Question 1

In order for an intellectual disability to be diagnosed, an individual must have an onset of the condition during the developmental period and have both ____________.&#10;A) Academic and adaptive functioning deficits&#10;B) Communication and intellectual deficits&#10;C) Intellectual and adaptive functioning deficits&#10;D) Self-care and adaptive functioning deficits

Accepted Answer

To be diagnosed with an intellectual disability, an individual must have deficits in intellectual functioning as well as adaptive functioning, which includes daily living skills such as communication, self-care, and socialization. It is not necessary for them to have deficits in academic functioning specifically.

Question 2

Adaptive functioning is divided into three skill domains. Activities of daily living, work, safety, and money management represent which of these domains?&#10;A) Conceptual skills&#10;B) Social skills&#10;C) Intellectual skills&#10;D) Practical skills

Accepted Answer

Practical skills include activities of daily living (such as self-care and household tasks), work (including job skills and vocational abilities), safety (such as avoiding harm and seeking assistance), and money management (including budgeting and financial planning). Conceptual skills refer to academic and language abilities, while social skills refer to communication and relationship skills. Intellectual skills broadly refer to cognitive abilities, including problem-solving and decision-making.

Question 3

A 10-year-old girl on your caseload demonstrates she cannot read and has limited communication skills. You have been told she requires support to complete her activities of daily living and is reliant on others for all forms of problem-solving. What level of severity in intellectual disability does this scenario most accurately reflect?

A) Mild
B) Moderate
C) Severe
D) Profound

C

Accepted Answer

The scenario describes the individual as having limited communication skills, being unable to read, and requiring support for activities of daily living and problem-solving. These factors suggest significant impairment in intellectual functioning, placing the individual in the severe range of intellectual disability.

Question 4

You are working with a 22-year-old man with an intellectual disability. He has been successful in an office job that consists of structured, repetitive tasks and does not require independent complex problem-solving. He recently moved into his own apartment and has access to a local social service agency for support with health-care and financial decisions. What level of severity in intellectual disability does this scenario most accurately reflect?

A) Mild
B) Moderate
C) Severe
D) Profound

Accepted Answer

The fact that the individual is able to work in an office job suggests that they have the ability to learn and complete structured, repetitive tasks. Additionally, they are able to live independently with some support from a social service agency for health-care and financial decisions. These factors suggest a level of intellectual disability that is mild.

Question 5

Severity levels in intellectual disabilities are determined based on __________.&#10;A) Adaptive functioning domains&#10;B) IQ&#10;C) Age of onset&#10;D) Level of support required for daily living

Accepted Answer

Severity levels in intellectual disabilities are determined based on Adaptive functioning domains. IQ, age of onset, and level of support required for daily living are all factors taken into consideration but they are not the sole determinants of severity level. Adaptive functioning domains, which include conceptual, social, and practical skills, are the primary indicators used to determine the severity of an individual's intellectual disability.

Question 6

Which of the following is most reflective of an individual with an intellectual disability's vulnerability to health disparities?&#10;A) Health providers are well-trained in addressing health concerns in this population.&#10;B) These individuals often have co-existing mental health disorders.&#10;C) These individuals experience decreased comorbid health conditions as they age.&#10;D) These individuals experience similar life expectancy compared with the general population.

Accepted Answer

Co-existing mental health disorders often go unrecognized and untreated in individuals with intellectual disabilities, leading to a vulnerability to health disparities.

Question 7

It has been proposed that cognition is only one factor that influences ability in individuals with intellectual disability. Therefore, it has been suggested when practitioners are assessing an individual's ability they should also consider the activity or task, level of participation, available support, and context. This approach can best be described as the ___________.

A) Occupational adaptation approach
B) Multidimensional human functioning approach
C) Combined motor and process approach
D) Reductionistic approach

Accepted Answer

The proposed approach considers multiple factors beyond just cognition, including the activity or task, level of participation, available support, and context. This aligns with the principles of the multidimensional human functioning approach. The occupational adaptation approach also emphasizes a multidimensional perspective, but is more focused on an individual's ability to adapt to their environment. The combined motor and process approach and reductionistic approach are not relevant to this context.

Question 8

You are working with a young woman with intellectual disability who is a sophomore in high school and states her long-term goal is to find a job after high school. Which of the following approaches would you recommend to increase the likelihood of securing a job when she graduates?

A) Enroll her in a sheltered employment program
B) Consider placement to a residential program for support
C) Refer her for high school transition planning services
D) Enroll in a junior college program to increase work skills

Accepted Answer

Referring the young woman for high school transition planning services would be the best choice as it would provide her with support and guidance in developing skills necessary for employment, such as job training and interviewing skills. This approach would also allow her to explore potential career interests and provide access to job placement services after graduation. Enrolling in a sheltered employment program or a residential program may limit her potential for independence and integration into the community. Enrolling in a junior college program may be beneficial, but may not be the best option for everyone with intellectual disabilities as it may not provide the necessary support and accommodations. The best approach would be a comprehensive transition plan that provides individualized support based on the young woman's needs, strengths, and interests.

Deck 8: Intellectual Disabilities