660 Final Leach

Question 1

Be able to LIST all 3 of the limiting conditions that must be present in order for a student to qualify for Special Education services under Emotional Disturbance (CCR 3030, July 1, 2014; See 1986 Document, p8 and 9, i.e., page numbers are marked on the scanned document; 1986 Document is the first doc listed in the Content section of Blackboard; You’ll will need to have it downloaded for this Final) (1 pt)

Answer 1

1. Over a long period of time:
   o a long duration of demonstrated SED characteristics is necessary in order to rule out a number of temporary adjustment reactions, such as reactions to developmental changes (puberty) or temporary reactions to marked increases psychosocial stressors (divorce, death of parent or sibling, etc.)
   o the need to establish a long period of time also provides LEA staff w the opportunity to utilize behavioral intervention
   o the duration of demonstrated characteristics should be a minimum of 6 months, following extensive and comprehensive efforts at behavioral intervention and change during the 6-month period.
   o a shorter duration time may be appropriate, but regardless of the time frame utilized, SED considerations should be explored only after extensive behavioral intervention has been previously undertaken.

Question 2

Be able to LIST all 3 of the limiting conditions that must be present in order for a student to qualify for Special Education services under Emotional Disturbance (CCR 3030, July 1, 2014; See 1986 Document, p8 and 9, i.e., page numbers are marked on the scanned document; 1986 Document is the first doc listed in the Content section of Blackboard; You’ll will need to have it downloaded for this Final) (1 pt)

Answer 2

2. To a marked Degree:
   o this limiting condition comprises 2 separate components, both must be present for the condition to be met: Pervasiveness and Intensity.
   ♣ Pervasiveness: children demonstrate the characteristics of their disturbance across almost all domains (school, home, community) and with almost all individuals.
   ♣ Intensity: demonstration of negative behaviors in an overt, acute and observable manner. The behavior must produce significant distress either to the individual or to others in his environment and must be primarily related to the SED condition.

Question 3

Be able to LIST all 3 of the limiting conditions that must be present in order for a student to qualify for Special Education services under Emotional Disturbance (CCR 3030, July 1, 2014; See 1986 Document, p8 and 9, i.e., page numbers are marked on the scanned document; 1986 Document is the first doc listed in the Content section of Blackboard; You’ll will need to have it downloaded for this Final) (1 pt)

Answer 3

3. Adversely Affects Educational Performance:
   o the negative behaviors of the child must occur in school setting and result in impairment of the child’s ability to benefit from that setting.
   o if the child is able to demonstrate progress in the regular educational program or in a “less restrictive” special educational setting, then classification of that child as SED is neither necessary nor appropriate.
   o there are a number of ways in which adverse effect upon educational performance can be determined: through consideration of the child’s academic achievement, documented teacher observations, work samples of the child, and criterion-referenced assessment and grade reports.

Question 4

Be able to identify the correct answer. With respect to Emotional Disturbance the 1986 document (p8) indicates the following with respect to “Over a long period of time” EXCEPT (1 pt)

Answer 4

a. Long period of time is necessary to rule-out A number of temporary adjustment reactions or temporary reactions to marked increases in psychosocial stressors
a. Long period of time provides the school staff the opportunity to to utilize behavioral interventions in order to rule out the possibility that the child is exhibiting a behavioral disorder rather than a severe emotional disturbance.

The duration of demonstrated characteristics should be a minimum of 6 months, following extensive and comprehensive efforts at behavioral intervention and change during the 6-month period.

Question 5

With respect to Emotional Disturbance the 1986 document (p9) indicates that “To a marked degree” includes what 2 components?

Answer 5

Pervasiveness and Intensity

Question 6

LIST the 6 characteristics to consider under Emotional Disturbance

Answer 6

1. An inability to learn that cannot be explained by intellectual, sensory, or health factors.
2. An inability to build or maintain satisfactory interpersonal relationships with peers and teachers.
3. Inappropriate types of behavior or feelings under normal circumstances.
4. A general pervasive mood of unhappiness or depression.
5. A tendency to develop physical symptoms or fears associated with personal or school problems.
6. Emotional disturbance includes schizophrenia.

Question 7

Which of the following is NOT on the list of typical behaviors that the 1986 Document includes under “Inappropriate types of behavior or feelings under normal circumstances.” (1 pt) You’ll be asked to circle one that is not on the list.

Answer 7

Yes 
Self injurious behaviors 
Delusions 
Hallucinations 
Extreme emotional liability 

No 
Physical symptoms 
ADHD 
Inability to learn 
Depression

Question 8

Which of the following does NOT include in its diagnostic definition the possibility of auditory hallucinations or delusions (i.e., psychosis)?

Answer 8

a. ADHD

Question 9

Match the diagnosis with the relevant duration of time that symptoms must be present

Answer 9

Manic Episode (1 week)
Major Depressive Episode (2 weeks)
Separation Anxiety (1 month)
Schizophrenia (6 months)
Disruptive Mood Dysregulation Disorder (1 year)

Question 10

Disruptive Mood Dysregulation Disorder (You will be asked to choose the item that does NOT apply; you will need to know the answer to the following)

Answer 10

a. It’s more at risk for later depression and anxiety or for bipolar.
b. It’s more common than bipolar prior to adolescence.
c. It become less common in adulthood.
d. Psychosis is NOT one of its criteria.

Question 11

Be able to match the following Anxiety diagnoses with their characteristics (1 pt) To lower your ANXIETY.

(Panic Attack)

Answer 11

An abrupt surge of intense fear or intense discomfort that reaches a peak within minutes

Question 12

Selective Mutism

Answer 12

Consistent failure to speak in specific social situations in which there is an expectation for speaking (e.g., at school) despite speaking in other situations

Question 13

Specific Phobia

Answer 13

Marked fear or anxiety about a specific object or situation (e.g. flying, heights, animals, receiving an injection, seeing blood)

Question 14

Social Anxiety

Answer 14

Marked, or intense, fear or anxiety of social situations in which the individual may be scrutinized by others.

Question 15

The following is the part of the definition of what? Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress. (1pt) You will be asked to choose the correct answer.

Answer 15

Obsessions as part of the definition for Obsessive Compulsive Disorder

Question 16

The following is the part of the definition of what? Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform… (1pt) You will be asked to choose the correct answer.

Answer 16

Obsessive Compulsive Disorder (OCD)

Question 17

Tobin and House (p125) simplify the organization of the symptoms of Post Traumatic Stress Disorder. For those over the age of 6 PTSD results from exposure to an extremely traumatic stressor plus all of the following EXCEPT (1 pt) Be able to recognize the 4 criteria (See the Powerpoint) that go with PTSD. You will be asked to identify the choice that does not go with the PTSD definition.

Answer 17

1. Re-experiencing of the traumatic event (memories, dreams, flashbacks, psychological distress or physical reactions to cues)
2. Avoidance of stimuli (memories, thoughts, feelings, people, places, conversations, activities, objects, situations) connected with the trauma
3. Changes in cognition (loss of memory about trauma, negative beliefs, blaming self) (see next slide) AND mood associated with the traumatic event(s) (negative, less interest, detached, lack of positive)
4. Heightened arousal –irritable behavior, angry outbursts, reckless an self-destructive behavior, hypervigilant, startle, sleep disturbance

Question 18

Tobin and House (p126, Powerpoint #7) list specific research findings of the effects of trauma on school children. List 4 of these effects (1 pt) Be able to LIST 4 from the Powerpoint for a total of 1 pt.

Answer 18

• Changes in student academic performance and behavior, including decreased IQ and reading ability (Beers & DeBellis, 2002; Delaney-Black et al., 2003)
• lower grade point average (Hurt, Malmud, Brodsky, & Giannetta, 2001)
• higher absenteeism (Beers & DeBellis, 2002)
• decreased rates of graduation from high school (Grogger, 1997)

Question 19

What does Reactive Attachment Disorder and Disinhibited Social Engagement Disorder have in common (1 pt) You will pick the correct answer

Answer 19

Do they both stem from patterns of extremes of insufficient care.

Question 20

Persistent eating of nonnutritive, nonfood substances over a 1 month period is part of the diagnosis

Answer 20

PICA

Question 21

Anorexia Nervosa and Bulimia Nervosa can have all of the same behaviors or characteristics in common EXCEPT (1 pt) Most of those below will be on the Final, but you will only be asked to pick the one that they do not have in common. Can they both include…

Answer 21

Normal body weight? - Bulimia
Under weight? - Anorexia
*They DO NOT have the same body weight!

Question 22

Match the definition with the term (1pt) The terms are not listed here, but they will be on the Final.

GENDER

Answer 22

the public (and usually legally recognized) lived role as boy or girl, man or woman

Question 23

GENDER ASSIGNMENT

Answer 23

initial assignment as male or female; yields the “natal gender”

Question 24

GENDER IDENTITY

Answer 24

a category of social identity and refers to an individual’s identification as male, female, or occasionally, some category other than male or female

Question 25

TRANSGENDER

Answer 25

individuals who transiently or persistently identify with a gender different from their natal gender

Question 26

TRANSSEXUAL

Answer 26

one who seeks, or has undergone, a social transition from male to female or female to male; many make somatic transition by cross-sex hormone treatment and genital surgery (sex reassignment surgery)

Question 27

Insomnia Disorder includes dissatisfaction with one of the following EXCEPT (1pt); know the 3 types of insomnia. You will be asked choose the answer that is not part of the definition of insomnia. It will be a characteristic of another sleep disorder

Answer 27

A. Dissatisfaction with sleep quantity or quality w (one)
1. Sleep onset (SUBJECTIVE sleep latency > 20 – 30 min)
2. Maintaining sleep-frequent awakenings OR problems returning to sleep after awakenings (SUBJECTIVE > 20-30 min)
3. Early-morning awakenings with inability to return to sleep (at least 30 min before scheduled wakeup time and before total sleep reaches 6 ½ hrs)
B. A causes significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning
C. At least 3 nights per week
D. For at least 3 months
E. E thru H: R/O if primarily or exclusively due to lack of sleep opportunity, another sleep-wake disorder, substance, mental disorder, or medical condition.