Nurs 660 Exam 4 with complete Solutions updated version 2023 Graded A+

Nurs 660 Exam 4 with complete Solutions updated version 2023 Graded A+ 1 Stiles Lecture-Summer Chapter 13: ADHD 1) Methylphenidate and amphetamine work by increasing the intrasynaptic levels of both norepinephrine and dopamine 2) Monitor for palpitations, chest pain and syncope; vital signs who are on ADHD meds 3) Where do hyperactive symptoms of ADHD originate from? Pre-frontal motor cortex (p. 472, several questions on the origin of sx so then you can match the medication) 4) Where do impulsive symptoms of ADHD originate? Orbital frontal cortex 5) Selective attention originates from anterior cingulate cortex (ACC) vs sustained attention cortico-striatal-thalamic-cortical loop (CSTC) [remember….this loop involves the dorsolateral prefrontal cortex] couple of questions on that….. 6) Substance abuse and ADHD address substance abuse first before the ADHD symptoms, don’t automatically put them on a stimulant, treat SA then go back and treat ADHD sx 7) Inattentive symptoms of ADHD are noticeable at 5-6 years old 8) Grow out of ADHD?? In 50% of patients, adult ADHD may occur because frontal lobe doesn’t catch up, demonstrates impulsiveness and hyperactive sx 9) Which stimulant transports into the neurons via the dopamine transporter? Amphetamine (e.g. Adderall) gets dopamine into the neurons via the dopamine transporter 10) Non-stimulant, know how atomoxetine (Strattera) works and why it’s recommended for people with addiction problems? It increases the dopamine levels in the prefrontal cortex and not the nucleus accumbens 11) If you want to get tested for ADHD is you can have a functional MRI. The Stroop Task in the anterior cingulate loop (ACC) loop 12) Know about the N-back Test 13) Know that guanfacine is a selective 2A agonist; clonidine is also a alpha 2 agonist, however, guanfacine is better tolerated than the alpha 2 agonist clonidine (tics, nightmares).