Mid Term Test

Question 1

What is disability culture?

Answer 1

Consistent and discernable differences in how mental illnesses present in people with developmental disability culture is a way of living that people have in common :thinking patterns,behaviours,communication, lifestyle 

Question 2

Thinking patterns

Answer 2

-concrete thinking
-Difficulties with generalization
-Memory limitations
-Egocentricity 

Question 3

Behaviours

Answer 3

-avoiding issues
-being conditioned to please 
-being numbered by negativity

Question 4

Communication

Answer 4

-Limited or nonexistent verbal skills
-Concrete use of language
-Atypical meetings for words
-Limited vocabulary 

Question 5

The impact

Answer 5

Symptoms are more frequent behavioural
-Aggression/self injury displayed at a higher rate
-we’ll have more than one behaviour at a time
-Self reporting is usually seriously impaired

Symptoms more concrete in action focussed
-less fanciful and imaginative 
-More atypical were usual with lower ability
-Symptoms may be similar to those of children 

Question 6

Where does the word stigma come from?

Answer 6

Stigma is the Greek word that referred to a type of marking or tattoo that was cut or burn into the skin of criminals sleeves or traders in order to physically identify them as blemish or moral polluted persons.

Question 7

Justice system

Answer 7

Consent and capacity

Question 8

What is an assessment?

Answer 8

Assessment is the process of assigning a value based upon testing or evaluation example IQ grades based on performance determining severity, etc. 

Question 9

Diagnosis

Answer 9

Diagnosis is identification by examination or analysis. Example of mental illness, such as depression. 

Question 10

Why is diagnosis important

Answer 10

Classification
-Placing the individual in a category

Selection
-Choosing services based upon this categorization

Management
-Making decisions about services for the individual in a manner which ensure a smooth operations of the organization

Facilitation
-Making decisions about services which will make life easier better or happier for the person

Question 11

What are the types of tests?

Answer 11

Cognitive
Self-report scales
Behavioural
Socio emotional rating skills

Question 12

Cognitive test

Answer 12

-standardized
-norm referenced
-Demonstrates potential 

Question 13

Self report scales

Answer 13

-depression inventories
-revised children’s manifest, anxiety scale
-Minnesota multiphasic, personality inventory ( MMPI)

Question 14

Behavioural

Answer 14

-Rating skills
-Observations
-Developmental milestones
-Social emotional rating scales
-Behaviour checklist
-Personality inventories

Question 15

What are the barriers to service?

Answer 15

-diagnostic overshadowing
-Baseline exaggeration
-Cognitive disintegration
-Intellectual distortion
-Psychosocial masking 

Question 16

Diagnostic overshadowing

Answer 16

-All emotional problems experienced by a person with a developmental disability, are attributed to the disability

-Leads to ignoring or miss diagnosing of the potential mental illness

Question 17

Baseline exaggeration

Answer 17

-Increase already existing maladaptive behaviours may be indicative of mental health problems

Question 18

Cognitive disintegration

Answer 18

-Stress that leads to odd behaviour looking like mental illness

Question 19

Intellectual distortion

Answer 19

-Poor communication skills create an ability to describe symptoms well

Question 20

Psychosocial masking

Answer 20

-the way in which symptoms are described in simple and concrete, and may come across as nerves or silliness

Question 21

What is the DSM 5

Answer 21

most used classification system
-Describes clinical features
-Checkless format
-Adaptation underway for use with people with developmental disabilities 

Question 22

ICD-10

Answer 22

-is used outside of Canada
-it also uses checklist system
-Has been adapted for use with people with developmental disabilities

Question 23

What is duel diagnosis?

Answer 23

Is the co existence of a developmental disability, and a mental health problem

Often confused with dual disorder, the co existence of a mental health problem and substance-abuse

Question 24

Types of treatment

Answer 24

Voluntary and involuntary
Brian’s law

Question 25

What is Brian’s law?

Answer 25

A law implanted due to a pedestrian getting shot by a mental ill person going through hallucinations, allowing involuntary hospitalization 

Question 26

Depression

Answer 26

Feeling saddness,apathy
Clinical depression
- level of saddness takes over a persons life
- withdrawal
-poor concentration
-slowing of speech
- agitation
- self- recrimination

Question 27

Major depression

Answer 27

Criteria for major depressive episode the first two must be present plus any 3 other symptoms
- depressed mood most of the day
- diminished interest or pleasure in almost all activities
-Significant weight loss or gain
-Insomnia, or hypersomnia
-psychomotor agitation or slowing
-Fatigue or loss of energy
-Inappropriate guilt
-Feeling worthless
-Reoccurring thoughts of death 

Question 28

Dysthymia disorder

Answer 28

Depressed mood for more than 50% of the time
-Poor appetite or over eating
-Insomnia, or hypersomnia
-Low energy, or fatigue
-Poor connection
-Low self-esteem
-feelings of hopelessness
No major depressive episodes
Average onset of depressive episode is 25 

Question 29

Bipolar disorder

Answer 29

Alternating between manic and depressive episodes
Bipolar 1-involves episodes of mania or mixed episodes that include symptoms of both mania and depression
1/5 cases of bipolar result in suicide 
Bipolar 2-depressive episodes, alternate with hypomanic episodes
-Rather than full manic episodes
-hypo manic episodes, often less severe than manic episodes
Average onset is in early 20s equally in men and women 

Question 30

Cyclothymic disorder

Answer 30

-alternating between mannequin, depressed states in more mild form
-Rapid cycling
-Move shifts with an hours or days rather than long periods
-More common in those with developmental disabilities in both states, the Moodswings don’t reach a severity where they could be classified as depressive or manic episodes

Question 31

Mania

Answer 31

Elevated mood or irritability
Great feelings of
-Euphoria
-Feeling like a superhero
-don’t need to sleep
-48 to 72 hours without sleep

The symptoms often onset very abruptly within a day or two

Question 32

Grandiosity

Answer 32

-exaggerated abilities
-Buying spree‘s foolish investments
-Talkative /distractibility
-excessive, talking and joking, loud remarks, annoyingly, social, racing thoughts
-pressure of speech


Question 33

Agitation/restlessness

Answer 33

-Decrease sleep
-Aggression/refusal
-Fidgeting, moving

Question 34

Hedonism

Answer 34

-touching, sexualized behavior, and indiscretions 

Question 35

Why is cycling important ?

Answer 35

Cycling and walking both release our ‘feel-good’ hormones known as endorphins. These hormones help to relax your mind and make you feel happier. This boosts your mood and reduces your feelings of anxiety

Question 36

Treatment for mood disorders

Answer 36

Medication
Electroconvulsive therapy
Lights
Psychotherapy
Deep brain stimulation