
When patients with ADHD have co morbid MH issues, what do you tx first correct answers
ADHD (stimulants first line)
Treating ADHD s/s first will give a clearer picture of the comorbidities
Work up for starting stimulant correct answers ECG- if personal/first relative fmly hx
Check bp/wgt/hgt
What co morbidity should the PMHNP assess for before starting a stimulant correct answers
BPD, CNS stimulant can cause psychotic or manic s/s in pt's with no prior hx or may exacerbate
bx disturbances and thought d/o in pt's with pre-exisiting psychosis
, Stimulants can exacerbate what comorbid dx correct answers anxiety and SUD
Increased irritability or insomnia can be tx with what correct answers low dose non stim
Abrupt withdrawal from stimulants can cause what correct answers irritability and rebound s/s
What to do with tx for ADHD if the pt is argumentative or oppositional correct answers Combo
therapy with stim and non stim
Recommendations for parent training in behavior management for ADHD as a first-line
Intervention
- What do the parents learn correct answers Recommended for child under 6
- Parents learn positive communication and reinforcement, structure, and discipline
- Teaches kids to better control their own bx = improved fnx at school, home, and relationships
What setting is ODD most common correct answers Home setting with peers or adults that the pt
knows
What is ODD proceeds correct answers Conduct disorder and ADHD, more common in boys
anxiety and depression. Increased risk of SI
Dx criteria for ODD correct answers -4 or more symptoms have occurred during an interaction
with one or more individuals not including siblings within the last 6 months
-Kids under 5 bx occur on most days for at least 6 months
ODD s/s correct answers Angry/irritable mood: Loss of temper, easily annoyed, anger and
resentment
Argumentative/Defiant: Argues with authority figures, actively defiant or refusing to follow rules
or requests from authority figure, deliberately annoys others, blames others for their
mistakes/misbx
Vindictiveness: spiteful or vindictive at least twice within the past 6 months.
Hallmark of ODD correct answers Persistent angry irritable mood and defiant bx with
vindictiveness
Conduct disorder exhibits lack of correct answers empathy, aggression and impulsivity
Severe behaviors violating society norms or rights of others and involved aggression towards
others, animals, theft, destruction of property occurring in multiple settings correct answers
Conduct disorder
Conduct disorder has a developmental relationship with correct answers ODD
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