Exam Week 6: NR668 / NR 668
(Latest 2024 / 2025) Psychiatric- Mental Health Capstone Practicum & Intensive | Review Questions and Answers | 100% Correct | Grade A - Chamberlain
Question:
Pediatric mental health: ADHD
Answer:
-Genetic link - 75% Heritable Risk -Parents have increased substance use d/o's -Impulsive, emotionally labile, irritable -Social rejection may hurt self- esteem
-Prognosis: 60% persist into adulthood
-Treatment: Meds are 1st line!!
Question:
Pediatric mental health: PTSD
Answer: 1 / 4
-Exposure to a stressful or traumatic event -Symptoms must be at least 1 month in duration -Risks include a preexisting anxiety disorder or depression -Survivor guilt -Avoidance, hypervigilance, hyperarousal **Delayed onset = worse prognosis -Treatment includes; Exposure therapy, Trauma Focused CBT, EMDR, SSRI, Prazosin
Question:
Vanderbilt Scale facts
Answer:
-validated in community and referral settings using longitudinal assessment for children between ages 6-12 years -developed to include common comorbid conditions associated with ADHD -should not be used alone to make a diagnosis • clinician should consider info from multiple sources & confirm info with interviews with the primary caregivers & patients
Question:
National Institute for Children's Health Quality (NICHQ) Vanderbilt Assessment Scale
Answer:
-Parent info 2 / 4
• 55 questions -Teacher info • 43 questions
Question:
Scoring Vanderbilt Parent Assessment Scale - Past 6 months
Answer:
Parent Assessment Scale -Predominantly Inattentive subtype • must score a 2 or 3 on 6 out of 9 items on questions 1-9 AND • score a 4 or 5 on any of the performance questions 48-55 -Predominantly Hyperactive/Impulsive subtype • must score a 2 or 3 on 6 out of 9 items on questions 10-18 AND • score a 4 or 5 on any of the performance questions 48-55 -ADHD combined Inattention/Hyperactivity • requires the above criteria on both inattention & hyperactivity/impulsivity
-Oppositional-Defiant Disorder Screen • must score a 2 or 3 on 4 out of 8 behaviors on questions 19-26 AND • score a 4 or 5 on any of the performance questions 48-55
-Conduct Disorder Screen • Must score a 2 or 3 on 3 out of 14 behaviors on questions 27-40 AND 3 / 4
• score a 4 or 5 on any of the performance questions 48-55
-Ax/Depression Screen • must score a 2 or 3 on 3 out of 7 behaviors on questions 41-47 AND • score a 4 or 5 on any of the performance questions 48-55
Question:
Scoring Vanderbilt Teacher Assessment Scale - Past 6 months
Answer:
Teacher Assessment Scale -Predominantly Inattentive subtype • must score a 2 or 3 on 6 out of 9 items on questions 1-9 AND • score a 4 or 5 on any of the performance questions 36-43 -Predominantly Hyperactive/Impulsive subtype • must score a 2 or 3 on 6 out of 9 items on questions 10-18 AND • score a 4 or 5 on any of the performance questions 36-43 -ADHD Combined Inattention/Hyperactivity • requires the above criteria on both inattention & hyperactivity/impulsivity -Oppositional-Defiant/Conduct Disorder Screen • Must score a 2 or 3 out of 10 items on questions 19-28 AND • score a 4 or 5 on any of the performance questions 36-43 -Ax/Depression Screen • must score a 2 or 3 on 3 out of 7 items on questions 29-35 AND
- / 4