Intellectual Disability: Challenges and Diagnosis
48 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which factor most significantly complicates the formation of successful friendships for individuals with intellectual disabilities?

  • A lack of interest in social interaction.
  • Difficulties in social judgment and decision-making. (correct)
  • Superior emotional regulation skills.
  • An advanced understanding of social norms.

What is a primary challenge in diagnosing intellectual disability (ID) in children under 5 years of age?

  • The presence of advanced cognitive abilities.
  • A lack of observable behavioral patterns.
  • The absence of standardized testing methods.
  • The unreliability of assessment due to their developmental stage. (correct)

Why is the 'Unspecified Intellectual Disability' classification used only in exceptional circumstances?

  • Because it is the most frequently used and widely accepted diagnosis.
  • Because it provides a definitive diagnosis without need for re-evaluation.
  • Because it is only used when sensory or physical impairments make accurate assessment impossible. (correct)
  • Because it indicates a mild form of intellectual disability easily addressed with early intervention.

What distinguishes 'Global Developmental Delay' from 'Unspecified Intellectual Disability' in the context of diagnosis?

<p>'Global Developmental Delay' is for children under 5 when reliable assessment is not possible, whereas 'Unspecified Intellectual Disability' is for individuals over 5 with sensory or physical impairments hindering assessment. (A)</p> Signup and view all the answers

Which of the following recreational skills would typically require additional support and learning opportunities for individuals with intellectual disabilities?

<p>Complex team sports with strategic plays. (A)</p> Signup and view all the answers

How does the presence of maladaptive behavior impact individuals with intellectual disabilities?

<p>It causes social problems and negatively affects their integration. (B)</p> Signup and view all the answers

Beyond academic struggles, what specific challenges do individuals with intellectual disabilities often face in daily practical skills?

<p>Difficulties in understanding time and money. (B)</p> Signup and view all the answers

What is the primary reason for re-evaluating individuals diagnosed with 'Global Developmental Delay' or 'Unspecified Intellectual Disability' after a period of time?

<p>To account for developmental changes that may allow for a more accurate assessment. (B)</p> Signup and view all the answers

A child is presented with an incomplete matrix and asked to select the missing piece that completes the pattern. Which subtest of the WISC-V is being administered?

<p>Matrix Reasoning (MR) (D)</p> Signup and view all the answers

Which cognitive abilities are most essential for success on the Fluid Reasoning Index (FRI) of the WISC-V?

<p>Inductive reasoning and quantitative reasoning (A)</p> Signup and view all the answers

A student consistently struggles with tasks requiring the identification of underlying patterns and the application of rules. Based on this, which primary index scale of the WISC-V would be most relevant to assess?

<p>Fluid Reasoning Index (FRI) (D)</p> Signup and view all the answers

A child is required to use two-colored blocks to recreate a design viewed from a model. Which primary index scale is being assessed?

<p>Visual Spatial Index (C)</p> Signup and view all the answers

Which of the following cognitive processes is LEAST directly assessed by the Visual Spatial Index (VSI) of the WISC-V?

<p>Abstract thinking (D)</p> Signup and view all the answers

A student excels at replicating block designs and solving visual puzzles but struggles with identifying patterns in abstract matrices. Which of the index scores would likely be significantly higher than the other?

<p>Visual Spatial Index (VSI) (C)</p> Signup and view all the answers

What is the primary distinction between the Block Design (BD) and Matrix Reasoning (MR) subtests in terms of the cognitive skills they assess?

<p>BD assesses visual-motor integration, while MR assesses abstract pattern identification. (D)</p> Signup and view all the answers

A psychologist is evaluating a child with suspected learning difficulties and decides to administer the WISC-V. If the psychologist is particularly interested in assessing the child's ability to understand visual-spatial relationships and construct geometric designs, which primary index scale should they focus on?

<p>Visual Spatial Index (VSI) (C)</p> Signup and view all the answers

Which scenario primarily relies on implicit memory?

<p>Learning to ride a bicycle after several attempts. (C)</p> Signup and view all the answers

What type of memory is most directly involved in recalling the specific details of your high school graduation ceremony, including the emotions you felt and the people you interacted with?

<p>Episodic memory (B)</p> Signup and view all the answers

A student is asked to solve a complex algebraic equation mentally. Which type of memory is MOST crucial for holding the intermediate steps and manipulating them to find the solution?

<p>Working memory (A)</p> Signup and view all the answers

A child is asked to repeat a series of numbers, both forward and backward. According to the information, which assessment tool and specific subtest is being used?

<p>WISC-V: Digit span forward and backward (A)</p> Signup and view all the answers

Which of the following is the BEST example of semantic memory?

<p>Knowing that Paris is the capital of France. (D)</p> Signup and view all the answers

Executive function, as described, encompasses several interrelated abilities. Which of the following scenarios BEST exemplifies the use of executive functions?

<p>Developing and executing a six-month plan to launch a new product. (D)</p> Signup and view all the answers

A researcher is evaluating a patient's ability to plan and organize a complex task. Which cognitive domain is the researcher MOST likely assessing?

<p>Attention and executive function (C)</p> Signup and view all the answers

A student is struggling to remember details from a chapter they read for a history class. If the primary issue is with storing the information for later recall (beyond a few minutes), which memory system is MOST likely impaired?

<p>Long-term memory (C)</p> Signup and view all the answers

Which cognitive ability is primarily assessed when a participant is asked to identify the missing element in a pattern of pictures or designs?

<p>Perceptual reasoning, assessing the capacity to interpret visual stimuli and identify underlying relationships. (D)</p> Signup and view all the answers

A child scores significantly lower on the WISC-V's Fluid Reasoning Index compared to their Verbal Comprehension Index. What might this discrepancy suggest?

<p>A specific learning disability impacting the child’s ability to solve novel problems and adapt to new situations. (A)</p> Signup and view all the answers

What is the most suitable application of the Wechsler Nonverbal Scale of Ability (WNV) for a 5-year-old child?

<p>Assessing intellectual functioning while minimizing the impact of linguistic differences or verbal skill deficits. (C)</p> Signup and view all the answers

How do the FSIQ, Primary Index Scores, and Ancillary Index Scores of the WPPSI-IV collectively contribute to a comprehensive understanding of a child's cognitive profile?

<p>They provide a detailed breakdown of cognitive abilities, reveal patterns of strengths and weaknesses, and offer a holistic view of the child’s intellectual capacity. (D)</p> Signup and view all the answers

A researcher aims to assess the cognitive abilities of children from diverse cultural backgrounds with minimal linguistic bias. Which assessment tool would be most appropriate?

<p>Wechsler Nonverbal Scale of Ability (WNV), specifically designed to minimize linguistic and cultural biases. (C)</p> Signup and view all the answers

What implications might arise if the WISC-V is administered to a child outside of the standardized age range, and how should these be addressed?

<p>The results should be interpreted with caution, as normative data may not accurately reflect the child's abilities, potentially leading to misinterpretation of their cognitive functioning. (C)</p> Signup and view all the answers

What distinguishes the Wechsler Nonverbal Scale of Ability (WNV) from other Wechsler scales, such as the WISC-V and WPPSI, in assessing intellectual functioning?

<p>The WNV relies exclusively on nonverbal tasks and instructions, minimizing the impact of language proficiency on test performance. (B)</p> Signup and view all the answers

If a 4-year-old child taking the WPPSI-IV completes the Core Subtests in 25 minutes, how should this impact the interpretation of the results, if at all?

<p>The results should be interpreted with caution, as the abbreviated testing time may not have provided a comprehensive assessment of the child's abilities. (B)</p> Signup and view all the answers

Which of the following accurately describes a core principle of Ayres Sensory Integration (ASI) therapy?

<p>It seeks to improve adaptive behavior by challenging an individual's sensory processing and motor planning skills through tailored activities. (C)</p> Signup and view all the answers

What differentiates Ayres Sensory Integration (ASI) from other sensory-based interventions?

<p>ASI is rooted in a theoretical framework that emphasizes the integration of sensory information to improve adaptive responses, unlike some practices that lack empirical support. (D)</p> Signup and view all the answers

What is a key characteristic of the activities used in Ayres Sensory Integration (ASI)?

<p>The activities are individually tailored to provide 'just right' challenges that build upon existing patterns of sensory processing and motor planning. (D)</p> Signup and view all the answers

A therapist is designing an intervention for a child with sensory processing challenges. Which approach would be MOST aligned with the principles of Ayres Sensory Integration (ASI)?

<p>Engaging the child in purposeful and playful activities that challenge their ability to integrate sensory information and motor plan. (A)</p> Signup and view all the answers

Which statement accurately reflects the role of specialized equipment in Ayres Sensory Integration (ASI)?

<p>Specialized equipment is incorporated purposefully within playful activities to enhance engagement and improve adaptive behavior. (C)</p> Signup and view all the answers

Why is it important to differentiate Ayres Sensory Integration (ASI) from other sensory-based interventions?

<p>To ensure that evidence based practices are implemented and to avoid practices with insufficient evidence. (C)</p> Signup and view all the answers

According to current evidence, which of the following sensory-based interventions has sufficient empirical support?

<p>Ayres Sensory Integration (ASI) implemented by trained therapists. (D)</p> Signup and view all the answers

Which of the following is NOT a defining characteristic of Ayres Sensory Integration (ASI)?

<p>Relies primarily on passive sensory stimulation techniques. (A)</p> Signup and view all the answers

Which of the following considerations is MOST crucial when selecting a phonological awareness subtest for a 6-year-old with Down syndrome and articulation difficulties, like Tom?

<p>The subtest's minimal reliance on verbal responses and emphasis on receptive phonological skills. (C)</p> Signup and view all the answers

What is the primary distinction between the Adaptive Behavior Assessment System (ABAS-II) and the Diagnostic Adaptive Behavior Scale (DABS) in assessing adaptive functioning?

<p>ABAS-II is hero- or self-reported, while DABS is hetero-informed. (B)</p> Signup and view all the answers

A clinician is evaluating a child with suspected intellectual disability. According to the information, what four key areas should the assessment encompass?

<p>Intellectual functioning, specific cognitive processes, adaptive functioning, and intensity of support. (D)</p> Signup and view all the answers

Which of the following scenarios would MOST necessitate the use of a hetero-informed adaptive behavior assessment, such as the Diagnostic Adaptive Behavior Scale (DABS)?

<p>A young child with limited communication abilities and significant cognitive impairments. (D)</p> Signup and view all the answers

When interpreting the results of an adaptive behavior assessment, what is the MOST important consideration for determining the level of support needed by an individual with intellectual disability?

<p>The practical implications of adaptive skill deficits on the individual's ability to function independently in various environments. (B)</p> Signup and view all the answers

A researcher aims to investigate the correlation between specific cognitive processes and adaptive functioning in adolescents with Down syndrome. Which assessment approach would provide the MOST comprehensive data for this study?

<p>Using a combination of cognitive assessments targeting specific processes (e.g., memory, attention) and a hetero-informed adaptive behavior scale. (D)</p> Signup and view all the answers

How do the described assessment instruments account for the varied presentations of adaptive behavior across different age groups?

<p>By offering age-specific norms and items that reflect the developmental expectations for adaptive behavior at different life stages. (A)</p> Signup and view all the answers

What is the MOST appropriate initial step when using assessment instruments for individuals with intellectual disabilities?

<p>Collecting comprehensive background information and conducting clinical observations to inform the selection of appropriate assessment tools. (D)</p> Signup and view all the answers

Flashcards

Intellectual Developmental Disorder

A diagnosis indicating significant limitations in intellectual functioning and adaptive behavior.

Global Developmental Delay

A diagnosis for children under 5 with delays preventing reliable assessment of development.

Unspecified Intellectual Disability

A category for individuals over 5 when assessing ID is challenging due to other impairments.

Maladaptive Behavior

Behaviors that interfere with daily living and social interactions, common in some individuals with ID.

Signup and view all the flashcards

Social Judgment Skills

Abilities to assess social situations and make appropriate decisions, often limited in ID.

Signup and view all the flashcards

Decision-Making Abilities

The capacity to make choices, which may be restricted in those with developmental disabilities.

Signup and view all the flashcards

Progress in Academic Skills

The development of skills in reading, writing, and arithmetic, which often progress slowly in some individuals.

Signup and view all the flashcards

Support and Learning Opportunities

Assistance necessary for individuals to improve social and academic skills, particularly in educational settings.

Signup and view all the flashcards

Implicit Memory

Memory that influences behavior without conscious awareness.

Signup and view all the flashcards

Explicit Memory

Information that needs conscious effort to recall.

Signup and view all the flashcards

Episodic Memory

Memory of personal experiences, including time and place.

Signup and view all the flashcards

Semantic Memory

Knowledge about facts, meanings, and general concepts.

Signup and view all the flashcards

Short-term Memory

Temporary storage of information that is limited in capacity.

Signup and view all the flashcards

Working Memory

Ability to actively process and manipulate information.

Signup and view all the flashcards

NEPSY-II

Assessment tool for cognitive processes in children aged 3 to 16.

Signup and view all the flashcards

Executive Function

Cognitive skills for planning, organizing, and problem-solving.

Signup and view all the flashcards

Pattern Completion Task

A task where participants identify a missing element in a series of pictures or designs.

Signup and view all the flashcards

Kaufman Brief Intelligence Test (KBIT)

An IQ test used to assess intellectual functioning briefly.

Signup and view all the flashcards

Wechsler Preschool and Primary Scale of Intelligence (WPPSI)

An intelligence test for children aged 2:6 to 7:7 years.

Signup and view all the flashcards

Wechsler Nonverbal Scale of Ability (WNV)

A nonverbal intelligence test for culturally diverse groups.

Signup and view all the flashcards

Wechsler Intelligence Scale For Children (WISC-V)

An intelligence assessment for children with various index scores.

Signup and view all the flashcards

Age Range for WPPSI

The WPPSI is administered to children aged 2:6 to 7:7.

Signup and view all the flashcards

Administration Method

The WPPSI and other tests are done using paper-and-pencil.

Signup and view all the flashcards

Completion Time for Core Subtests

Core subtests take 30-60 minutes depending on age.

Signup and view all the flashcards

WISC-V

Wechsler Intelligence Scale for Children, 5th Edition, used to assess cognitive ability.

Signup and view all the flashcards

Visual Spatial Index (VSI)

Measures a child's ability to understand visual details and spatial relationships.

Signup and view all the flashcards

Block Design (BD)

A subtest where children recreate pictures using colored blocks.

Signup and view all the flashcards

Visual Puzzles (VP)

A subtest requiring children to identify parts to complete a puzzle.

Signup and view all the flashcards

Fluid Reasoning Index (FRI)

Measures reasoning and the ability to identify relationships among visual objects.

Signup and view all the flashcards

Matrix Reasoning (MR)

A subtest where children complete a series or pattern of visuals.

Signup and view all the flashcards

Inductive Reasoning

Reasoning that involves drawing general conclusions from specific examples.

Signup and view all the flashcards

Quantitative Reasoning

Ability to understand and manipulate numerical concepts and relationships.

Signup and view all the flashcards

Ayres Sensory Integration (ASI)

A therapeutic approach focusing on processing sensory information to improve behavior.

Signup and view all the flashcards

Sensory Information Types

Categories of sensory inputs including visual, auditory, tactile, proprioceptive, and vestibular.

Signup and view all the flashcards

Just Right Challenges

Activities tailored to match an individual's current sensory processing abilities.

Signup and view all the flashcards

Adaptive Behavior

Skills that enable individuals to function effectively in daily life.

Signup and view all the flashcards

Therapists Implementing ASI

Occupational therapists, specifically trained to deliver Ayres Sensory Integration.

Signup and view all the flashcards

Evidence-Based Practice

Interventions supported by research evidence for effectiveness.

Signup and view all the flashcards

Sensory Diets

Scheduled activities designed to provide appropriate sensory input for individuals.

Signup and view all the flashcards

Insufficient Evidence

Lack of strong proof supporting certain sensory-based practices.

Signup and view all the flashcards

CELF Preschool-3

A tool used to assess phonological awareness in preschoolers.

Signup and view all the flashcards

Phonological Awareness

The ability to recognize and manipulate sounds in language.

Signup and view all the flashcards

Articulation Problem

Issues with the clarity and precision of speech sounds.

Signup and view all the flashcards

ABAS-II

A comprehensive tool for assessing adaptive behavior.

Signup and view all the flashcards

Diagnostic Adaptive Behavior Scale (DABS)

A tool assessing adaptive behaviors in ages 4 to 21.

Signup and view all the flashcards

Diagnostic Assessment

Evaluation aimed at understanding specific behavioral capabilities.

Signup and view all the flashcards

Support Intensity

The degree of assistance needed for an individual to function.

Signup and view all the flashcards

Study Notes

Unit 01 - Intellectual Disability

  • Intellectual Disability (ID) is a neurodevelopmental disorder impacting overall cognitive functioning, including reasoning, problem-solving, learning, and social behavior.
  • ID compromises the ability to function independently in various aspects of life.
  • Originated during the developmental period.

DSM-5 Chapters and Sequence

  • The DSM-5 classifies mental disorders into several chapters and subcategories.
    • Disorders in the neurodevelopmental chapter include Intellectual Disabilities, Communication Disorders, Autism Spectrum Disorders, Attention-deficit/hyperactivity disorder, Specific Learning Disorder, Motor Disorders, and more.

Intellectual Disability Percentages

  • Data on students with special needs in Spanish schools (2021-2022) shows:
    • 42% have intellectual disability
    • 40% have autism spectrum disorder
    • 9% have motor disability
    • 6% have hearing disability
    • 3% have visual impairment

Intellectual Disability Etiology

  • Genetic Factors: Fragile X syndrome, PKU, Down syndrome.
  • Prenatal Issues: Fetal alcohol syndrome, maternal infections/illnesses, birth defects.
  • Childhood Illnesses & Injuries: Meningitis, encephalitis, inadequate treatment of some childhood illnesses.
  • Environmental Factors: Neglect in infancy, malnutrition, or abuse.

Diagnosis of Intellectual Disability

  • Mental retardation: outdated term linked to internal deficits.

  • Intellectual Disability: classification focusing on the fit between individual capabilities and the environment.

  • DSM-5-TR (2022) and ICD-11 (2019) systems provide diagnostic criteria for Intellectual Developmental Disorder.

    • Key criteria include deficits in intellectual functioning (reasoning, problem-solving), adaptive functioning in conceptual, social, and practical domains; and onset during childhood.
  • Levels of severity: Mild, Moderate, Severe, and Profound, based on IQ scores and adaptive function assessment.

  • Global Developmental Delay (GDD): Applies to children under age 5 lacking clear assessment of severity, requiring later reassessment.

  • Unspecified Intellectual Disability (UID): Diagnosis for individuals above age 5 with sensory/physical impairments preventing precise ID assessment, requiring reevaluation.

Adaptive Behavior

  • Adaptive behavior refers to learned skills used in daily life. It involves:
    • conceptual skills (language, literacy, numbers)
    • social skills (interpersonal skills, responsibility)
    • practical skills (self-care, occupational skills, healthcare, daily living).
  • Standardized tests can measure adaptive behavioral limitations.

Assessment Instruments for Intellectual Functioning

  • The document lists various standardized tests for assessing intellectual functioning in children. Examples include:
    • Kaufman Brief Intelligence Tests (KBIT-II)
    • Wechsler Preschool and Primary Scale of Intelligence (WPPSI)
    • Wechsler Nonverbal Scale of Ability (WNV™)
    • Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V)

Assessment Instruments (Specific Cognitive Processes)

  • Perception and motor skills
    • McCarthy Scales of Children's Abilities (MSCA)
    • Battelle Developmental Inventory (BDI-3)
  • WISC-V (Wechsler Intelligence Scale for Children-5th Ed.): used for IQ assessment, measures different cognitive areas (Verbal Comprehension, Visual-Spatial, Fluid Reasoning, Working Memory, Processing Speed) and helps determine strengths and weaknesses.
  • Sensory Profile 2: for evaluating and understanding sensory differences in an individual
  • Memory: Different measures like Digit Span tests (WISC-V), or delayed memory test (NEPSY-II).
  • Attention & Executive Functioning: Behavior Rating Inventory of Executive Function (BRIEF) is an instrument for measuring executive functioning in children, and the Wisconsin Card Sorting Task assesses cognitive flexibility.

Assessment Instruments (Language)

  • CELF-5 (Comprehensive Evaluation of Language Fundamentals)
  • CELF Preschool-3: Phonological awareness subtest;
  • Illinois Test of Psycholinguistic Abilities (ITPA)
  • Peabody Picture Vocabulary Test (PPVT)
  • PROLEC-R - Primary school: assessment of reading processes

Assessment Instruments (Adaptive Functioning)

  • Adaptive Behavior Assessment System (ABAS-II)
  • Diagnostic Adaptive Behavior Scale (DABS)
  • Vineland Adaptive Behavior Scales-3 (Vineland-3)
  • Battelle Developmental Inventory-3 (BDI-3)
  • Scale of Intensity of Supports for Children and Adolescents (SIS-C)

Intervention Strategies

  • Sensory Integration® & Snoezelen® rooms provide specific kinds of sensory stimulation.
  • Cogmed Working Memory Training is a method to enhance working memory.
  • Instrumental Enrichment Program (PEI) and Scientific Brain Training Pro are software-based programs/exercises to enhance executive functioning.
  • Learning programs are tailored to an individual's specific needs and learning styles.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Description

Examine the challenges in forming friendships and diagnosing intellectual disabilities (ID). Explore the distinctions between 'Global Developmental Delay' and 'Unspecified Intellectual Disability,' focusing on recreational and practical skills, and the impact of maladaptive behavior. Understand the circumstances for using 'Unspecified Intellectual Disability' classification.

More Like This

Use Quizgecko on...
Browser
Browser