Punjab CHO - 2021
Mental Health Nursing
Easy
What does an Intelligence Quotient (IQ) of 20-35 indicate?
Appeared in: Punjab CHO - 2021
Explanation
- The standard classification of intellectual disability (formerly mental retardation) categorizes an IQ score in the range of 20-35 as 'Severe'.
- This level of intellectual disability constitutes about 3-4% of individuals with ID.
- Individuals with Severe ID have limited conceptual skills, such as understanding written language or concepts involving numbers and time.
- They require extensive support for problem-solving and supervision for all activities of daily living.
- Speech is typically limited to single words or phrases, and communication is focused on the immediate present.
Why Other Options Were Wrong
- Option A: Mild MR/ID corresponds to a higher IQ range, typically 50-70. These individuals can often achieve a 6th-grade academic level and live with minimal support.
- Option B: Moderate MR/ID corresponds to an IQ range of 35-50. These individuals can learn basic communication and self-care skills but are unlikely to progress beyond a 2nd-grade academic level.
- Option D: Profound MR/ID is the most severe level, associated with an IQ below 20. Individuals at this level require total care and constant supervision for all aspects of life.
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 (Mental Retardation) based on IQ scores as background academic context rather than a clinical decision trigger.
- Understanding the level of intellectual disability is fundamental for nurses to create an appropriate and safe plan of care, tailored to the individual's abilities and needs.
- This classification has legal and social implications, including determining eligibility for disability benefits, guardianship, and specialized educational or vocational programs.
- A nurse's role includes not only providing direct care but also advocating for the patient, ensuring their safety, promoting maximum independence within their capabilities, and supporting the family.
How to Approach the Question
- This is a factual recall question. First, identify the key information in the stem: 'Intelligence Quotient (IQ) of 20-35'.
- The question asks what this specific IQ range indicates.
- Recall the standard classification system for intellectual disability (formerly mental retardation) based on IQ scores.
- Mentally review the ranges: Mild (50-70), Moderate (35-50), Severe (20-35), and Profound (below 20).
- Match the given range (20-35) to the correct classification, which is 'Severe MR'.
- Select the option that corresponds to this classification.
Concept Tested & Keywords
- Concept Tested: Classification of Intellectual Disability (Mental Retardation) based on IQ scores.
- Stem keywords: Intelligence Quotient (IQ), 20-35
- Lead-in keywords: indicate
- Negative lead-in flag: false
Question ID
q_fzocWijWYh0KHBg2Oji
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. 311-313
Practise the full Punjab CHO - 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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