Answer 1.1 and Related Resources

No, it is not unusual. In fact, the majority of adults with ID now live in the family home, and the percentage will likely increase with the continuing shift to community-based living.  Of note, people with ID living with their families are consistently less likely to receive preventive health care than those living in more restrictive environments1.


  1. Bershadsy, J., Taub, S., Engler, J., Moseley, C.R., Lakin, K.C., Stancliffe, R.J., Larson, S.L., Ticha, R., Bailey, C. & Bradley, V.  (2012). Place of residence and preventive health care for intellectual and developmental disabilities services recipients in 20 states. Public Health Reports127(5), 475-485.

Question 1.2
How can the family nurse practitioner (FNP) who is about to see Mr. Cruz determine how best to communicate with him? Could she have done something in advance to better prepare for effective communication with him?

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