Neurodevelopmental Disorders Quiz

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Questions and Answers

Which of the following best describes the typical onset of neurodevelopmental disorders?

  • During adolescence, following significant hormonal changes.
  • During early adulthood, often triggered by major life events.
  • Early in a child's life, usually before they start school. (correct)
  • Later in life, typically emerging after the age of 40.

Which of these is NOT a primary area of functioning affected by neurodevelopmental disorders?

  • Financial management skills (correct)
  • Academic skills
  • Personal skills
  • Social skills

Which of these is a type of specifier used to describe the current symptoms a person is experiencing?

  • Severity
  • Current Symptoms (correct)
  • Associated Medical Factors
  • Prognostic Indicators

What specifier is used to indicate how much the symptoms of a neurodevelopmental disorder affect daily life?

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

What must be met for a diagnosis of intellectual developmental disorder, according to text?

<p>Both deficits in intellectual functioning and adaptive functioning. (A)</p> Signup and view all the answers

What type of skills are included in the term 'adaptive functioning'?

<p>Everyday life skills, such as communication, independence, and social participation. (A)</p> Signup and view all the answers

What is the basis for diagnosis of intellectual development disorder?

<p>Clinical assessment along with standardized testing of both intellectual and adaptive functioning. (B)</p> Signup and view all the answers

Which of the following examples would be considered a deficit in intellectual functioning?

<p>Difficulty with reasoning and problem solving. (B)</p> Signup and view all the answers

Which of the following best describes a communication disorder?

<p>Difficulties in speech, language, or communication that impair interaction. (A)</p> Signup and view all the answers

Which aspect of speech is related to the clarity of sounds?

<p>Articulation (C)</p> Signup and view all the answers

Which of the following refers to smoothness of speech?

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

What does 'resonance' mainly describe in the context of speech?

<p>The vocal tone and quality (C)</p> Signup and view all the answers

What is a central challenge for an individual with a language disorder?

<p>Struggles with comprehension and production of language (D)</p> Signup and view all the answers

What is a typical symptom of a language disorder regarding word usage?

<p>Reduced ability to learn new words or recall them during conversations (A)</p> Signup and view all the answers

What is a primary difficulty related to sentence structure in language disorders?

<p>Constructing grammatically correct sentences (C)</p> Signup and view all the answers

Which of the following best describes 'impaired discourse' in the context of a language disorder?

<p>Trouble organizing thoughts and maintaining coherent conversations (D)</p> Signup and view all the answers

An individual who requires substantial support with personal care but can manage routine tasks under supervision would most likely be classified as having which level of intellectual disability?

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

Which of the following best describes the primary distinction between Global Developmental Delay (GDD) and Unspecified Intellectual Developmental Disorder?

<p>GDD is diagnosed in individuals under 5 years old, while Unspecified Intellectual Developmental Disorder is for those older than 5. (A)</p> Signup and view all the answers

Why might an individual receive a diagnosis of Unspecified Intellectual Developmental Disorder?

<p>Their intellectual abilities cannot be accurately assessed due to specific barriers. (B)</p> Signup and view all the answers

Which of these is a typical struggle for individuals with deficits across adaptive functioning?

<p>Difficulty with independence in daily living. (B)</p> Signup and view all the answers

Which of the following is NOT a typical characteristic of a person with a 'profound' level of intellectual disability?

<p>Active participation in household chores. (D)</p> Signup and view all the answers

When during a person's life must intellectual and adaptive deficits begin to be considered an intellectual disability?

<p>During childhood or adolescence. (D)</p> Signup and view all the answers

If a child is initially diagnosed with Global Developmental Delay (GDD), what is the typical next step?

<p>The child is reassessed later to determine a more specific diagnosis. (C)</p> Signup and view all the answers

In the conceptual domain of intellectual functioning, what is a typical level of achievement for a person with a mild deficit level?

<p>They can achieve academic skills up to approximately a 6th-grade level. (B)</p> Signup and view all the answers

Which situation would most likely lead to a diagnosis of Unspecified Intellectual Developmental Disorder rather than a more specific diagnosis?

<p>An adult with a severe hearing loss that makes assessments difficult. (A)</p> Signup and view all the answers

If an individual needs substantial, daily help with conceptual tasks, what is the typical deficit level described?

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

An individual capable of performing basic personal care with assistance but who needs considerable support in household tasks and employment is categorized as having what level of intellectual disability?

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

Why is the term 'Unspecified Intellectual Developmental Disorder' considered a temporary diagnosis?

<p>Because the individual's intellectual abilities cannot be accurately assessed initially. (A)</p> Signup and view all the answers

How is communication usually impacted in the severe social domain?

<p>They use simple words, phrases or gestures. (A)</p> Signup and view all the answers

An individual who relies on basic gestures or emotional cues for communication likely has deficits in the social domain that are best described as:

<p>Profound (C)</p> Signup and view all the answers

In which area of functioning are individuals with mild deficits mostly independent?

<p>Personal self-care (D)</p> Signup and view all the answers

Which of the following is a NOT a common area affected by adaptive functioning deficits?

<p>Advanced academic qualifications. (D)</p> Signup and view all the answers

What does Speech Sound Disorder (SSD) specifically refer to?

<p>Difficulty with speech sound production that affects intelligibility (A)</p> Signup and view all the answers

Which of the following best describes phonological knowledge deficits?

<p>Challenges recognizing and using the appropriate speech sounds (A)</p> Signup and view all the answers

What might be a consequence of motor coordination challenges in speech sound production?

<p>Imprecise articulation of speech sounds (A)</p> Signup and view all the answers

Which of the following is NOT a symptom of persistent difficulty with speech sound production?

<p>Being able to read fluently despite speech issues (C)</p> Signup and view all the answers

How can Speech Sound Disorder impact an individual's social life?

<p>It causes difficulties in engaging in conversations (A)</p> Signup and view all the answers

What is an early sign of Speech Sound Disorder that typically appears in childhood?

<p>Struggles with speech sound clarity (C)</p> Signup and view all the answers

Which condition is NOT associated with Speech Sound Disorder?

<p>Fluid intelligence issues (A)</p> Signup and view all the answers

Which of the following does NOT describe a potential academic limitation of Speech Sound Disorder?

<p>Exceeding in oral examinations (D)</p> Signup and view all the answers

What characterizes Speech Sound Disorder?

<p>Persistent articulation difficulties. (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of Childhood-Onset Fluency Disorder?

<p>Mispronunciation of words. (B)</p> Signup and view all the answers

At what stage of life must symptoms of Childhood-Onset Fluency Disorder appear for a proper diagnosis?

<p>During early childhood. (A)</p> Signup and view all the answers

In contrast to Speech Sound Disorder, what does stuttering primarily affect?

<p>Flow and timing of speech. (A)</p> Signup and view all the answers

What is the impact of Childhood-Onset Fluency Disorder on an individual’s life?

<p>Significant distress and anxiety about speaking. (A)</p> Signup and view all the answers

What distinguishes stuttering from Speech Sound Disorder?

<p>Only stuttering causes speaking anxiety. (C)</p> Signup and view all the answers

Which statement about Childhood-Onset Fluency Disorder is correct?

<p>It is also known as stuttering. (B)</p> Signup and view all the answers

What type of interventions are crucial for improving communication in Speech Sound Disorder?

<p>Speech therapy to improve speech intelligibility. (A)</p> Signup and view all the answers

Flashcards

Neurodevelopmental Disorders

Conditions that begin early in life, often before school, due to differences or delays in brain development. These disorders can lead to challenges in personal, social, academic, and occupational functioning.

Severity Specifiers

These indicate how much the symptoms of a disorder affect daily life and how much support a person needs.

Current Symptoms Specifiers

Used to describe the current symptoms a person is experiencing with a condition like ADHD or a learning disorder.

Associated Medical or Environmental Factors Specifiers

A specifier that notes whether a disorder is linked to a genetic condition, medical issue, or environmental factor.

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Intellectual Developmental Disorder (Intellectual Disability)

A neurodevelopmental disorder characterized by deficits in both intellectual functioning and adaptive functioning. This diagnosis involves standardized assessments of intellectual and adaptive skills.

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Intellectual Functioning

Involve skills like reasoning, problem-solving, planning, learning from experiences, and making judgments.

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Adaptive Functioning

Involve everyday life skills such as communication, independence, social participation, and self-care.

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Conceptual, Social, and Practical Domains

These are three key areas of functioning assessed in intellectual developmental disorder, including understanding concepts, social interactions, and everyday life skills.

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Mild Intellectual Disability - Social domain

A person with mild intellectual disability might struggle to understand more complex social cues, but is able to form meaningful relationships.

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Mild Intellectual Disability - Practical domain

A person with mild intellectual disability typically has some independence in personal care and activities like bathing and dressing.

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Moderate Intellectual Disability - Conceptual domain

A person with moderate intellectual disability may struggle to understand complex concepts like time and money. They need support with daily tasks.

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Moderate Intellectual Disability - Social domain

A person with moderate intellectual disability might find social interactions challenging. They may struggle with complex language and social decision-making.

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Severe Intellectual Disability - Conceptual domain

A person with severe intellectual disability needs significant support for daily tasks and has limited understanding of abstract concepts.

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Severe Intellectual Disability - Social domain

A person with severe intellectual disability relies heavily on gestures and expressions for communication.

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Profound Intellectual Disability - Conceptual domain

A person with profound intellectual disability needs constant care and has very limited understanding of the world around them.

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Profound Intellectual Disability - Social domain

Relationships for a person with profound intellectual disability are largely based on emotional connection with close caregivers.

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Global Developmental Delay (GDD)

A diagnosis for children under 5 who are not meeting expected developmental milestones in multiple areas: learning, problem-solving, communication, or motor skills.

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Why is GDD used?

This diagnosis is used when a child's intellectual abilities can't be assessed due to age or medical conditions.

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What happens next with GDD?

GDD is not a permanent label. Doctors will reassess the child later to see if they meet the criteria for a more specific diagnosis.

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Unspecified Intellectual Developmental Disorder (F79)

This diagnosis is used for individuals older than 5 who likely have intellectual developmental delays, but their level of difficulty can't be accurately assessed.

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Why is it difficult to assess for F79?

Factors like sensory impairments, physical disabilities, severe behavioral issues, or mental health problems can make it challenging to assess an individual's intellectual abilities.

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Why is F79 used?

F79 is a temporary diagnosis used when more time or better tools are needed to accurately assess the individual's condition.

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What happens next with F79?

Like with GDD, the individual's condition needs reassessment later to confirm their abilities once the barriers to assessment are addressed.

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Severe Intellectual Disability

An individual with a severe intellectual developmental disorder needs significant support for all aspects of daily life, including personal care, communication, and social interactions.

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Communication Disorder

A condition where people have trouble with speech, language, or communication, making it hard for them to express themselves, understand others, or have meaningful interactions.

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Speech Disorder

Problems with how sounds are made, including articulation, fluency, and voice.

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Articulation

The clarity of sounds produced while speaking.

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Fluency

The smoothness of speech, meaning no stuttering or pauses.

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Voice and Resonance

The tone and quality of the voice.

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Language Disorder

Difficulties understanding or using language, a system of symbols like spoken or written words.

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Language Disorder

A type of communication disorder specifically focused on understanding and using language. It includes problems with vocabulary, grammar, and forming sentences.

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Communication Disorder

Difficulties in communicating effectively using verbal or non-verbal cues in social situations.

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Speech Sound Disorder (SSD)

Difficulty producing speech sounds correctly, causing unclear speech that interferes with communication.

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Speech Sound Production

Clear pronunciation of individual speech sounds to form words. Requires knowing speech sounds and coordinating mouth movements.

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Phonological Knowledge Deficits

Trouble recognizing, learning, or using the correct speech sounds. Leads to consistent mispronunciations like replacing 'r' with 'w'.

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Motor Coordination Challenges

Struggles to move the tongue, lips, and jaw to produce speech sounds accurately. Can lead to imprecise articulation.

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Persistent Difficulty with Speech Sound Production

Persistent difficulty saying sounds correctly, impacting speech clarity and understanding. Includes substituting, omitting, or distorting sounds.

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Not Attributable to Other Conditions

Difficulties cannot be attributed to other conditions like congenital conditions, hearing loss, or intellectual disabilities.

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Impacts on Communication and Daily Life

SSD affects social, academic, and occupational aspects. Difficulties engaging in conversations, reading, writing, participating in class, or being understood at work.

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Early Developmental Onset

Symptoms begin early in development, usually during infancy or early childhood, when children are acquiring speech sounds.

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Childhood-Onset Fluency Disorder (Stuttering)

A condition where individuals struggle with the smooth flow and timing of speech, leading to repetitions, prolongations, and interruptions. Diagnosed when symptoms are persistent and not age-appropriate.

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Repetitions (in Stuttering)

Repeating sounds or syllables, often leading to a stutter like "b-b-b-ball."

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Prolongations (in Stuttering)

Stretching out sounds, often leading to a stutter like "sssssnake."

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Broken Words (in Stuttering)

Pauses or interruptions within a word, leading to stutter like "I...want."

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Blocking (in Stuttering)

A pause before speaking, either with a sound like "uh..." or silently, often due to stuttering.

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Circumlocutions (in Stuttering)

Avoiding certain words by using others, like saying "that thing" instead of "pencil" to avoid stuttering.

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Physical Tension (in Stuttering)

Physical tension accompanying speech, like visible effort or strain, often associated with stuttering.

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Study Notes

Neurodevelopmental Disorders

  • Conditions that start in early childhood, often before school, due to brain development differences or delays.
  • Impact personal, social, academic, and occupational functioning.
  • Challenges can be specific (e.g., focusing, learning skills) or broader (e.g., social skills, thinking).

Specifiers for Diagnosis

  • Severity: Some disorders (e.g., intellectual developmental disorder, autism spectrum disorder, ADHD) have severity levels indicating the amount of support needed due to symptom impact on daily life.
  • Current Symptoms: Specifiers for disorders like ADHD, specific learning disorder, persistent motor or vocal tic disorder, detail current symptom presentation to track how the disorder is currently impacting the individual.
  • Associated Medical or Environmental Factors: For some disorders (e.g., autism spectrum disorder, stereotypic movement disorder), specifiers note associated genetic conditions, medical issues, or environmental factors (e.g., brain injury, prenatal exposure to toxins). This guides understanding potential causes and treatment influence.

Intellectual Developmental Disorder (Intellectual Disability)

  • Onset during the developmental period.
  • Involves intellectual skills (reasoning, problem-solving, learning) and adaptive functioning (daily living skills, communication, independence, social participation).
  • Diagnosed through clinical assessment, standardized intellectual and adaptive functioning tests.
  • Deficits in conceptual, social, and practical domains are required along with problems in adaptive functioning.
  • Different severity levels (mild, moderate, severe, profound) influence the degree of support needed for daily life tasks.

Global Developmental Delay (GDD)

  • Diagnosed in children under 5 years old who aren't meeting developmental milestones in multiple areas.
  • Used when formal tests for intellectual ability aren't suitable (due to age or medical conditions).
  • Not a permanent diagnosis; further evaluation leads to a confirmed diagnosis of another specified disorder later.

Unspecified Intellectual Developmental Disorder (F79)

  • Diagnosis for individuals over 5 years of age with likely intellectual developmental delays.
  • Used when the exact level of difficulty is uncertain due to barriers to assessment.
  • Reassessment is needed to confirm abilities and limitations as assessment barriers are overcome.

Communication Disorder

  • Characterized by difficulties related to speech, language, or communication affecting effective expression, comprehension, and interaction significantly in daily life.
  • Includes variations in speech (articulation, fluency, voice), language (vocabulary, grammar, sentence structure, and discourse), and communication, all involving rule-governed systems of symbols.
  • Barriers to assessment may be sensory or physical impairments.

Language Disorder

  • Persistent difficulties understanding, acquiring, and using language.
  • Involves vocabulary, grammar, sentence structure, and discourse.
  • Interrupts academic, social, and occupational functioning.
  • Includes comprehension and production deficits (understanding and expressing language).
  • Severity ranges.

Speech Sound Disorder (SSD)

  • Difficulty with the production of speech sounds.
  • Involves issues with phonological knowledge about speech sounds, motor coordination, and consistent mispronunciation or substitution of one sound for another.
  • Affects the intelligibility of communication.
  • May include substituting, omitting, or distorting sounds.
  • Results in difficulties integrating into social situations, academically, and occupationally.

Childhood-Onset Fluency Disorder (Stuttering)

  • Condition impacting the flow and timing of speech, often appearing early in childhood.
  • Characterized by repetitions, prolongations, broken words, and blocking.
  • May lead to anxiety about speaking, difficulty in social situations, and problems with school or work.

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