NURS 663 Exam #2 STUDY GUIDE
QUESTIONS AND ANSWERS
Tics - Answer-◾Repeated individually recognizable, intermittent movements or
movement fragments that are almost always briefly suppressible
Chronic Motor/Vocal Tic Disorder - Answer-Duration of Tics is greater than 12 months;
does not include BOTH motor and verbal tics
Provisional Motor/Vocal Tic Disorder - Answer-Duration of Tics is less than 12 months;
Can include verbal or motor only or both types of tics
before 18 years old - Answer-Maximum age a tic disorder can be diagnosed
Boys - Answer-Tourette syndrome is more common in which gender?
adolescence - Answer-Tourette syndrome has marked improvement in which
developmental stage?
2 motor tics + 1 verbal tic - Answer-Combination of tics needed to meet requirements for
Tourette Syndrome
Comprehensive Behavioral Intervention for Tics (CBIT) and Habit Reversal Training
(HRT) - Answer-Non-pharmacological treatment for Tic Disorders
Alpha agonists (Guanfacine and Clonidine); anti- convulsants like Topiramate
sometimes used as well - Answer-First-line pharmacological treatment for Tic Disorders
atypical antipsychotics - Answer-Second-line pharmacological treatment for Tic
Disorders
Stereotypic Movement Disorder - Answer-Repetitive, seemingly driven (voluntary), and
apparently purposeless motor behavior (i.e. hand shaking or waving, body rocking,
head banging, self-biting, hitting own body)
Developmental Coordination Disorder - Answer-a. The acquisition and execution of
coordinated motor skills is substantially below that expected given the individual's
chronological age and opportunity for skill learning and use
b. S/S: Clumsiness (bumping into objects), Slow and inaccurate motor skills (catching,
using scissors, handwriting, bike riding, sports etc)
Intellectual Disability (ID) (Intellectual Developmental Disorder) - Answer-i. Deficits in
intellectual functions like reasoning, problem-solving, planning, abstract thinking,
, judgement, academic learning, learning from experience; Must be confirmed by **both
clinical assessment AND standardized intelligence testing**
ii. Deficits in adaptive functioning that result in failure to meet developmental and
sociocultural standards for personal independence and social responsibility; limits
function in one or more activities of daily life (communication, social participation,
independent living) and in multiple environments (school, home, work)
S/S: Learn slowly, difficulty with attention, short term memory, planning, and language
Global Developmental Delay - Answer-If child is UNDER 5 years old with a suspected
ID and cannot do standardized testing
Unspecified Intellectual Disability - Answer-If child is OVER 5 years old with a
suspected IDand cannot complete testing for reasons such as sensory impairments,
blindness, etc
1.Down Syndrome (most common)
2.Fragile X Syndrome - Answer-Chromosomal Causes of ID
1.PKU
2.Tay-Sachs - Answer-Metabolic Causes of ID
1.FAS (alcohol)
2.Infections (Rubella, Syphilis)
3.Anoxia
4.Cretinism (low iodine) - Answer-Perinatal/Birth Related Causes of ID
Non-pharmacologic therapy for ID - Answer-1.Early intervention
2.Special education
3.Operant Conditioning
4.Teacher Preparedness
5.Token Economy Programs
6.Individual/Group Therapy
Pharmacologic treatment for ID - Answer-Symptom based treatment: Medications often
prescribed for hyperactivity and distractibility;
Stimulants: Focus, Concentration, Hyperactivity
Alpha agonists: Impulsivity, Aggression, Hyperactivity
SGAs: Aggression, Agitation
10-15% - Answer-Prevalence of learning disorders
music therapy - Answer--stimulates all of the senses and involves the child at many
levels.
QUESTIONS AND ANSWERS
Tics - Answer-◾Repeated individually recognizable, intermittent movements or
movement fragments that are almost always briefly suppressible
Chronic Motor/Vocal Tic Disorder - Answer-Duration of Tics is greater than 12 months;
does not include BOTH motor and verbal tics
Provisional Motor/Vocal Tic Disorder - Answer-Duration of Tics is less than 12 months;
Can include verbal or motor only or both types of tics
before 18 years old - Answer-Maximum age a tic disorder can be diagnosed
Boys - Answer-Tourette syndrome is more common in which gender?
adolescence - Answer-Tourette syndrome has marked improvement in which
developmental stage?
2 motor tics + 1 verbal tic - Answer-Combination of tics needed to meet requirements for
Tourette Syndrome
Comprehensive Behavioral Intervention for Tics (CBIT) and Habit Reversal Training
(HRT) - Answer-Non-pharmacological treatment for Tic Disorders
Alpha agonists (Guanfacine and Clonidine); anti- convulsants like Topiramate
sometimes used as well - Answer-First-line pharmacological treatment for Tic Disorders
atypical antipsychotics - Answer-Second-line pharmacological treatment for Tic
Disorders
Stereotypic Movement Disorder - Answer-Repetitive, seemingly driven (voluntary), and
apparently purposeless motor behavior (i.e. hand shaking or waving, body rocking,
head banging, self-biting, hitting own body)
Developmental Coordination Disorder - Answer-a. The acquisition and execution of
coordinated motor skills is substantially below that expected given the individual's
chronological age and opportunity for skill learning and use
b. S/S: Clumsiness (bumping into objects), Slow and inaccurate motor skills (catching,
using scissors, handwriting, bike riding, sports etc)
Intellectual Disability (ID) (Intellectual Developmental Disorder) - Answer-i. Deficits in
intellectual functions like reasoning, problem-solving, planning, abstract thinking,
, judgement, academic learning, learning from experience; Must be confirmed by **both
clinical assessment AND standardized intelligence testing**
ii. Deficits in adaptive functioning that result in failure to meet developmental and
sociocultural standards for personal independence and social responsibility; limits
function in one or more activities of daily life (communication, social participation,
independent living) and in multiple environments (school, home, work)
S/S: Learn slowly, difficulty with attention, short term memory, planning, and language
Global Developmental Delay - Answer-If child is UNDER 5 years old with a suspected
ID and cannot do standardized testing
Unspecified Intellectual Disability - Answer-If child is OVER 5 years old with a
suspected IDand cannot complete testing for reasons such as sensory impairments,
blindness, etc
1.Down Syndrome (most common)
2.Fragile X Syndrome - Answer-Chromosomal Causes of ID
1.PKU
2.Tay-Sachs - Answer-Metabolic Causes of ID
1.FAS (alcohol)
2.Infections (Rubella, Syphilis)
3.Anoxia
4.Cretinism (low iodine) - Answer-Perinatal/Birth Related Causes of ID
Non-pharmacologic therapy for ID - Answer-1.Early intervention
2.Special education
3.Operant Conditioning
4.Teacher Preparedness
5.Token Economy Programs
6.Individual/Group Therapy
Pharmacologic treatment for ID - Answer-Symptom based treatment: Medications often
prescribed for hyperactivity and distractibility;
Stimulants: Focus, Concentration, Hyperactivity
Alpha agonists: Impulsivity, Aggression, Hyperactivity
SGAs: Aggression, Agitation
10-15% - Answer-Prevalence of learning disorders
music therapy - Answer--stimulates all of the senses and involves the child at many
levels.
