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Psychiatric Technician: Developmental Disabilities
Board Exam ACTUAL EXAM COMPLETE QUESTIONS
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Psychiatric Technician Developmental Disabilities Board Exam - EXAM COVERAGE - Psychiatric Technician: Developmental Disabilities Board Exam Psychiatric Technician Developmental Disabilities Board Exam assesses knowledge and skills required for providing safe, effective, and compassionate care to individuals with developmental disabilities. Key topics include identification and characteristics of developmental disabilities, behavioral assessment and management, communication strategies, and individualized care planning. Candidates are tested on recognizing co-occurring psychiatric conditions, implementing therapeutic interventions, and promoting safety and well-being in residential and clinical settings. Additional areas include legal and ethical responsibilities, medication administration and monitoring, crisis intervention, documentation, and collaboration with interdisciplinary teams. The exam emphasizes application of best practices to support independence, social and adaptive skills, and overall quality of life for individuals with developmental disabilities. QUESTION: 1. An age-appropriate activity for a 15-year-old male client would be:
A. Putting together a 50-piece puzzle. B. Playing basketball. C. Driving an automobile. D. Playing with blocks. - ANSWER-B. Playing basketball. Rationale: An age-appropriate activity for a 15-year-old male client should take into account their physical abilities and interests. Playing basketball is a suitable choice as it promotes physical exercise, coordination, teamwork, and social interaction. It aligns with the developmental stage of a 15-year-old male and provides an opportunity for both physical and social development. QUESTION: 2. 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.
Rationale: The term "mental retardation" is an outdated term that has been replaced with the term "intellectual disability" in current diagnostic classifications. However, for the purpose of this question, we can provide a rationale based on the given options. Mattie has an IQ of 47, which falls within the range of moderate intellectual disability. The severity of intellectual disability is typically categorized based on IQ scores, and individuals with moderate intellectual disability typically have IQ scores between 35 and 49. QUESTION: 4. 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. - ANSWER-A. Fixed-interval. Rarionale: Intermittent reinforcement refers to a type of reinforcement schedule where responses are reinforced only occasionally or intermittently. In this scenario, the psychiatric technician reinforces the client every ten minutes when the client is cleaning his room. The reinforcement is provided at fixed time intervals (every ten minutes), regardless of the client's
behavior. This is an example of a fixed-interval schedule, where reinforcement is delivered after a fixed amount of time has elapsed since the previous reinforcement. QUESTION: 5. Donald is a 21-year-old client who resides at a state developmental center. He often has seizures even though he is taking anticonvulsant medication. Nodules are present on his nose and recently it has been discovered that he has them in his abdomen. The most likely diagnosis for this client is: A. de Lange's Syndrome. B. Von Reckinghausen's Disease. C. Sturge- Weber Disease. D. Tuberous Sclerosis. - ANSWER-D. Tuberous Sclerosis. Rationale: The symptoms described, including seizures and the presence of nodules on the nose and abdomen, are characteristic of Tuberous Sclerosis (TS). TS is a genetic disorder that causes the growth of noncancerous tumors in various organs, including the brain, kidneys, heart, and skin. Seizures are a common manifestation of TS, and the presence of nodules (called angiofibromas) on the nose and abdomen is a characteristic sign. Therefore, based on the symptoms described, Tuberous Sclerosis is the most likely diagnosis for Donald.
material affects the development of various body systems, including the formation of the hand and palm. During fetal development, the palm of the hand typically undergoes a complex process of crease formation, resulting in the two transverse creases seen in most individuals. However, due to the genetic abnormalities associated with Down syndrome, this process may be altered, leading to the presence of a single palmar crease or simian line. QUESTION: 7. A fetus does not receive enough oxygen while being delivered and the result is cerebral palsy. The cause would be referred to as: A. Prenatal. B. Postnatal. C. Perinatal. D. Pernatal. - ANSWER-C. Perinatal. The rational for this answer is that the term "perinatal" refers to the period shortly before and after birth. In the given scenario, when the fetus does not receive enough oxygen during delivery resulting in cerebral palsy, it indicates an event that occurred during the perinatal
period. Prenatal refers to the time before birth, postnatal refers to the time after birth, and pernatal is not a recognized term. QUESTION: 8. Which of the following is not a critical functional living skill? A. Communication skills. B. Personal hygiene. C. Academic and cognitive behaviors. D. Matching appropriate clothing. - ANSWER-D. Matching appropriate clothing. The rational for this answer is that all the other options listed (communication skills, personal hygiene, and academic and cognitive behaviors) are critical functional living skills. These skills are essential for an individual to effectively communicate, maintain personal hygiene, and engage in academic and cognitive tasks. However, matching appropriate clothing is not necessarily considered a critical functional living skill. While it may be important for personal style and social appropriateness, it is not directly related to fundamental functional abilities.
QUESTION: 10. The psychiatric technician is teaching the client how to put on socks. The psychiatric technician and the client each have a pair of socks. The psychiatric technician first puts on her socks and then encourages the client to put his socks on his feet. This type of teaching strategy is referred to as: A. Arranging the environment. B. A verbal cue. C. Modeling. D. Physical assistance. - ANSWER-C. Modeling. The rational for this answer is that modeling refers to a teaching strategy where the teacher demonstrates the desired behavior or skill for the learner to imitate. In this scenario, the psychiatric technician first puts on her socks as a model for the client, encouraging him to follow suit. Arranging the environment involves modifying the physical or social environment to support learning or behavior change. A verbal cue involves providing instructions or prompts through spoken words. Physical assistance refers to physically helping the client perform the task. In this case, the description aligns with the concept of modeling as the teaching strategy employed.
QUESTION: 11. Jenny Johnson, a psychiatric technician, wants her clients to be focusing on the most desirable employment for a developmentally disabled person. This type of work is referred to as: A. An activity program. B. Competitive employment. C. Supported work program. D. Sheltered workshop. - ANSWER-B. Competitive employment Rationale: This term indicates that the person is engaged in work that is similar to that of individuals without disabilities, where they have the opportunity to compete for and hold regular jobs in the community. Competitive employment is considered the most desirable option because it promotes inclusion, independence, and self-sufficiency for individuals with developmental disabilities. It allows them to fully participate in society and experience the benefits of meaningful work, such as financial independence, social interaction, and personal growth. QUESTION: 12. A speech disorder that is believed to be a result of stress most of the time and is also referred to as a fluency disorder is called:
Rationale: The Lanterman Act is a California law that provides services and support for individuals with developmental disabilities. It defines a developmental disability as a disability that originates before the age of 18, continues indefinitely, and significantly impairs a person's ability to function in at least three major life areas, such as self-care, communication, and learning. This age cutoff is important for determining eligibility for services and support under the Lanterman Act. QUESTION: 14. The psychiatric technician is interacting with a group of developmentally disabled clients. All of a sudden one of the clients falls down and appears to be having a grand mal seizure. The psychiatric technician would utilize all of the following nursing interventions except: 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. - ANSWER-C. Put an object, such as a spoon, between the teeth.
Rationale: Putting an object between the teeth during a seizure is contraindicated (SHOULD NOT DO) because it can cause injury to the person's teeth, jaw, or airway. It is important for the psychiatric technician to have knowledge of appropriate nursing interventions during a seizure to ensure the safety and well-being of the individual. QUESTION: 15. Some evidence has shown that there may be a possible relationship between older clients with Down syndrome and: A. Parkinson's disease. B. Alzheimer's disease. C. Huntington's chorea. D. Multiple sclerosis. - ANSWER-B. Alzheimer's disease Rationale: Research has suggested that there is a higher risk of developing Alzheimer's disease (A progressive disease that destroys memory and other important mental functions) among individuals with Down syndrome as they age. The extra copy of chromosome 21 carries the gene for amyloid precursor protein (APP), which is involved in the production of beta-amyloid plaques. These plaques are a hallmark of Alzheimer's disease. Individuals with Down syndrome have increased levels of beta-amyloid, making them more susceptible to the development of Alzheimer's pathology. Additionally, the triplication of other genes on chromosome 21, such as
QUESTION: 17. One of the primary symptoms of Tay-Sachs disease is: A. A cherry-red spot on each retina.
- Six or more large tan spots on the skin. C. A port wine stain on the face. D. Underdeveloped sexual characteristics. - ANSWER-A. A cherry-red spot on each retina. rationale: Tay-Sachs disease is a rare genetic disorder characterized by the progressive destruction of nerve cells in the brain and spinal cord. One of the primary symptoms of Tay- Sachs disease is the presence of a cherry-red spot on each retina. The cherry-red spot refers to a distinctive red spot that can be observed during an eye examination. This spot is caused by the accumulation of a fatty substance called ganglioside GM2 in the nerve cells of the retina. The presence of the cherry-red spot is a key diagnostic feature of Tay-Sachs disease and can help differentiate it from other neurodegenerative disorders. QUESTION: 18. Tay-Sachs is best known among what group of people in the United States? A. Native Americans B. Jewish C. Black
D. Asian - ANSWER-B. Jewish. rationale: Tay-Sachs disease has a higher prevalence among the Jewish population, particularly individuals of Ashkenazi Jewish descent. The Ashkenazi Jewish population has a higher carrier frequency for Tay-Sachs disease compared to other populations. This higher carrier rate is due to a genetic mutation that is more commonly found among individuals of Ashkenazi Jewish ancestry. As a result, Tay-Sachs disease has become best known among the Jewish community in the United States. However, it is important to note that Tay-Sachs can occur in other populations as well, albeit at a lower frequency. QUESTION: 19. Getting out of bed in the morning and eating breakfast relates to normal rhythm of the: A. Day. B. Week. C. Month. D. Year. - ANSWER-A. Day.
rationale: A visual prompt refers to a visual cue or stimulus that assists individuals in understanding and completing a task or action. Painting the same color on each plastic food container and lid so that clients can match the same size lids and containers after they wash and dry them is an example of a visual prompt. By using a consistent visual cue (color) on both the containers and lids, it provides a visual association that helps individuals match the correct lid to the corresponding container. This visual prompt enhances the client's ability to complete the task successfully by providing a visual guide or clue. QUESTION: 21. Tiffany is a severely mentally retarded client. She tends to pick up anything she finds on the floor and puts it in her mouth. She is often diagnosed with pinworms-small parasitic worms that lives in the intestines. Which shift would probably be responsible for collecting worm eggs from the client's anal area with sticky tape to determine a correct diagnosis? A. A.M. B. P.M. C. NOC D. Any shift - ANSWER-C. NOC
Rationale: Timing of sample collection: Pinworms lay their eggs during the night, and they tend to migrate to the anal area to deposit them. Therefore, collecting samples during the night shift (NOC) would provide a higher chance of detecting the worm eggs. The NOC shift aligns with the period when the eggs are most likely to be present in the anal area. Less disturbance during the NOC shift: The night shift typically involves fewer activities and disturbances compared to the day shift. With fewer interactions and distractions, it would be easier to carry out the process of collecting samples from Tiffany's anal area with sticky tape in a calm and controlled environment. This would improve the accuracy and reliability of the diagnosis. QUESTION: 22. What medication is taken by pregnant women to avoid birth defects? A. Calcium B. Folic acid C. Vitamin D D. Magnesium - ANSWER-B. Folic acid. The rationale for this choice is that folic acid is commonly recommended for pregnant women to help prevent certain birth defects, particularly neural tube defects such as spina bifida. Adequate folic acid intake is important during early pregnancy when the neural tube is forming,
