A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45 . Which child capability would the nurse expect to observe? The child:

The correct answer is B because a child with an IQ of 45 typically functions at the level of a 4-7 year old. This means they may need complete supervision when performing tasks like hand hygiene, as they may lack the ability to do it independently. Choice A is incorrect because children with Intellectual Developmental Disorder can often communicate, albeit at a lower level. Choice C is incorrect because using scissors requires fine motor skills that may be challenging for a child with this level of intellectual disability. Choice D is incorrect as following directions independently may be difficult for a child with an IQ of 45.