RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Child Health Nursing (Pediatrics)
Easy
A child with severe mental retardation has an IQ level?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Explanation
- Severe intellectual disability (a term now largely replaced by 'intellectual developmental disorder') corresponds to an IQ range of 20 to 35.
- Individuals in this category demonstrate significant developmental delays and have limited ability to communicate, often using single words or simple phrases.
- They require extensive, often lifelong, support for daily living activities, problem-solving, and ensuring their own safety.
- While they have limited conceptual skills, they can often perform simple tasks under close supervision and enjoy relationships with familiar people.
Why Other Options Were Wrong
- Option A: An IQ score of more than 70 falls within the average to above-average range of intellectual functioning. It is not associated with any level of intellectual disability.
- Option B: The IQ range of 35-70 is too broad. It encompasses both moderate intellectual disability (IQ 35-50) and mild intellectual disability (IQ 50-70).
- Option D: An IQ level of less than 20 signifies profound intellectual disability, which is the most severe classification.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of Intellectual Disability by IQ Level as background academic context rather than a clinical decision trigger.
- Understanding the level of intellectual disability is crucial for nurses to create a safe, effective, and individualized plan of care. It guides communication techniques, safety precautions, and the level of assistance required for ADLs.
- This classification helps the interdisciplinary team set realistic goals for education, therapy, and vocational training, ensuring the individual receives the appropriate level of support to maximize their potential.
- What if? If a child's IQ was 45, they would be classified with moderate intellectual disability. The nursing focus would shift from total support to training in self-care and social skills, as they can achieve a greater degree of independence than someone with a severe disability.
How to Approach the Question
- This is a factual recall question based on a standard classification system used in psychology and medicine.
- Identify the key terms in the question stem: 'severe mental retardation' and 'IQ level'.
- Recall the four main categories of intellectual disability (mild, moderate, severe, profound) and their corresponding IQ ranges.
- Mentally match the 'severe' category to its specific IQ range (20-35).
- Compare this range with the given options to select the correct answer.
Concept Tested & Keywords
- Concept Tested: Classification of Intellectual Disability by IQ Level
- Stem keywords: severe mental retardation, IQ level
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
- Negative lead-in flag: false
Question ID
QyBp54gXGnCFAxuGPRPkIQ
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 310-312
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 11763-11765
E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 82-84
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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