Idaho SWITC Psychiatric Technician
Ultimate Exam
**Question 1. Which of the following best describes the primary mission of
Idaho’s SWITC program?**
A) To provide acute psychiatric hospitalization for all Idaho residents
B) To deliver community-based residential services for individuals with
intellectual/developmental disabilities and mental illness
C) To conduct forensic evaluations for the criminal justice system
D) To operate a statewide tele-psychiatry network
Answer: B
Explanation: SWITC (Statewide Intellectual/Developmental Disabilities and Mental
Health Treatment Centers) focuses on residential, community-based care for
adults with ID/DD who also have mental health needs.
**Question 2. Under HIPAA, which of the following is considered a permissible
disclosure of a resident’s health information without written consent?**
A) Sharing the resident’s medication list with a family member who is not the
legal guardian
B) Disclosing the resident’s diagnosis to a prospective employer during a job
interview
C) Reporting suspected abuse to the Idaho Department of Health and Welfare
D) Posting the resident’s progress notes on a public bulletin board in the common
area
Answer: C
Explanation: HIPAA allows disclosures without consent when required by law,
such as mandatory reporting of abuse.
, Idaho SWITC Psychiatric Technician
Ultimate Exam
**Question 3. In the context of intellectual and developmental disabilities, which
classification refers to a condition that originates before birth and is present at
birth?**
A) Acquired disability
B) Congenital disability
C) Progressive disability
D) Transient disability
Answer: B
Explanation: Congenital disabilities are present at birth and are typically the result
of genetic or prenatal factors.
**Question 4. Which of the following is a core symptom of a major depressive
episode?**
A) Elevated mood lasting at least one week
B) Persistent feelings of worthlessness or excessive guilt
C) Auditory hallucinations of a commanding nature
D) Rapid cycling of mood states
Answer: B
Explanation: Persistent feelings of worthlessness or guilt are hallmark symptoms
of depression.
, Idaho SWITC Psychiatric Technician
Ultimate Exam
**Question 5. The “Six Rights” of medication administration do NOT include
which of the following?**
A) Right patient
B) Right time
C) Right dosage form
D) Right diagnosis
Answer: D
Explanation: The Six Rights are patient, medication, dose, route, time, and
documentation; diagnosis is not part of the medication administration checklist.
**Question 6. When measuring blood pressure, the correct cuff size should be
selected based on which of the following?**
A) The resident’s age
B) The length of the resident’s arm
C) The circumference of the resident’s upper arm
D) The resident’s weight
Answer: C
Explanation: Cuff size is determined by the arm circumference to ensure accurate
readings.
**Question 7. Which of the following is an example of an Extrapyramidal Side
Effect (EPS) caused by typical antipsychotics?**
A) Weight gain
, Idaho SWITC Psychiatric Technician
Ultimate Exam
B) Akathisia (inner restlessness)
C) Dry mouth
D) Sedation
Answer: B
Explanation: Akathisia is a motor side effect characterized by a subjective feeling
of restlessness, common with dopamine-blocking agents.
**Question 8. In the ABC model of behavior assessment, “C” stands for:**
A) Cause
B) Consequence
C) Context
D) Condition
Answer: B
Explanation: “C” refers to the consequence that follows the behavior and
influences its future occurrence.
**Question 9. Which de-escalation technique is most appropriate when a resident
is verbally aggressive but not physically threatening?**
A) Immediately restrain the resident to prevent escalation
B) Use a calm, low-volume voice and reflect the resident’s feelings
C) Raise your voice to match the resident’s intensity
D) Withdraw from the area and leave the resident alone
Ultimate Exam
**Question 1. Which of the following best describes the primary mission of
Idaho’s SWITC program?**
A) To provide acute psychiatric hospitalization for all Idaho residents
B) To deliver community-based residential services for individuals with
intellectual/developmental disabilities and mental illness
C) To conduct forensic evaluations for the criminal justice system
D) To operate a statewide tele-psychiatry network
Answer: B
Explanation: SWITC (Statewide Intellectual/Developmental Disabilities and Mental
Health Treatment Centers) focuses on residential, community-based care for
adults with ID/DD who also have mental health needs.
**Question 2. Under HIPAA, which of the following is considered a permissible
disclosure of a resident’s health information without written consent?**
A) Sharing the resident’s medication list with a family member who is not the
legal guardian
B) Disclosing the resident’s diagnosis to a prospective employer during a job
interview
C) Reporting suspected abuse to the Idaho Department of Health and Welfare
D) Posting the resident’s progress notes on a public bulletin board in the common
area
Answer: C
Explanation: HIPAA allows disclosures without consent when required by law,
such as mandatory reporting of abuse.
, Idaho SWITC Psychiatric Technician
Ultimate Exam
**Question 3. In the context of intellectual and developmental disabilities, which
classification refers to a condition that originates before birth and is present at
birth?**
A) Acquired disability
B) Congenital disability
C) Progressive disability
D) Transient disability
Answer: B
Explanation: Congenital disabilities are present at birth and are typically the result
of genetic or prenatal factors.
**Question 4. Which of the following is a core symptom of a major depressive
episode?**
A) Elevated mood lasting at least one week
B) Persistent feelings of worthlessness or excessive guilt
C) Auditory hallucinations of a commanding nature
D) Rapid cycling of mood states
Answer: B
Explanation: Persistent feelings of worthlessness or guilt are hallmark symptoms
of depression.
, Idaho SWITC Psychiatric Technician
Ultimate Exam
**Question 5. The “Six Rights” of medication administration do NOT include
which of the following?**
A) Right patient
B) Right time
C) Right dosage form
D) Right diagnosis
Answer: D
Explanation: The Six Rights are patient, medication, dose, route, time, and
documentation; diagnosis is not part of the medication administration checklist.
**Question 6. When measuring blood pressure, the correct cuff size should be
selected based on which of the following?**
A) The resident’s age
B) The length of the resident’s arm
C) The circumference of the resident’s upper arm
D) The resident’s weight
Answer: C
Explanation: Cuff size is determined by the arm circumference to ensure accurate
readings.
**Question 7. Which of the following is an example of an Extrapyramidal Side
Effect (EPS) caused by typical antipsychotics?**
A) Weight gain
, Idaho SWITC Psychiatric Technician
Ultimate Exam
B) Akathisia (inner restlessness)
C) Dry mouth
D) Sedation
Answer: B
Explanation: Akathisia is a motor side effect characterized by a subjective feeling
of restlessness, common with dopamine-blocking agents.
**Question 8. In the ABC model of behavior assessment, “C” stands for:**
A) Cause
B) Consequence
C) Context
D) Condition
Answer: B
Explanation: “C” refers to the consequence that follows the behavior and
influences its future occurrence.
**Question 9. Which de-escalation technique is most appropriate when a resident
is verbally aggressive but not physically threatening?**
A) Immediately restrain the resident to prevent escalation
B) Use a calm, low-volume voice and reflect the resident’s feelings
C) Raise your voice to match the resident’s intensity
D) Withdraw from the area and leave the resident alone
