n6630 WK 9 Question

Assignment: Assessing and Treating Patients
With ADHD
The Assignment
Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three
decisions concerning the medication to prescribe to this patient. Be sure to consider factors that
might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and
moving throughout the exercise. Before you make your decision, make sure that you have
researched each option and that you evaluate the decision that you will select. Be sure to research
each option using the primary literature.
Introduction to the case (1 page)
 Briefly explain and summarize the case for this Assignment. Be sure to include the specific
patient factors that may impact your decision making when prescribing medication for this
patient.
Decision #1 (1 page)
 Which decision did you select?

 Why did you select this decision? Be specific and support your response with clinically relevant
and patient-specific resources, including the primary literature.
 Why did you not select the other two options provided in the exercise? Be specific and support
your response with clinically relevant and patient-specific resources, including the primary
literature.
 What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
 Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
literature.
literature.
Conclusion (1 page)
 Summarize your recommendations on the treatment options you selected for this patient. Be
sure to justify your recommendations and support your response with clinically relevant and
patient-specific resources, including the primary literature.
BACKGROUND
Katie is an 8 year old Caucasian female who is brought to your office today by her mother &
father. They report that they were referred to you by their primary care provider after seeking her
advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that
their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this
condition.
The parents give you a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This
scale was filled out by Katie’s teacher and sent home to the parents so that they could share it
with their family primary care provider. According to the scoring provided by her teacher, Katie
is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading,
and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is
interested in. The teacher opined that she lacks interest in school work and is easily distracted.
Katie is also noted to start things but never finish them, and seldom follows through on
instructions and fails to finish her school work.
Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild
person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds
her father.
SUBJECTIVE
Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her
favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and
sometimes hard because she feels “lost”. She admits that her mind does wander during class to
things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about
nothing and the teacher will call my name and I don’t know what they were talking about.”
Katie reports that her home life is just fine. She reports that she loves her parents and that they
are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other
concerns at this time.
MENTAL STATUS EXAM
The client is an 8 year old Caucasian female who appears appropriately developed for her age.
Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time,
and event. She is dressed appropriately for the weather and time of year. She demonstrates no
noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie
denies visual or auditory hallucinations, no delusional or paranoid thought processes readily
appreciated. Attention and concentration are grossly intact based on Katie’s attending to the
clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and
judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.
Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation
RESOURCES
§ Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and
restandardization of the Conners' Teacher Rating Scale (CTRS-R): Factors, structure, reliability,
and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291.

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Assignment: Assessing and Treating Patients

Introduction to the case (1 page)

 Which decision did you select?

MENTAL STATUS EXAM

Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

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