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Chapter 41: Medications for Attention-Deficit/Hyperactivity Disorder Test Bank

Chapter 41: Medications for Attention-Deficit/Hyperactivity Disorder Test Bank

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Chapter 41: Medications for Attention-Deficit/Hyperactivity Disorder
Test Bank
MULTIPLE CHOICE
1.   An adult patient reports feeling unfocused all the time, loses things, and has difficulty completing tasks and says that this is interfering with family relations and work. The symptoms have been present as long as the patient can remember, although there is no previous documentation of attention-deficit/hyperactivity disorder (AD/HD) in this patient’s medical history. The primary care nurse practitioner (NP) should:
a.

tell the patient that a diagnosis of AD/HD as a child is a prerequisite for diagnosing this in adults.

b.

conduct a thorough evaluation to document behaviors associated with AD/HD and begin treatment if indicated.

c.

suggest that the patient may have a major depressive disorder and refer the patient for psychiatric evaluation and treatment.

d.

prescribe a methylphenidate trial, ask the patient to keep a diary of behaviors and feelings, and reevaluate in 1 to 2 months.

2.   A child is taking methylphenidate (Ritalin) for AD/HD. The child’s parent calls the primary care NP to report increased behavior problems and delusional thinking. The NP should:
a.

increase the drug dose.

b.

discontinue the medication.

c.

change to dextroamphetamine.

d.

order methylphenidate SR.

3.   A primary care NP sees a child for an annual well-child check-up. The child has been taking methylphenidate for AD/HD for 3 months. The NP should discontinue the medication if which symptom is present?
a.

Motor tics

b.

Decreased appetite

c.

Occasional headaches

d.

Decreased blood pressure

4.   A child is diagnosed with AD/HD after being expelled from school for disruptive behaviors. The child’s parents are reluctant to start medication because of the stigma attached. The primary care NP should suggest:
a.

Ritalin.

b.

Concerta.

c.

Adderall.

d.

Dexedrine.

5.   A child has been taking methylphenidate 5 mg at 8 AM, 12 PM, and 4 PM for 30 days after a new diagnosis of AD/HD and comes to the clinic for evaluation. The child’s mother reports that the child exhibits some nervousness and insomnia but is doing much better in school. The primary care NP should suggest:
a.

discontinuing the 4 PM dose.

b.

increasing the dose to 10 mg each time.

c.

giving 10 mg at 8 AM and 5 mg at noon.

d.

changing the dosing to 15 mg twice daily.

6.   A patient who has recently begun working at night reports having difficulty staying awake at work. The primary care NP should consider prescribing:
a.

caffeine.

b.

modafinil (Provigil).

c.

methylphenidate (Ritalin).

d.

dextroamphetamine (Dexedrine).

7.   The parent of a 4-year-old child is concerned that the child may have AD/HD and wants to know if medications can be given. The primary care NP should tell the parent that:
a.

children cannot be diagnosed with AD/HD at this age.

b.

alternative therapies to treat AD/HD are used at this age.

c.

symptoms at this age are more likely due to environmental factors.

d.

most drugs for AD/HD are not approved for children younger than 6 years.

8.   The parent of an 8-year-old child recently diagnosed with AD/HD verbalizes concerns about giving the child stimulants. The primary care NP should recommend:
a.

modafinil (Provigil).

b.

guanfacine (Intuniv).

c.

bupropion (Wellbutrin).

d.

atomoxetine (Strattera).


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