nr546 final exam questions and answers (100% pass)
which NT play a role in the symptoms & treatment of ADHD? - ✔️✔️norepinephrine & dopamine
ADHD symptoms 4 categories - ✔️✔️selective attention, hyperactivity, lack of zsustained
attention, impulsivity
what is the youngest age ADHD can appear at? - ✔️✔️3 y/o
what plays an important role in the development of ADHD? - ✔️✔️genetics
Describe selective attention? - ✔️✔️lack of attention to detail, careless mistakes, not listening,
losing things, diverting attention, forgetful
Describe lack of sustained attention? - ✔️✔️poor problem solving, difficulty completing tasks,
disorganization, difficulty sustaining mental effort
what is impulsivity ? - ✔️✔️excessive talking, blurting things out, not waiting one's turn,
interrupting
what is hyperactivity? - ✔️✔️fidgeting, leaving one's seat, running, climbing, trouble playing
quietly
•George talks excessively, blurts out answers in class, and has hurt a friend's feelings when he
wouldn't wait his turn at recess. this is an example of which ADHD symptoms? - ✔️✔️impulsivity
•Mary was reprimanded by her boss for not listening during their last meeting and making
careless mistakes on their current project. Mary apologizes and says she's been feeling very
forgetful lately. this is an example of which ADHD symptoms? - ✔️✔️selective attetion
Jim is a college student who can't find the motivation to complete his homework or pay attention
in class. this is an example of which ADHD symptoms? - ✔️✔️lack of sustained attention
Layla just started school and her parent's received a call from her teacher about her behavior. The
teacher states Layla runs and climbs on the chairs and desks, has trouble playing quietly, and
refuses to stay in her seat. this is an example of which ADHD symptoms? - ✔️✔️hyperactivity
(ADHD: Lifespan Considerations) •Which symptom decreases markedly with age? -
✔️✔️hyperactivity
(ADHD lifespan consideration) primary symptoms are? - ✔️✔️inattention, restlessness, cognitive
& emotional impulsivity, executive functioning deficits, and self-regulation
(ADHD Lifespan) What might adults who struggle with executive functioning difficulties and
disorganization also experience? - ✔️✔️occupational stress and anxiety
ADHD symptoms may arise from abnormalities within circuits in the_________, which affect
________ - ✔️✔️prefrontal cortex (PFC) , executive function.
ADHD symptoms become noticeable around what age and why? - ✔️✔️6-7 y/o, possibly due to
abnormalities in the prefrontal cortex circuits or errors in the synaptic pruning process.
Anxiety and ADHD are regulated by which loop? - ✔️✔️corticostriatal-thalamocortical (CSTC)
loop
what NT are associated with inefficient information processing in the prefrontal circuits? -
✔️✔️Norepinephrine (NE) and dopamine (DA)
•What scheduled drug level are stimulant medications?
•Are refills permitted? - ✔️✔️•Stimulants are schedule II-controlled substances
•Refills are NOT permitted
what diagnostic test must be obtained? - ✔️✔️•Must obtain a thorough health hx first
•Assess for cardiac disease and, if present, obtain an EKG
•Blood pressure, height, and weight should be monitored regularly
•Assess for bipolar disorder before treatment
•Treatment efficacy will be noted within the first week of treatment
•Can cause or worsen tics
•What is the correct protocol for switching patients from one stimulant medication to another? -
✔️✔️•When switching stimulants, discontinue the current medication and start the new medication
at a starting dose the next day.
•What two forms are stimulant medications available in? - ✔️✔️•Stimulant medications available
to treat ADHD are available as immediate-release or sustained-release formulations
•Are short-acting or long-acting stimulants at a higher risk for diversion?
•How should these medications be monitored? - ✔️✔️•Short-acting medications are at higher risk
for diversion.
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