RUHS, Jaipur, M.Sc Nursing Entrance Exam-2015
Mental Health Nursing
Easy
A patient with an Intelligence Quotient (IQ) score of 30 will be classified under which of the following category?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2015
Explanation
- An IQ score of 30 falls within the range of 20-25 to 35-40, which is classified as Severe Intellectual Disability (historically Severe Mental Retardation) according to DSM-IV criteria.
- Individuals at this level demonstrate significant developmental delays from an early age.
- They possess limited communication skills, often using single words or simple phrases.
- They require extensive, lifelong support for all activities of daily living, such as eating, dressing, and bathing, and need constant supervision to ensure safety.
Why Other Options Were Wrong
- Option A: Mild mental retardation corresponds to an IQ range of approximately 50 to 70. An IQ of 30 is significantly lower than this range.
- Option B: Moderate mental retardation corresponds to an IQ range of approximately 35 to 55. An IQ of 30 is below this range.
- Option D: Profound mental retardation corresponds to an IQ score below 20 or 25. An IQ of 30 is above this threshold.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Classification of intellectual disability based on IQ scores to guide bedside assessment, documentation, and the next nursing action.
- In contemporary clinical practice (e.g., DSM-5), the term 'mental retardation' has been replaced with 'Intellectual Disability' (ID) or 'Intellectual Developmental Disorder' to reduce stigma and emphasize the developmental aspect of the condition.
- Nursing care for a patient with severe ID is comprehensive, focusing on ensuring safety, assisting with all activities of daily living (ADLs), facilitating communication (often through non-verbal means), managing associated medical conditions, and providing support to the family.
- What if? If the patient's IQ was 45, the classification would change to 'Moderate mental retardation'. The nursing care plan would then focus more on training for self-care and simple vocational tasks, as individuals in this category have a greater capacity for independence than those with severe ID.
How to Approach the Question
- First, identify the key information in the question: the patient's IQ score is 30.
- The question asks for the correct classification category for this IQ score.
- This is a factual recall question. You need to remember the standard classification system for intellectual disability based on IQ levels.
- Recall the IQ ranges for each level: Mild (50-70), Moderate (35-55), Severe (20-40), and Profound (<20-25).
- Compare the given IQ score (30) with these ranges.
- Determine that 30 falls within the range for 'Severe mental retardation' and select the corresponding option.
Concept Tested & Keywords
- Concept Tested: Classification of intellectual disability based on IQ scores.
- Stem keywords: Intelligence Quotient, IQ score, 30, classified
- Lead-in keywords: which of the following category
Question ID
Q-mksMf5NRi8CBb4YEWSSK
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 11763-11765, 11767-11769
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 309-311
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