A 19-Year-Old Man with Mild Intellectual Disability Is Brought to the Office

question 236

Multiple Choice

A 19-year-old man with mild intellectual disability is brought to the office by his mother for a follow-up visit.  The patient has worked at the post office for more than a year without difficulty, but his supervisor recently expressed concern about poor performance and a change in behavior.  The mother says that the patient has been somewhat sad and nervous around the house lately but has no difficulty with sleep or appetite.  The patient continues to go to work and spend time with his family, although he is not as interactive as usual.  He avoids eye contact during the interview and appears anxious.  When asked questions directly, the patient responds mostly with single-word answers, a departure from his usual friendly and talkative demeanor.  The mother says, "He seems like he's depressed.  He'd probably feel better if he started on an antidepressant."  Which of the following is the most appropriate next step in management?

• A)Ask the mother if she has concerns about the patient's work environment
• B)Ask the patient if he is interested in taking an antidepressant medication
• C)Evaluate the patient without his mother being in the room
• D)Inquire whether the patient agrees with his mother's description of him
• E)Request that the patient complete a depression rating scale with his mother's help

Recognize fast mapping as a process by which children learn new words.

Understand the role of sociocultural factors in language development.

Comprehend major theories of language acquisition including nativist, learning, and interactionist perspectives.

Learn about the impact of bilingualism on cognition and language skills.

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Definitions:

Intrinsic Motivation

Motivation driven by an interest or enjoyment in the task itself, rather than relying on external pressures or rewards.

External Regulation

pertains to the motivation to perform an activity driven by external rewards or to avoid adverse outcomes, rather than personal interest or enjoyment.

Introjected Regulation

A form of internal motivation where behavior is guided by internal pressures and a desire to avoid guilt or anxiety, rather than personal value or interest.

Identified Regulation

A form of motivation where actions are taken in alignment with one's values and beliefs, even if they are not inherently enjoyable.