C/A Intellectual Disability Disorder

Question 1

What is Intellectual Disability Disorder?

Answer 1

A disorder with onset during the developmental period that includes both intellectual and adaptive functioning deficits in CONCEPTUAL, SOCIAL, AND PRACTICAL DOMAINS

Question 2

What are the diagnostic criteria for IDD?

Answer 2

Patient has no reasoning, abstract thought or problem solving. Patient also fails to meet standards for personal independence and social responsibilities.

Question 3

Describe the IQ level of an individual with mild IDD

Answer 3

IQ level is equal to 50-70

Question 4

What self care activities are individuals with mild IDD able to perform?

Answer 4

independent living with assistance during times of stress

Question 5

describe the cognitive capabilities of individuals with mild IDD.

Answer 5

academic skills of a sixth grade level achieving ovational skills for minimum self-support

Question 6

describe the social and communication abilities of an individual with mild IDD.

Answer 6

capable of developing social skills and functions will in a structured setting

Question 7

describe the psychomotor capabilities of an individual with mild IDD

Answer 7

not affected but may experience some problems with coordination

Question 8

What is the IQ of an individual with moderate IDD?

Answer 8

IQ is 35-49

Question 9

Describe self-care activities for an individual with moderate IDD.

Answer 9

can perform some activities independently but requires supervision

Question 10

describe the cognitive and educational capabilities of an individual with moderate IDD.

Answer 10

academic skill of a second-grade level where the individual may be able to contribute to own support in a sheltered workshop

Question 11

describe the social and communication abilities of an individual with moderate IDD.

Answer 11

may experience some limitation in speech and has difficulty adhering to social convention, interfering with peer relationships

Question 12

describe the psychomotor capabilities of an individual with moderate IDD.

Answer 12

motor development is fair with limited skills in gross motor activities

Question 13

What is the IQ of an individual with severe IDD?

Answer 13

IQ is 20-34

Question 14

describe self-care activities for an individual with severe IDD.

Answer 14

may be trained in elementary hygiene skills while requiring complete supervision

Question 15

describe the cognitive and educational capabilities of an individual with severe IDD.

Answer 15

unable to benefit form academic or vocational training and profits from systematic habit training

Question 16

describe the social capabilities of an individual with severe IDD.

Answer 16

minimal verbal skills with wants and needs communicated by acting-out behaviors

Question 17

What is the IQ of an individual with profound IDD?

Answer 17

IQ is below 20

Question 18

describe self-care of an individual with profound IDD

Answer 18

no capacity for independent functioning and requires constant supervision

Question 19

describe the cognitive and educational capabilities of an individual with profound IDD.

Answer 19

unable to profit from academic or vocational training but may respond to training in self-help if present in the close context of a ONE-TO-ONE RELATIONSHIP

Question 20

describe the social capabilities of an individual with profound IDD.

Answer 20

Little if any speech development and no capacity for socialization skills

Question 21

What are the predisposing pregnancy factors associated with IDD?

Answer 21

fetal malnutrition (poor prenatal care), fetal toxicity (alcohol), viral and other infections, placenta prevue, and traumatic birth.

Question 22

what are predisposing societal factors associated with IDD?

Answer 22

deprivation of NURTURANCE and social stimulation. ASD can also result in IDD.

Question 23

In a child with IDD, what is important for the nurse to assess?

Answer 23

The IQ level to determine what level of IDD and focus on the level of independence for self-care the child is able to perform which will help to develop a nursing plan of care.

Question 24

Describe the care plan for the child experiencing risk for injury associated with IDD and the nursing interventions.

Answer 24

short and long-term goal exemplifies that the patient does not experience injury.
Nursing Interventions: create a safe environment, remove sharp objects, store patient items used frequently within reach, pad side rails and headboard of patient if HX of seizure activity, prevent physical aggression and acting out behaviors by learning to recognize signs that the patient is agitated

Question 25

Describe the care plan for the child with a self-care deficit that is associated with IDD and the nursing interventions.

Answer 25

Short-term goal: patient is able to PARTICIPATE in aspects of self care
INTERVENTIONS: identify capabilities of patient, work on one aspect of self-care at a time, provide the patient with simple explanations offering positive feedback for efforts (enhances self-esteem)
Long-term goal: patient has all self-care needs met
INTERVENTIONS: when one aspect of self-care is mastered, move on to another, encourage independence but intervene when patient is unable to perform (RAT patient comfort and safety are using priorities)

Question 26

Describe the care plan for the child with impaired verbal communicated that is associated with IDD and the nursing interventions.

Answer 26

Short-term goal: patient establishes trust with caregiver and a means of communication.
INTERVENTIONS: maintains consistency of staff to facilitate trust
Long-term goal: patients needs being met through established means of communication or needs are anticipated by caregiver if patient cannot communicate
INTERVENTIONS: anticipation of patients needs, determine special words patient uses, identify nonverbal gestures or signals patient may convey for communication, practice communication skills regularly (systemic habit training)

Question 27

describe the care plan for a child with impaired social interactions that are associated with IDD and the nursing interventions.

Answer 27

Short-term goal: patient attempts to interact with others in the pretense of the trusted caregiver
INTERVENTIONS: remain with the patient during initial interactions with other on the unit (feeling of security)
Long-term goal: patient is able to interact with others using behavior that are socially acceptable and appropriate to the patients developmental level
INTERVENTIONS: explain patients nonverbal gestures and signals to other patients, use simple language to explain which behaviors are acceptable and which are not, establish rewards for appropriate behaviors and adverse reinforcements for inappropriate behaviors (positive, negative, and adverse reinforcements contribute to desired changes in behavior)

Question 28

What medications are used for children with IDD?

Answer 28

Atypical antipsychotics risperidone and pripoprazole