The nurse is caring for a client diagnosed with severe intellectual disability. Which of the following characteristics should the nurse recognize to be associated with severe intellectual disability?

Choice A Reason:Clients with severe intellectual disability typically require significant assistance with daily living activities. While they may be able to perform some basic self-care tasks with supervision, their ability to function independently is limited. They often need help with tasks such as dressing, bathing, and eating.Choice B Reason:Advanced speech development is not characteristic of severe intellectual disability. In fact, individuals with severe intellectual disability often have limited verbal communication skills. They may use single words, phrases, or gestures to communicate, and their speech development is generally delayed.Choice C Reason:Clients with severe intellectual disability often have psychomotor impairments. These can include difficulties with coordination, balance, and fine motor skills. Therefore, it is incorrect to state that their psychomotor skills are not affected.Choice D Reason:Communicating wants and needs by "acting out" behaviors is a common characteristic of severe intellectual disability. Due to limited verbal communication skills, individuals may express themselves through behaviors such as tantrums, aggression, or self-injury. These behaviors are often a way to communicate frustration, discomfort, or unmet needs.