Which developmental characteristic should the nurse identify as typical of a client diagnosed with severe intellectual disability (ID)?
The client communicates wants and needs via “acting out” behaviors.
Other than possible coordination problems, the client's psychomotor skills are not affected.
The client can perform some self-care activities independently.
The client has advanced speech development.
The Correct Answer is A
Choice A reason: Clients with severe intellectual disability often have very limited verbal communication skills. They may rely on nonverbal cues, gestures, or acting-out behaviors to express needs and emotions. This is typical because their cognitive and language development is significantly impaired, making expressive communication difficult. Acting out behaviors become a substitute for speech.
Choice B reason: Severe intellectual disability usually involves deficits across multiple domains, including psychomotor skills. Coordination problems are common, but psychomotor skills are often delayed or impaired beyond that. Suggesting they are unaffected minimizes the extent of disability and is inaccurate.
Choice C reason: Clients with severe intellectual disability generally require assistance with most self-care activities. While those with moderate intellectual disability may perform some tasks independently, severe cases usually need continuous support. This choice overestimates their functional independence.
Choice D reason: Advanced speech development is not typical in severe intellectual disability. Language skills are profoundly limited, often restricted to single words or simple phrases. Advanced speech would be inconsistent with the severity of impairment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This response directly addresses the client’s unsafe idea of doubling the dose. Herbal remedies, including St. John’s wort, can cause toxicity if taken in excess. Risks include serotonin syndrome, photosensitivity, and drug interactions. This reply is therapeutic and safety-focused.
Choice B reason: While brand quality matters, this does not address the client’s unsafe dosing behavior. It shifts focus away from the immediate risk.
Choice C reason: Herbal medicines can cause adverse reactions, but this statement is overly general and does not specifically address the client’s plan to increase dosage.
Choice D reason: FDA regulation is limited for herbal remedies, but this fact does not directly address the client’s unsafe dosing practice. It provides information but lacks therapeutic guidance.
Correct Answer is A
Explanation
Choice A reason: Complementary therapies emphasize holistic care, viewing individuals as integrated beings with physical, emotional, spiritual, and social dimensions. This perspective aligns with the philosophy of complementary approaches, which aim to enhance conventional treatments by addressing the whole person rather than focusing solely on disease.
Choice B reason: Viewing disease as a deviation from normal biological states reflects the biomedical model, not complementary therapies. Complementary approaches focus on balance and integration rather than pathology alone.
Choice C reason: Complementary therapies recognize individuality and uniqueness in human beings. They do not assume all humans are biologically similar but instead tailor interventions to personal needs and differences.
Choice D reason: Focusing primarily on structure and function is characteristic of conventional medicine. Complementary therapies extend beyond physical aspects to include psychosocial and spiritual components.
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