8 year old boy (6-12 y/o)

slow learner, behind the class in acquisition of skills

had tendency to hit others but less often now
nornal devt in low-end
prefders company of young siblings over same age peers
no significsant med illness and uneventful prenatal period and birth

Other assessment
-family hx
-family dyamics
-social interaction and play
-family's reaction to illness
-problem-solving ability

ODD
Intellectual disability

Priority nursing problem

health education for caregiver

encourage therapy

Three criterias
1 deficit in intellectual functioning - academic learning
2 deficit in adaptive functioning fynctioning
3 onset during developmental period