Taking Charge of ADHD

Self-Study Examination

Instructions: After studying the text answer the following true/false or multiple choice questions.  Remember, there's only one answer to each question.

1. Read Dr. Barkley’s encounter with Steve’s mother starting on p.1. What did Steve’s mother say that astonished the doctor?

a) “My child is failing at school.”
b) “My child is about to be suspended.”
c) “My child won’t listen to anything I say.”
d) “Help me. I’m losing my child.”

2. The author has listed seven principles of a principle-centered parent. Which principle urges the parent to take responsibility for his own behavior as a parent and for the interactions and relationship with his child?

a) “Begin with the end in mind.”
b) “Be proactive.”
c) “Thnk win/win.”
d) “Put first things first.”

3. Which principle teaches you to ignore the trivial and focus on the important?

a) “Seek first to understand, then to be understood.”
b) “Synergize.”
c) “Put first things first.”
d) “Renewal.

4. As an executive parent, you have the right to make decisions about your child’s welfare, including replacing a professional whose views you do not agree with.

a) True
b) False

5. The constant motion and other behavior that people find so intolerable in children with ADHD is the result of a brain inperfection.

a) True
b) False

6. Approximately, what percent of school-age children have ADHD?

a) 1%
b) 3-7%
c) 10%
d) 20%

7. Select fact from fiction:

a) ADHD is not real, because there’s no evidence that it is the result of a clear-cut disease or brain damage.
b) If ADHD were real, there would be a lab test to detect it.
c) ADHD is diagnosed only in the United States.
d) Underdiagnosis and undertreatment of ADHD remain big problems in the United States today.

8. Read the story of Amy on p.25. Which is a false statement?

a) Amy was born premature and weighed less than five pounds.
b) The school psychologists found Amy to be of normal intelligence.
c) Amy showed no signs of oppositional, defiant, and hostile behavior toward others.
d) Amy’s problems began in her preschool years.

9. Read the stories of Amy, Ricky, Sandy and Brad on p. 25-32. Only one of these children always had friends, was well liked and had a normal social and family life:

a) Amy
b) Ricky
c) Sandy
d) Brad

10. Which of the following statements is not True about ADHD children?

a) Children with ADHD have a significant difficulty with sustained attention, attention span, or persistence of effort.
b) Children with ADHD have trouble filtering information; they’re not able to distinguish the important from the irrelevant.
c) Children with ADHD are looking for instant gratification however small the reward, rather than waiting for a bigger reward much later.
d) ADHD children are notorious for taking shortcuts in their work.

11. People with ADHD are more accident-prone than others.

a) True
b) False

12. Children with ADHD generally do better than other children at fast-paced, immediately rewarding video games.

a) True
b) False

13. The problems of ADHD–inattention, impulsiveness, and hyperactivity–can be traced to a delay in the development of inhibition of behavior.

a) True
b) False

14. Which of the following activities teens with ADHD are likely to engage in?

a) smoke tobacco and drink alcohol
b) overeating
c) drive carelessly
d) become sexually active at an earlier age
e) all of the above

15. Which of the following professions is least suitable for a person with ADHD?

a) salesperson
b) musician or drama player
c) poet
d) airline pilot

16. The ability to inhibit our behavior is controlled by the very front part of our brain.

a) True
b) False

17. Most children with ADHD have suffered some sort of brain injury or damage.

a) True
b) False

18. Research has found EEG biofeedback treatment for children with ADHD to be highly effective.

a) True
b) False

19. Brains of children with ADHD produce too __________ dopamine.

a) much
b) little

20. ADHD is determined more by hereditary factors than by environmental factors.

a) True
b) False

21. Which of the following factors has been scientifically proven to cause ADHD?

a) chemical food additives
b) sugar
c) bad parenting–permissiveness
d) too much television
e) none of the above

22. Parents who have ADHD are much more likely to have children with ADHD.

a) True
b) False

23. Having a sibling with ADHD increases the likelihood that another child in the family will have ADHD. This risk is higher for boys than for girls.

a) True
b) False

24. Young children whose early temperament is negative and demanding are more likely to be diagnosed as having ADHD later on.

a) True
b) False

25. ADHD is seen significantly more often in boys than in girls.

a) True
b) False

26. ADHD is typically outgrown by the adolescent years.

a) True
b) False

27. Children with ADHD are more compliant and less disruptive with their mothers than with their fathers.

a) True
b) False

28. In which situation children with ADHD perform the worst?

a) while visiting grandparents
b) one-on-one encounters with others
c) group situations
d) under close supervision

29. Children with ADHD seem to do better on schoolwork in the mornings, more so than children without ADHD.

a) True
b) False

30. In which area do children with ADHD perform as well as children without ADHD?

a) hindsight
b) ability to store and retrieve information
c) remembering to do something

31. Fathers generally have far fewer problems in managing a child with ADHD than do mothers.

a) True
b) False

32. Parents of children with ADHD are more likely to have psychological problems than those of children without ADHD.

a) True
b) False

33. At what stage do the vast majority of parents learn their child has a behavior problem that needs attention?

a) parents discover on their own during the preschool years
b) day-care or preschool personnel point out the problem with the child
c) during the first year or two in primary school
d) parents hear or read about ADHD and recognize the problem in their child

34. Epilepsy is quite common in children with ADHD, so a child suspected of ADHD should have neurological evaluation.

a) True
b) False

35. The Americans with Disabilities Act considers ADHD a disability and protects children with ADHD from discrimination because of it.

a) True
b) False

36. Many children with ADHD behave normally during the evaluation process with the professional.

a) True
b) False

37. DSM-IV classifies ADHD and ADD as two separate disorders.

a) True
b) False

38. At present there are no lab tests or measures that are of value in making a diagnosis of ADHD.

a) True
b) False

39. Which of the following problems is inconsistent for a child with ADD as opposed to ADHD?

a) fewer problems with aggression, impulsivity and overactivity/
b) problems with eye-hand coordination and speed
c) more mistakes on a memory test
d) more social problems

40. Which children are far more demanding and stressful to raise?

a) children with ADD
b) children with ADHD

41. For most children with ADHD, treatment with medications alone is not a viable option.

a) True
b) False

42. Select the guiding principles for raising a child with ADHD:

a) more immediate feedback and consequences
b) more frequent feedback
c) use praise and reward more often than punishment
d) remember you’re dealing with a behaviorally disabled child
e) all of the above

43. Parents of children with ADHD endure the same stress levels as parents of children with severe developmental disabilities, such as mental retardation and autism.

a) True
b) False

44. In which of the following categories of work do we usually waste the least amount of time?

a) important and urgent
b) important but not urgent
c) urgent but not important
d) busy work
e) wasted time

45. More than 90% of the parents act like the “Worst Supervisor” with their children than the “Best Supervisor.”

a) True
b) False

46. Which of the following statements is an example of Premack Principle?

a) “Dinner will be ready in just a few minutes. At that time I will ask you to turn off the TV and come to the table.”
b) “Did you hear what I said?” “Yes.”
c) “When you do your housework, then you can watch TV.”
d) Command: “Tommy, as I told you a few minutes ago, it’s now time for dinner. Turn off the TV and wash your hands.”

47. What is the best advice to give to ADHD child on dealing with teasing?

a) ignore the teasing
b) retaliate
c) turn teasing into a joke

48. Read the story of Andrew Nordon on p.217. Which of the following statements is unTrue?

a) Mr. Nordon favored physical punishment as a means of dealing with Andrew’s temper tantrums.
b) Mrs. Andrew’s approach was to “reason” with her son.
c) Change in Andrew’s behavior came about only after Mrs. Nordon began standing up to her son.
d) According to the therapist, the change in Andrew’s behavior was due to his own “willpower.”

49. Which parent of the ADHD teenager is likely to report more conflicts and have more severe arguments with their teenager?

a) father
b) mother

50. Which of the following are common unreasonable beliefs parents and their adolescents with ADHD hold toward each other?

a) “If I give my teen too much freedom, he’ll ruin his life, make bad judgments, and get in serious trouble.”
b) “My teen misbehaves purposely to hurt me.”
c) “My parents have no right to tell me what to do.”
d) “My parents would let me do whatever I want if they really cared about me.”
e) all of the above

51. What is the single most important ingredient in your ADHD child’s success at school?

a) the quality of the school
b) whether the school is public or private
c) child’s teacher
d) size of the class

52. Read the story of Alan Brown on p.228-231. Select the correct statement from below:

a) Most of Alan’s problems were with his mother who did not know about ADHD.
b) Alan’s problems went away once he was put on Ritalin.
c) Alan did best in the fifth grade when he had a teacher who was understanding and supportive of Alan.
d) ADHD ceased to be a problem for Alan once he grew up and went to high school.

53. In considering classroom structure and environment for a child with ADHD, which of the following conditions are most helpful?

a) reduce the amount of stimulation in the classroom
b) traditional classrooms
c) classrooms affording greater freedom and flexibility
d) all of the above
e) none of the above

54. Which of the following classroom seating arrangements is better for a child with ADHD?

a) traditional desk arrangement in rows facing the front of the classroom
b) modular arrangement with children sharing a large table

55. Generally, the educational performance of a child with ADHD improves as the child enters high school.

a) True
b) False

56. Read the story of Steve’s mother in Chapter 17. How did the mother “regain” Steve?

a) hired a tutor to help Steve with his schoolwork
b) involved the father in Steve’s schoolwork
c) took mother-son recreational outings
d) deemphasized home work and excellent grades
e) all but (a)

57. The stimulants can improve behavior, academic work, and social adjustment in 50% to 95% of children with ADHD.

a) True
b) False

58. Children with ADHD who take stimulants are more likely to abuse other substances as teenagers than those not taking them.

a) True
b) False

59. To avoid stunting the growth of children with ADHD, stimulant medications should be discontinued on weekends, on school holidays, and during summer vacations.

a) True
b) False

60. Which of the following is not a stimulant drug used to treat ADHD?

a) d-amphetamine
b) methylphenidate
c) norepinephrine
d) pemoline

61. Which drug produces its effect for the longest period?

a) Ritalin
b) Dexedrine
c) Cylert

62. Stimulants used for ADHD remain in the bloodstream for several days, even after being discontinued, and continue to exert their influence for a prolonged time.

a) True
b) False

63. Which stimulant medicine is known to affect liver functioning as a side effect in a few children with ADHD?

a) Ritalin
b) Dexedrine
c) Adderall
d) Cylert

64. Select the categories of children with ADHD in whom stimulant medications are not likely to work:

a) children with ADD (without hyperactiviy)
b) severely mentally retarded children with ADHD
c) children with ADHD who have seizures
d) children with autism
e) all of the above

65. Some children with ADHD need to take their stimulant medication two or three times a day. Which of the following times would not be advisable?

a) 7:00 to 8:00 a.m.
b) 10:30 to 11:00 a.m.
c) 2:00 to 3:00 p.m.
d) at dinnertime

66. Which of the following is not a tricyclic depressant?

a) Norpramin
b) Tofranil
c) Elavil
d) Wellbutrin