Developementally Disabled

Condition manifests before age 18, is likely to continue indefinitely and substantial limitations in three or more areas of major life activities

Intellectually Disabled

What information concerning Sinemet should you communicate to the patient?

Relieve shakiness Levodopa changes the dopamine in the brain. Able to move more freely increase Carbidopa prevents the breakdown of levodopa in the blood stream, making more available in the brain.

Catrina Canon is a 25-year-old client at Casa De Vida. As the psych tech is performing a bed bath, Catrina begins to have a seizure with jerking movements causing her entire body to involuntarily move. The seizure lasts for 30 seconds. What should the Psych Tech do now?

Severe Perform a physical exam of affected body systems

What information concerning Colace (Ducosate sodium) should you communicate to the patient?

Side effects may include diarrhea, cramping, gas Side effects are usually temporary and effect the GI tract Used for constipation Treats occasional constipation, as well as constipation associated with certain medical conditions.

"Fainting stare with glazed eyes."

Syncopal episode

As the psych tech performs rounds, he notices Chloe Meade who is watching a movie in the day room staring at the wall with glazed eyes.

Syncopal episode definition: Fainting stare with glazed eyes.

Danny Johnson is a 48-year-old male with epilepsy. Danny is sitting in the dayroom. As the psych tech enters the room, he notices Danny staring out the window with glazed eyes, and not responsive to being greeted for several seconds then turns his face towards staff to engage.

Syncopal episode definition: Fainting stare with glazed eyes.

Jane Myers has been recently diagnosed with epilepsy. Identify the medication the doctor will likely subscribe her. (Diagnosis: Epilepsy)

Tegretol (Carbamazepine) Anticonvulsant

During dinner Phoebe Buff is observed by the psych tech to have repetitive jerking movement throughout her entire body. Safety measures are implemented, and the psych tech times the seizure activity. If the seizure activity is prolonged what medication is the doctor likely to order have administered. (Diagnosis: Tonic-clonic seizure)

Ativan (Lorazepam) Anticonvulsant

Involves loss of muscle tone. Leads to abrupt loss of posture. "Drop Sz

Atonic seizure

Walen Yung is at special Olympics getting ready to compete in the 100-yard dash event when he abruptly falls to the ground.

Atonic seizure definition: Involves loss of muscle tone. Leads to abrupt loss of posture. "Drop Sz"

While Amelia Lowe is out on the playground during recess, the teacher observes her fall suddenly to the ground.

Atonic seizure definition: Involves loss of muscle tone. Leads to abrupt loss of posture. "Drop Sz"

Paul Huja is a Psych Tech student learning about medications that help with muscle tone discomfort. He is able to identify that a client with CP and experiencing muscle spasticity and rigidity would benefit from what medication? (Diagnosis: Cerebral palsy)

Baclofen Muscle relaxant

has Down's Syndrome that has in mild intellectual disability. Which of the following medication has been ordered by the doctor to will help Janice's cognitive functioning? (Diagnosis: Down's Syndrome)

CORRECT →Galantamine

What information concerning Lorazepam should you communicate to the patient?

CORRECT →Side effects include sleepiness, poor balance, low blood pressureAmong the frequent side effects of this medication CORRECT →Used for anxiety and insomniaIt works by slowing activity in the brain to allow for relaxation.

Is a disorder of movement and posture that results from a non-progressive abnormality of the immature brain

Cerebral palsy

is diagnosed with DS. When she performs little exertion, she often complaints of feeling dizzy, her lips and tips of her fingers turn blue with noted shortness of breath.

Cogenital heart malformation definition: Atrial and/or ventricular septal defect. Heart mumurs are common in persons with Down's Syndrome.

Debbie Saxton is a ten-year-old who is diagnosed with Intellectual Disability. The Psychiatric Technician is looking at the input and output flow chart and takes note that Debbie has not had a bowel movement in three days. After reviewing the doctor's orders, the PT identifies what medication to give? (Diagnosis: Intellectually Disabled)

Colace (Ducosate sodium) Used for constipation

As the Psych Tech, Michael Byers, prepares to administer medication to his patient that has a diagnosis of CP, he identifies that the prescribed muscle relaxant has a black box warning of hepatoxicity. (Diagnosis: Cerebral palsy)

Dantrolene Muscle relaxant

What information concerning Baclofen should you communicate to the patient?

Decrease pain and increases muscle movement Baclofen acts at the spinal level in pain and movement transmission. Decreases muscle spasms Baclofen inhibits both the monosynaptic and polysynaptic reflexes at the spinal level.

What information concerning Valproate sodium should you communicate to the patient?

Don't mix with syrup with carbonated beverages Mixture may be irritating to oral mucosa Give with food or milk Reduce adverse GI effects

The disease associated with spontaneously recurring seizures. A neurological disorder. Unprovoked seizure activity with at least two occurring more than 24 hours apart

Epilepsy

The disease associated with spontaneously recurring seizures. A neurological disorder. Unprovoked seizure activity with at least two occurring more than 24 hours apart.

Epilepsy

What information concerning Tegretol (Carbamazepine) should you communicate to the patient?

Give chewable, immediate-release, and extended-release tablets with meals. Eliminates bitter taste and promotes compliance. Shake oral solution before measuring dose. Mix the solution to maintain therapeutic load.

What information concerning Dantrolene should you communicate to the patient?

Improves range of muscle movement of affected area Dantrolene depresses excitatory concentration coupling with skeletal muscle and decreasing intercellular calcium concentration. High levels of calcium concentration in the muscle is an essential step in muscle contraction. Relieves muscle stiffness Dantrolene depresses excitatory concentration coupling with skeletal muscle and decreasing intercellular calcium concentration. High levels of calcium concentration in the muscle is an essential step in muscle contraction.

Slower than typical in all developmental areas. No unusual physical characteristics. Able to learn practical life skills. Attains reading and math skills up to grade levels 3 to 6. Able to blend in socially

Intellectually Disabled-Mild

Sharon Mendez is a clerk at the second-hand store. She can perform basic math skills and reads at a 6th grade level.

Intellectually Disabled-Mild definition: Slower than typical in all developmental areas. No unusual physical characteristics. Able to learn practical life skills. Attains reading and math skills up to grade levels 3 to 6. Able to blend in socially.

Tessa Anderson is in a home economics class at the community college. She enjoys learning how to bake chocolate chip cookies.

Intellectually Disabled-Mild definition: Slower than typical in all developmental areas. No unusual physical characteristics. Able to learn practical life skills. Attains reading and math skills up to grade levels 3 to 6. Able to blend in socially.

Noticeable developmental delays (i.e. speech, motor skills). May have physical signs of impairment (i.e. thick tongue). Can communicate in basic, simple ways. Able to learn basic health and safety skills. Can complete self-care activities. Can travel alone to nearby, familiar places

Intellectually Disabled-Moderate

Anne Swanner is able communicate with simple and basic communication skills. Because she has a thicker than normal tongue it can be difficult to understand her.

Intellectually Disabled-Moderate definition: Noticeable developmental delays (i.e. speech, motor skills). May have physical signs of impairment (i.e. thick tongue). Can communicate in basic, simple ways. Able to learn basic health and safety skills. Can complete self-care activities. Can travel alone to nearby, familiar places.

Barbara Myers has signed up to participate in the special Olympics. She will be in the bowling event and will have her psych tech help her as she will need some assistance.

Intellectually Disabled-Moderate definition: Noticeable developmental delays (i.e. speech, motor skills). May have physical signs of impairment (i.e. thick tongue). Can communicate in basic, simple ways. Able to learn basic health and safety skills. Can complete self-care activities. Can travel alone to nearby, familiar places.

Pamela Davise is learning how to dial 911. Her mom wants her to learn this skill in the event of an emergency.

Intellectually Disabled-Moderate definition: Noticeable developmental delays (i.e. speech, motor skills). May have physical signs of impairment (i.e. thick tongue). Can communicate in basic, simple ways. Able to learn basic health and safety skills. Can complete self-care activities. Can travel alone to nearby, familiar places.

Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations. Piaget's Sensorimotor Stage

Intellectually Disabled-Profound

Bobby Bushell does not attend the morning current events group held in the day room as he is unable to understand what the group leaders are saying.

Intellectually Disabled-Profound definition: Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations. Piaget's Sensorimotor Stage.

Janet Burk lives at Fairview group home and is unable to perform her activities of daily living independently. She requires close supervision.

Intellectually Disabled-Profound definition: Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations. Piaget's Sensorimotor Stage.

Ricky Plummer is going on a field trip with his group home. They are attending the Anaheim Angels baseball game. Even though he is unable to express how much he enjoys baseball the staff know because of the smile he has on his face during the entire game.

Intellectually Disabled-Profound definition: Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations. Piaget's Sensorimotor Stage.

Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations

Intellectually Disabled-Severe

Charlie Raymond III is 18 years old and attends a day program. The Psychiatric Technician escorts him as he requires direct supervision in social settings.

Intellectually Disabled-Severe definition: Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations.

Eric Lee is 16 years old and can brush his teeth with hand over hand assistance.

Intellectually Disabled-Severe definition: Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations.

Marianne Carrolton enjoys attending her music group. Although she is unable to play an instrument, she smiles and laughs as she listens to the other group members play their music.

Intellectually Disabled-Severe definition: Considerable delays in development. Understands speech, but little ability to communicate. Able to learn daily routines. May learn very simple self-care. Needs direct supervision in social situations.

What information concerning Galantamine should you communicate to the patient?

Is used to treat the symptoms of Azheimer's disease. Galantamine is in a class of medications called acetylcholinesterase inhibitors. Improves memory and thought.Galatamine works by increasing the amount of a certain natural substance in the brain that is needed for memory and thought.

Jeremiah Walmer has difficulty moving his extremities and requires therapy three times week to prevent contractures. He takes classes at the local community college as he receives Disable Student Services.

Jeremiah Walmer has difficulty moving his extremities and requires therapy three times week to prevent contractures. He takes classes at the local community college as he receives Disable Student Services.

Ricky Bischof is diagnosed with moderate intellectual disabilities. He appears to be agitated as he is pacing in circles and mumbling to himself in the living room. What would be the best action for the Psych Tech to perform?

Mild Allow expression of feelings and concerns

Susie Doran who is mildly intellectually disabled is engaged in working on a puzzle. She becomes slightly agitated as she is unable to find a piece of the puzzle. She starts raising her voice as she expresses her discouragement

Mild Allow expression of feelings and concerns

Susie Doran who is mildly intellectually disabled is engaged in working on a puzzle. She becomes slightly agitated as she is unable to find a piece of the puzzle. She starts raising her voice as she expresses her discouragement.

Mild Allow expression of feelings and concerns

Maggie Powell is a 15-year-old female with epilepsy. She is currently taking an antiepileptic that has offered her relief from seizure activity. At times she refuses to wear her helmet as a precaution while out on field trips with her group home. How should the Psych tech handle this situation?

Mild Provide encouragement

Jimmy Andrews is a 38-year-old male with epilepsy. Jimmy is sitting in the dayroom. As the psych tech enters the room, he notices Jimmy staring out the window with glazed eyes, and not responsive to being greeted for several seconds then turns his face towards the staff to engage.

Mild Provide help only as needed

What information concerning Ativan (Lorazepam) should you communicate to the patient?

Mix oral solution with liquid or semisolid food. Have patient consume entire mixture. Helps eliminate the bitter taste. Alert the patient that respiratory depression may occur. Give awareness of respiratory failure.

Joey Synsanael is an 18-year-old that is profoundly intellectually disabled. He is in his wheelchair in the day room where a football game is on the TV. The crowd on the TV becomes loud when a touchdown is made. Joey starts moving his head and upper extremities side-side. He begins making loud noises

Moderate Approach calmly and nonthreatening using a low, soft tone of voice

Joey Synsanael is an 18-year-old that is profoundly intellectually disabled. He is in his wheelchair in the day room where a football game is on the TV. The crowd on the TV becomes loud when a touchdown is made. Joey starts moving his head and upper extremities side-side. He begins making loud noises.

Moderate Approach calmly and nonthreatening using a low, soft tone of voice

John Paul is a dual diagnosed client with ID and schizophrenia. He is sitting in the living room watching TV he starts slapping his face and yelling. He is slapping himself causing his face to become very red. The psych tech performs what intervention?

Moderate Approach calmly and nonthreatening using a low, soft tone of voice

Alice Cartwright is a 45-year-old female that attends Escuela del Rio's Talent Show every year. As she is getting ready for the show her friend notices Alice's body start to convulse and she falls onto her bed. Her friend calls for the Psych Tech who is able to help as he does what?

Moderate Meet client/patient's immediate needs

What information concerning Zoloft (Sertraline hydrochloride) should you communicate to the patient?

Observe for thoughts of suicide thinking or behavior May cause people to have thoughts of suicide when first taking an antidepressant. Used for depression. Able to rebalance chemicals in the brain

Sam Gires is a very strong autistic mildly intellectually disabled person. He is very agitated and becomes aggressive towards the other clients in the day room. The Psych Tech understands that what intervention is needed?

Severe Apply approved safety restraints as per plan

Jay Wright is a 7 years old and diagnosed with CP. He experiences random jerky movements. What medication has been found to benefit children with dyskinetic forms of CP? (Diagnosis: Cerebral palsy)

Sinemet Antiparkinsonian agent

A common type of Cerebral Palsy where the legs are more affected than the arms

Spastic diplegic CP

Benjamin Titus is a 14-year-old student who receives ambulation therapy due to his right foot-drop. He also has advanced spasticity of his left arm

Spastic diplegic CP definition: A common type of Cerebral Palsy where the legs are more affected than the arms.

Joe Sanderson is a 12-year-old student who uses a platform wheelchair to attend the Day Treatment program. He is dependent on staff for his daily activities since he has no use of his extremities. Staff feeds him using a spoon and he swallows his food at puree consistency and drinks his fluids at thick consistency.

Spastic diplegic CP definition: A type of Cerebral Palsy where the four limbs and usually the trunk and muscles that control the mouth, tongue, and pharynx are affected.

A type of Cerebral Palsy where the four limbs and usually the trunk and muscles that control the mouth, tongue, and pharynx are affected

Spastic quadriplegic CP

Jeremiah Walmer has difficulty moving his extremities and requires therapy three times week to prevent contractures. He takes classes at the local community college as he receives Disable Student Services

Spastic quadriplegic CP definition: A type of Cerebral Palsy where the four limbs and usually the trunk and muscles that control the mouth, tongue, and pharynx are affected.

is a 35-year-old Philipino woman, diagnosed with DS, is requesting a job coach because she wants to be trained to get a job in order to be financially independent.

Supported employment".

Spasmodic alteration of muscle contraction and relaxation. Jerking movements

Tonic-clonic seizure

During dinner Phoebe Buff is observed by the psych tech to have repetitive jerking movement throughout her entire body.

Tonic-clonic seizure definition: Spasmodic alteration of muscle contraction and relaxation. Jerking movements.

Jerry Barlar attends a day program that offers activities for developmentally disabled adults. While participating in art class his upper body start jerking and arms stiffen.

Tonic-clonic seizure definition: Spasmodic alteration of muscle contraction and relaxation. Jerking movements.

Koby Vanetta is a 15-year-old boy who resides in a group home for individuals with Intellectual Disabilities. While helping in the kitchen he suddenly cries out and falls to the ground. His arms and legs become very rigid. He then starts rhythmic jerking movements of his extremities. This lasts for two minutes.

Tonic-clonic seizure definition: Spasmodic alteration of muscle contraction and relaxation. Jerking movements.

The Psych Tech is reviewing Katie Turner's medication administration record. Katie has a diagnosis of epilepsy. What medication would the PT identified as an appropriate medication for this condition? (Diagnosis: Epilepsy)

Valproate sodium

Max Harper is diagnosed with mild Intellectual Disability. He has been attending a new high school for six months and is struggling to fit in with his classmates. He has expressed feeling sad and has been isolating himself from his family. (Diagnosis: Intellectually Disabled)

Zoloft (Sertraline hydrochloride) Antidepressant

Gary Lewis is moderately intellectually disabled. He enjoys going to the park, but the drive makes him nervous and anxious. What medication could the Psychiatric Technician expect the doctor to order for Gary's anxiety? (Diagnosis: Intellectually Disabled)

lorezapam