Impairments in intellectual performance and adaptive skills across multiple domaines
General intellectual functioning - Answer Measured by clinical assessment and
performance on IQ tests
Adaptive functioning - Answer Refers to the persons ability to adapt to requirements of
activities of daily living and the expectations of his or her age and culture group
What are the predisposing factors to ID - Answer Genetics : Inborn error of metabolism,
chromosomal disorders and disorders of a single gene
Disturbance in normal embryonic development -> r/t toxicity from maternal use of
drugs/alcohol, maternal diseases and infections, obstetric complication
Fetal nutritional deprivation and trauma or complications at birth or prematurity
Generalized medicine of childhood infection: meningitis, encephalitis, poisoning,
physical traumas
Sociocultural : poverty, malnutrition, and psychoses (autism)
How would you assess IDD - Answer Severity depends on IQ level of client
Mild, moderate, severe, profound
Care plan for IDD - Answer Focus on risk for injury
Self care deficit
Impaired verbal communication
IDD patient family support - Answer Educate about the clients disease and full extent
, Realistic expectations and client capabilities
Methods to modify behavior
Autism spectrum disorder - Answer 1 in 59 children
More boys than girls
Onset early in childhood
Chronic
Predisposing ASD factors -Answer Neurological implications: abnormalities in brain
structure or functioning
Impaired social interaction r/t inability to trust
Impaired verbal communication r/t withdrawal into self
Disturbed personal identity r/t neurological alterations
Nursing interventions for child with ASD - Answer Protection of the child from self harm
Improvement in social functioning
Improvement in verbal communication
Enhancement of personal identity
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