CAPT: Developmental Disabilities

The first step of behavioral assessment is to do which of the following?

a. Describe the behavior in generalized terms.

b. Specify behavior so there is little question of its occurrence.

c. Categorize the client's behavior according to descriptive "labels."

d. Learn what sort of person the client is.

b. Specify behavior so there is little question of its occurrence.

The following is appropriate when feeding a person with asymmetrical tonic neck reflex.

a. no special positioning. This is a desirable reflex in an adult.

b. position the client's head as close to midline as possible.

c. keep the client's neck extended slightly during feeding.

d. touch the client's cheek lightly before offering a bite of food.

b. position the client's head as close to midline as possible.

The greatest concern about a client with a history of tonic-clinic seizures and constipation is that constipation may:

a. reduce the ability of the resident to be active.

b. lower the seizure threshold.

c. increase flatulence.

d. increase the likelihood of a bowel accident.

b. lower the seizure threshold.

The hand over hand instruction is an example of:

a. primary reward

b. prompt

c. modeling

d. shaping

b. prompt

The intervention the Psychiatric Technician would not use will attending to a client having a seizure would be?

a. Loosen tight clothing.

b. Do not restrain movements.

c. Put an object, such as a spoon, between the teeth.

d. Stay with the person until the seizure is over and consciousness is regained.

c. Put an object, such as a spoon, between the teeth.

The most appropriate holiday activity for clients 14-years- old and older would be to:

a. Have an Easter egg hunt on Easter.

b. Cut out paper hearts for Valentine's day.

c. Barbecue hot dogs on the 4th of July.

d. Have Santa Claus visit on Christmas.

c. Barbecue hot dogs on the 4th of July.

The most appropriate site to teach a client restaurant eating skills would be a:

a. Dining room in a house.

b. Classroom.

c. A room resembling a restaurant.

d. Restaurant.

d. Restaurant.

The most important consideration in developing a treatment plan for a child with cerebral palsy would be...

a. Nutritional Concerns.

b. Movement and Postures problems.

c. Behavior Issues.

d. Learning disabilities.

b. Movement and Postures problems.

The most restrictive prompt used by the Psychiatric Technician during feeding training is:

a. directing the client to pick up the spoon.

b. saying, "good eating".

c. hand over hand assistance.

d. saying, "scoop your cereal."

c. hand over hand assistance.

The most restrictive type of prompt is:

a. Verbal.

b. Physical.

c. Gesture.

d. Visual.

b. Physical.

The normalization movement for the developmentally disabled is built upon the philosophy that:

a. all handicapped persons are entitled to life in an environment as culturally normal as can be managed.

b. large public institutions are the most appropriate placements for the developmentally disabled.

c. custodial care is the most "normal" type of care for a developmentally disabled person.

d. developmentally disabled persons are limited by their handicap and their environment has very little effect on their overall management.

a. all handicapped persons are entitled to life in an environment as culturally normal as can be managed

The only time to stop rewarding a behavior is when.....

a. the resident completes the task without help.

b. the resident initiates the task on his/her own for the first time.

c. you want the client to stop the behavior.

d. when the behavior is negatively rewarded.

c. you want the client to stop the behavior.

The Psychatric Techician observes a client masterbating in the living room. The best response is:

a. "Stop that now!"

b. "Why are you doing this?"

c. "Please go to your room."

d. "Would you like to play a game?"

c. "Please go to your room."

The Psychiatric Technician has observed that during his training sessions, he accidentally reinforced the behavior of hand raising, along with teaching the target behavior. The hand raising behavior is an example of:

a. a contingency

b. superstitious behavior

c. an antecedent

d. consequences

b. superstitious behavior

The Psychiatric Technician held up a can of soda when the client stopped working and said, "When you pick up another scrap of litter and put it in the bag, I'll give you a sip of this soda." The statement about the soda in this situation is a(n):

a. bribe.

b. prompt.

c. primary reward.

d. shaping.

b. prompt.

The Psychiatric Technician is aware that damage to this area of the brain is related to ataxic cerbral palsy.

a. the cerebral motor strip

b. medulla

c. cerebellum

d. hypothalmus

a. the cerebral motor strip

The Psychiatric Technician is helping a person with a hearing loss. Which approach should the Psychiatric Technician take when communicating with this person?

a. Use body language to convey messages.

b. Speak to the person face-to-face.

c. Speak loudly in the ear of the person.

d. Use one word sentences.

b. Speak to the person face-to-face.

The Psychiatric Technician demonstrates to a client how to put on a pair of socks by putting the sock on herself while the client follows the example. This is called...

a. Arranging the environment.

b. A verbal cue.

c. Modeling.

d. Physical assistance.

c. Modeling.

The Psychiatric Technician reinforces a client exactly every ten minutes when the client is cleaning his room. This type of intermittent reinforcement is referred to as:

a. Fixed-interval.

b. Variable-interval.

c. Fixed-ratio.

d. Variable-ratio.

a. Fixed-interval.

The Psychiatric Technician saying, "Good eating." as a person completes a meal is a(n):

a. general reward.

b. secondary reward.

c. primary reward.

d. non-contingent reward.

b. secondary reward.

The Psychiatric Technician would encourage screening for the gene responsible for Tay Sachs in populations with ancestry of:

a. Native Americans

b. Eastern European Jewish

c. Central African Black

d. Southeast Asian

b. Eastern European Jewish

The spinal deformity in which there is an enlarged sac on the back containing the meninges, fluid, and spinal cord is called:

a. mylomenigocele

b. meningocele

c. spina bifidia occulta

d. encephalocele

a. mylomenigocele

The syndrom which is caused by an autosomal recessive gene and is characterized by a large prominent forehead, hypertelorism, thickened eyelids, broad nose, protruberant abdomen, hirsutism, deafness, and small peg-shaped teeth is

a. Down's

b. Lesch-Nyhan

c. Hurler's

d. Cretinism

a. Down's

The term "target behavior" refers to:

a. the behavior that will be measured.

b. the last thing the person does in a day.

c. the behavior responsible for commitment.

d. a dangerous behavior.

a. the behavior that will be measured.

The term for rewarding a "close enough" response is....

a. prompts.

b. successive approximation.

c. manipulation of situational variable.

d. variable ratio reinforcement.

b. successive approximation.

Which chart entry would demonstrate the Psychiatric Technician's understanding of bladder training?

a. "Client given opportunity to void every 90 minutes to 11/2 hours."

b. "Client taken to toilet q.i.d."

c. "Client changed every 3 hours."

d. "Client trained to use the hand sign for "T" when toileting is necessary."

a. "Client given opportunity to void every 90 minutes to 11/2 hours."

Which description would be most accurate if a measured I.Q. was 82?

a. This person is behaving in a way that is greater than this person's calendar age.

b. This person is behaving in a way that is characteristic of someone older than this person's calendar age.

c. This person is behaving in a manner that would be characteristic of someone younger than this person's calendar age. d. This person is behavior pretty much what you would expect for this person's calendar age.

c. This person is behaving in a manner that would be characteristic of someone younger than this person's calendar age.

Which entry indicates the staff members understanding of baseline data gathered during a 15 minute observation period? The target behavior was " the client is to fold 40 towels independently during an hour training period."

a. "Client folded 4 towels with praise following each success." b. "Client folded 4 towels with hand over hand prompts."

c. "Client folded 4 towels with verbal direction".

d. "Client folded 4 towels in fifteen minutes."

d. "Client folded 4 towels in fifteen minutes."

Which of the following actions by the Psychiatric Technician would demonstrate an active effort at primary prevention of birth defects?

a. Assisting in an physical stimulation program for orthopedically involved children.

b. Talking to a group of teenagers describing the potential risks of drinking alcohol when pregnancy.

c. Participating in a hearing screening day at a local school.

d. Helping in Adaptive Physical education in a special education school.

b. Talking to a group of teenagers describing the potential risks of drinking alcohol when pregnancy.

Which of the following behaviors would be the easiest to change through the technique of extinction?

a. Masturbation.

b. Self-stimulation such as rocking.

c. Grabbing staff's arm for attention.

d. Pica.

c. Grabbing staff's arm for attention.

Which of the following entries the chart indicate that the staff member understands "permanent products methods" of data recording.

a. "Client folded towels 55% of the time during the one hour training period".

b. "Client folded 21 towels by the end of the one hour training period".

c. "Client observed folding 24 towels in an hour observation period".

d. "Client was not compliant folding towels".

b. "Client folded 21 towels by the end of the one hour training period".

Which of the following factors frequently makes life meaningless for the elderly person?

a. Disinterest in others.

b. Feelings of loneliness.

c. Feeling of unfulfilled ambitions.

d. Lack of education.

b. Feelings of loneliness.

Which of the following is an example of a gestural prompt?

a. Using the same color on each plastic food container and lid so clients can match the pairs after washing and drying. b. Using hand over the hand guidance to demonstrate to the client how to brush his/her hair.

c. Stating to the client, "Do you see your toothbrush over there?"

d. Pointing to the dirty dishes in the sink to cue the client to wash them.

d. Pointing to the dirty dishes in the sink to cue the client to wash them.

Which of the following is an example of the Premack Principle?

a. When Helen is not scratching her face, she receives verbal praise.

b. Kevin would rather play his compact discs than set the table for dinner. The rule is he can't listen to his compact discs until after he sets the

table for dinner.

c. David gets reinforced after every fifth dish he washes.

d. Judy gets a token every time she uses the toilet. At the end of the day she gets to cash in her tokens for a snack.

b. Kevin would rather play his compact discs than set the table for dinner. The rule is he can't listen to his compact discs until after he sets the

table for dinner.

Which of the following is important during toilet training?

a. Reinforcement for being clean and dry for segments of time throughout the day.

b. Having the resident touch wet pants so that the resident knows the difference between wet and dry.

c. Dress the resident in diapers between scheduled toileting times.

d. Praising the resident when he does not eliminate.

a. Reinforcement for being clean and dry for segments of time throughout the day.

Which of the following is not a general characteristics of autistic children?

a. Strong maternal attachment.

b. Stereotyped movements.

c. A passion for ritualism.

d. symptoms before the age of one year.

a. Strong maternal attachment.

Which of the following recreational activities would promote socialization?

a. Riding a bicycle.

b. Playing volleyball.

c. Watching television.

d. Working on a computer.

b. Playing volleyball.

Which of the following types of patients would have good oral control when feeding?

a. The patient with tongue thrust.

b. The patient with excessive drooling.

c. The patient with sucking ability.

d. The patient who has difficulty swallowing.

c. The patient with sucking ability.

Which of the following will be used to determine progress in a behavioral plan?

a. target

b. task analysis

c. baseline

d. reinforcers

c. baseline

Which of the following would be the best approach in teaching the retarded child the effect of sexuality and socialization?

a. Restrict sex education to the parents and surrogate parents of the retarded child.

b. Begin sex education as soon as the child is allowed to reside in the community.

c. Teach the children that they are allowed to have sexual feelings but the behaviors they use to express the feelings are subject to social

sanctions.

d. Concur with the concept that sex education is not in the best interest of the retarded person.

c. Teach the children that they are allowed to have sexual feelings but the behaviors they use to express the feelings are subject to social

sanctions.

Which of the following would provide the best tactile stimulation?

a. Potting plants.

b. Imitation of sounds.

c. Merry-go-round.

d. Obstacle course.

a. Potting plants.

Which phrase defines "desensitization"?

a. gradual counterconditioning replacing anxiety with relaxation.

b. gradual counterconditioning replacing anxiety with fear.

c. rapid counterconditioning which produces a heightened awareness of the problem.

d. rapid counterconditioning which produces a "sink or swim" response.

a. gradual counterconditioning replacing anxiety with relaxation.

Which procedure below was used when a client purposely threw milk on the floor at lunch and was required to clean the immediate spill and then clean the whole lunch area floor?

a. Satiation.

b. Extinction.

c. Overcorrection

d. Overcompensation.

c. Overcorrection

Which schedule of reinforcement is appropriate when teaching a new task?

a. intermittent.

b. fixed ratio.

c. variable interval.

d. continuous.

d. continuous.

Which shift would maximize the success of collecting a positive specimen from the client's anal area with sticky tape to determine if a client with pica had pinworms?

a. A.M.

b. P.M.

c. NOC

d. Any shift

a. A.M.

Which statement is correct when feeding a prone patient?

a. Feed patient from above and keep head flexed slightly forward.

b. Feed patient from below and keep head slightly flexed.

c. Place in supine position and flex arms.

d. Prepare patient by detailed verbal instructions.

b. Feed patient from below and keep head slightly flexed.

Which technique should be used when positioning a person with extensor thrust into a wheelchair?

a. flex the client's neck, arms, hips, and knees; avoid startling the person.

b. extend the client's neck and keep the head as close to midline as possible.

c. use a wheelchair which has a posture panel in a tilted back position.

d. turn the client's head in the direction you want the person to go.

a. flex the client's neck, arms, hips, and knees; avoid startling the person.

What is the best way to support the shopping skills of an adult who can ambulate, follow instructions, has poor verbal skills, has poor impulse control and no money management skills?

a. Observe him from a short distance while he looks at items in the store.

b. Walk beside him as he looks at items. Reminding him not to touch items.

c. Walk very close by with him and ask him which item he likes.

d. Have two staff hold his hands when passing through the store and pick an item for him which he has chosen in the past.

c. Walk very close by with him and ask him which item he likes.

Your primary concern while providing care for a child who has autism would be...

a. Communication Issues

b. Cognitive Impairment

c. Motor Skills Defects

d. Behavior Problems

a. Communication Issues

When teaching a consumer to button his shirt, the Psychiatric Technician would reinforce correct responses on a:

a. continuous schedule.

b. variable ratio schedule.

c. variable interval schedule.

d. fixed interval schedule.

a. continuous schedule.

Which of the following approaches best supports reduction of SIB?

a. A client receives praise for working on a wood sanding project and redirection for face slapping.

b. A client receives praise for all activities other than face slapping and redirection for face slapping.

c. A client receives praise for not face-slapping, and is ignored when face-slapping.

d. A client receives praise for holding a desired object, and redirected for face slapping.

a. A client receives praise for working on a wood sanding project and redirection for face slapping.

When developing objectives for stereotypic behavior it is important to know that

a. While annoying, these behaviors are harmless and not a priority for change.

b. These behaviors can be effectively reduced with medication.

c. These behaviors will result in SIB and require highly restrictive interventions.

d. These behaviors interfere with acquiring social and communication skills and should be a priority for change.

d. These behaviors interfere with acquiring social and communication skills and should be a priority for change.

When developing a behavior plan to reduce SIB, it is important to know that

a. Only highly restrictive interventions such as restraint will be effective.

b. It is not possible to identify antecedents for this behavior.

c. Identifying and changing medical and environmental antecedents is often highly effective.

d. Withholding attention to extinguish the behavior is the preferred intervention.

c. Identifying and changing medical and environmental antecedents is often highly effective.

Interventions for rumination should be

a. Focused on providing appropriate sensory experiences such as bulkier meals and oral stimulation.

b. Focused on denying attention for rumination while providing praise for clean clothing.

c. Focused on allowing frequent breaks from any postprandial activity.

d. Focused on activities involving tactile activities, such as brushing hair, following meals.

a. Focused on providing appropriate sensory experiences such as bulkier meals and oral stimulation.

Effective interventions for Pica focus on

a. extinction

b. prevention

c. treatment for addiction

d. nutrition education

b. prevention

Interventions for rumination should include

a. upright position for 10 minutes after meals to prevent aspiration.

b. Meticulous oral hygiene to prevent mouth disease and reduce bad breath. c. Reduced of social interaction.

d. Increased food portions.

a. upright position for 10 minutes after meals to prevent aspiration.

Least restrictive mealtime interventions for rumination would include

a. Increased amount of chewier food

b. Increased rate of eating

c. Oral stimulation before meals

d. One to one feeding

a. Increased amount of chewier food

Treatment for pica determined to be maintained by escape would include

a. Providing attention for appropriate eating; withholding attention for inappropriate ingestion

b. Providing bulkier foods that increase oral sensory experiences; teaching appropriate ways to request these

c. Providing an environment with decreased demands; teaching appropriate ways to avoid unwanted experiences.

d. Providing small amounts of the desired substance when appropriately requested.

c. Providing an environment with decreased demands; teaching appropriate ways to avoid unwanted experiences.

Which of the following situations represents time-out for a person with typical autistic symptoms?

a. Removal from class to an isolated area.

b. Removal from a quiet area of the classroom to a seat next to the teacher. c. Withholding praise and touch.

d. Withholding one-to-one attention

b. Removal from a quiet area of the classroom to a seat next to the teacher.

Job success among mentally retarded adults is best supported by

a. Providing extra practice on the skills needed for the job.

b. Identifying members of management and their function.

c. Adequate assessment of fine/gross motor skills.

d. Providing training on the use of an alarm clock and rewarding attendance.

d. Providing training on the use of an alarm clock and rewarding attendance.

In which of the following instances is natural reinforcement being used?

a. A client washes her hands before lunch.

b. A client receives praise for finding his way independently to workshop.

c. A client receives a cookie for busing his lunch tray.

d. A client gets coffee and a donut for making her bed.

a. A client washes her hands before lunch.

The first step in teaching a client who is unable to follow directions, has hemiplegic cerebral palsy, and is blind, to put on his shirt, would be

a. Will attend physical therapy to increase range in affected arm.

b. Will look toward staff when name is called.

c. Will learn location of wardrobe in bedroom.

d. Will pull sweater from chest to waist.

b. Will look toward staff when name is called.

Which of the following objectives best supports a client who has mastered his job skills and now wants to obtain a job in the community?

a. Will complete morning personal hygiene independently; Will clean own room with assistance.

b. Will successfully match clothing items; will pack own lunch

c. Will set own alarm clock before bed; will identify correct ways to gain attention

d. Will check appearance in mirror before leaving work; will identify appropriate workplace attire

c. Will set own alarm clock before bed; will identify correct ways to gain attention

Which of the following leisure activities will provide the most benefit to an adult with hemiplegic cerebral palsy?

a. Hiking over easy terrain using poles in each hand.

b. Strengthening the unaffected side by weight lifting on that side

c. Engaging in visually stimulating activities that do not require use of arms. d. Learning to use the internet by key stroking with the unaffected hand.

a. Hiking over easy terrain using poles in each hand.

Which of the following activities is most appropriate to develop receipt and propulsion in an adult with severe mental retardation?

a. Rolling a ball back and forth with staff or peers.

b. Participating in adaptive bowling.

c. Blowing a ping pong ball across the table.

d. Pushing and pulling a small wagon.

b. Participating in adaptive bowling.

An appropriate beginning objective for an adult who does not make eye contact or follow directions, would be

a. Will make eye contact with teacher for 3 seconds.

b. Will complete task with physical prompts.

c. Will engage in free-choice activities.

d. Will repeat simple instructions.

a. Will make eye contact with teacher for 3 seconds.

The first step in teaching an adult client with profound mental retardation to make a cheese sandwich would be to

a. Put one slice of bread on plate

b. Place cheese on slice of bread

c. Place lettuce on cheese

d. Place slice of bread on top of lettuce.

d. Place slice of bread on top of lettuce.

The first readiness skill for toileting would be

a. identifying a picture of the toilet

b. removing and replacing clothing

c. saying or signing "toilet"

d. flushing the toilet

b. removing and replacing clothing

Which of the following placement decisions indicate a person-centered outcome?

a. No home has been yet found that provides all the client's non-negotiable needs. Will continue to search.

b. A home has been located that does not meet non-negotiable needs but is very home-like and may eventually meet her needs.

c. A home has been located that meets some of the client's non-negotiable needs.

d. Staff of home feel client meets their criteria and request she be placed with them.

a. No home has been yet found that provides all the client's non-negotiable needs. Will continue to search.

Which of the following interventions would be most likely to support a person with severe spastic cerebral palsy?

a. Assist with ambulation

b. Provide training to verbalize choices

c. Apply bracing as ordered

d. Development of fine motor skills into job-related activities

c. Apply bracing as ordered

A person with Lesch-Nyan disease would most benefit from

a. Highly structured environment and insistence on following the program.

b. A low-stress environment and attentiveness to his needs.

c. Stimulating environment and opportunities for independence.

d. Quiet environment with minimal staff intervention.

b. A low-stress environment and attentiveness to his needs.

A client's screaming behavior has been determined to be maintained by attention. The best intervention would be

a. When he screams, attempt to find out what he is trying to communicate; when he is quiet, identify his likes and dislikes. b. When he screams, offer him a drink or a quiet place; when he is quiet offer praise.

c. When he screams, ignore him; when he is quiet, teach appropriate ways to get attention.

d. When he screams, offer a PRN; when he is quiet, allow activity of choice.

c. When he screams, ignore him; when he is quiet, teach appropriate ways to get attention.

A client who throws chairs when the room becomes noisy is best served by

a. Allowing him to only be in quiet rooms.

b. Teaching him to request to leave when the room becomes too noisy.

c. Removing all the chairs from the room.

d. Asking everyone in the room to be quiet.

b. Teaching him to request to leave when the room becomes too noisy.

During breakfast, a client will become agitated if she is placed in a chair without arms. The best intervention would be

a. Teach her to balance herself in the armless chair.

b. Find the functional equivalent for the behavior.

c. Place her in a chair with arms.

d. Withhold breakfast until she is calm.

c. Place her in a chair with arms.

When on an outing with a client with moderate cerebral palsy, the most likely safety concern would be

a. Falling, because of the lack of an anterior protective response.

b. Becoming lost, because of orientation difficulties.

c. Aggressive behavior, because of impulse control problems.

d. Eating dangerous items, because of pica behavior.

a. Falling, because of the lack of an anterior protective response.

Alarm clocks are used with clients so that they can learn to be responsible for getting up on time by themselves. The sound of the alarm clock ringing would be considered to be:

a. An operant response

b. A discriminative stimulus

c. A respondent behavior

d. A response primer

b. A discriminative stimulus

At the end of each week a total number of incidents was tallied & recorded. The client with the lowest incident count was given extra opportunities to go to a convenience store. The extra opportunities to go to the convenience store is called?

a. Bribe

b. Positive reinforcement

c. Reinforcement sampling d. Fixed Ratio schedule

b. Positive reinforcement

What would would be the most important symptom to treat if the person had a diagnosis of Von Reckinghausen's Disease?

a. dehydration

b. contractures

c. microcephally

d. seizures

b. contractures

When a reinforcer loses its effectiveness due to excessive use, the phenomenon is called:

a. generalization

b. aversion

c. satiation

d. extinction

c. satiation

When a resident is aggressively misbehaving and is placed in isolation away from disrupting stimuli and potential reinforcers, the Psychiatric Technician is using:

a. Extinction

b. Response cost

c. Shaping up

d. Time out

d. Time out

Which condition is identified by a "port-wine" stain on the face in the area of the trigeminal nerve?

a. Sturge-weber

b. Cri-du-chat

c. Lesch-Nyhan

d. Prader-Willi

a. Sturge-weber

A child that demonstrates absence of attachment behaviors and has inability to sustain conversation is said to be:

a. Mute

b. Retarded

c. Autistic

d. Aphasic

c. Autistic

A child who consistently picks up objects located on the opposite side of his/her body by turning to reach the item with the hand on the same side as the object, has not developed:

a. directionality.

b. laterality.

c. body image.

d. objective localization.

b. laterality.

A client has mastered putting toothpaste on the brush and wetting the brush, and he now is learning to bring the brush to his mouth. Where should the reward occur?

a. After wetting the brush.

b. After bringing the toothbrush into his mouth.

c. After the entire sequence of the task has been learned.

d. After the first step of the sequence.

b. After bringing the toothbrush into his mouth.

A client in your care is 10 years old and has moderate mental retardation. One of her programming goals involves returning play items to the storage cabinet at the end of the day. Which statement most accurately describes this effort?

a. Teaching vocational skills before the child can benefit from them is ineffective. More age-approprate goals should be developed.

b. Moderately retareded children need intensively structured environment in order to learn.

c. Teaching vocational skills to children with retardation begins in childhood.

d. Returning the items provides an additional leisure activity for the child.

c. Teaching vocational skills to children with retardation begins in childhood.

A client is maintaining his shirt wearing behavior without ripping it off. The schedule of reinforcement for the client should be changed to:

a. continuous

b. extinguished

c. discrete

d. intermittent

d. intermittent

A client is to transferred from a bed to a gurney. This person has had orthopedic surgery for scoliosis three weeks ago. What would help with the transfer the most?

a. Assess the patient's ability to help with the transfer.

b. Attempt the transfer 30-60 minutes after administration of an analgesic.

c. Secure at least three staff members for the transfer attempt.

d. Cover client with a bed sheet for privacy.

b. Attempt the transfer 30-60 minutes after administration of an analgesic.

A client will tear off her shirt after coming out of the dining room. What response by the Psychiatric Technician would be most appropriate?

a. Have the client go to the time-out room until she promises not to tear her shirt.

b. Remind the client that if she tears the shirt she will lose her chance to go on an outing.

c. Have the client carry out a tray of snacks to patio.

d. Ignore the behavior because staff reactions is reinforcing.

c. Have the client carry out a tray of snacks to patio.

A client with a Developmental Disabilities needs assessment for a feeding program. How should the Psychiatric Technician assess the client's swallowing reflex before the feeding program is started?

a. Give small amounts of easily moistened food.

b. Request the client swallow saliva while the Psychiatric Technician palpates the client's larynx.

c. Use a cup with straw and thickened liquid.

d. Ask the client to swallow after having chewed dry cereal.

b. Request the client swallow saliva while the Psychiatric Technician palpates the client's larynx.

A condition that may be corrected by insertion of a shunt into the ventricles of the brain and terminating in the heart or other body structures is called:

a. hydrocephalus.

b. microcephalus.

c. meningocele.

d. tuberous sclerosis.

a. hydrocephalus.

A five year old tripped and fell. As he falls his arms extend. Which of the following conclusions is accurate?

a. he has an abnormal reflex which can be controlled through positioning.

b. he is exhibiting a normal reflex which will persist throughout his life.

c. he is exhibiting the Moro reflex.

d. he has ataxia and can be controlled by positioning his head.

b. he is exhibiting a normal reflex which will persist throughout his life.

A person with a Developmental Disabilities and left side hemiparesis from a stroke needs to be moved from bed to a chair. The chair should be positioned so the move ...

a. will be towards the left side of the client.

b. will be towards the right side of the client.

c. involves the shortest distance to the chair.

d. involve two staff members.

b. will be towards the right side of the client.

What action would the Psychiatric Technician do when assisting a client putting on a shirt after the client has had a rotator cuff repair surgery and the physician has ordered "passive use of the right arm only"?

a. Encourage the client to choose a button type shirt.

b. Assist with sliding on the sleeve of the affected arm first.

c. Direct the client to slide the left sleeve on first.

d. Let the client do as much as possible.

b. Assist with sliding on the sleeve of the affected arm first.

A person with cerebral palsy tremors type wants to attend an employment fair on the grounds of a Developmental Center where he lives. The door is locked to his residence. What would the Psychiatric Technician's most appropriate action?

a. Arrange for an escort to the fair for the client.

b. Unlock the door.

c. Get a wheelchair for the client.

d. Get a physician's order for the client to attend.

b. Unlock the door.

A person with developmental disabilities has been hospitalized for tests. This person is encouraged to perform activities of daily living. The chief reason for this is to...

a. create diversion.

b. help maintain independence.

c. discover limitations.

d. help strengthen muscles.

b. help maintain independence.

A Psychiatric Technician wants to increase auditory and tactile stimulation in her clients. The most appropriate equipment the Psychiatric Technician would use is:

a. Television and crayons.

b. Pictures and sand.

c. Music and sand.

d. Music and crayons

c. Music and sand.

A sweetened cereal such as Cocoa Puffs would generally be considered a:

a. general reward.

b. secondary reward.

c. primary reward.

d. non-contingent reward.

c. primary reward.

A common form of cerebral palsy includes stiff, awkward movements produced by increased tone and contracture of the muscles. This symptom is called?

a. athetosis

b. ataxic

c. spasticity

d. mixed

c. spasticity

A syndrome characterized by the "floppy" infant who at about age two develops a voracious appetite and becomes very obese by age 6 is called:

a. Tay-Sachs

b. Sturge-weber

c. Prader-Willi

d. Cri-du-chat

c. Prader-Willi

According to Piaget during what stage of development is it common for the child to learn through physical contact, assume an object out of sight no longer exist and utilizes behaviors in relationship to objects?

a. preoperational

b. sensorimotor

c. formal operations

d. latency

b. sensorimotor