A child has been diagnosed with autism spectrum disorder (ASD). The distraught mother cries out, "I'm such a terrible mother! What did I do to cause this?" Which nursing reply is most appropriate?

“Lack of early infant bonding with the mother has been shown to be a cause of ASD. Did you breastfeed or bottle feed?”

“Research has shown that the mother appears to play a greater role in the development of this disorder than does the father.”

“Researchers really don’t know what causes ASD, but the relationship between ASD and fetal alcohol syndrome is being explored.”

“Poor parenting doesn’t cause autism. Research has shown that abnormalities in brain structure and/or function are to blame. This is beyond your control.”

Answer and Explanation

The Correct Answer is D

Choice A reason: Suggesting that lack of bonding or feeding methods cause ASD is inaccurate and perpetuates stigma. Research has consistently shown that parenting styles or feeding practices do not cause autism. This response would increase guilt and distress for the mother.

Choice B reason: Stating that the mother plays a greater role than the father in ASD development is misleading and harmful. It reinforces blame and is not supported by scientific evidence. Autism is linked to neurodevelopmental abnormalities, not parental roles.

Choice C reason: While the etiology of ASD is not fully understood, linking it to fetal alcohol syndrome is speculative and not evidence-based. This response could confuse the mother and increase unnecessary guilt.

Choice D reason: This is the most appropriate reply because it reassures the mother that her parenting did not cause autism. It provides accurate information that ASD is associated with brain structure and function abnormalities, emphasizing that it is beyond parental control. This reduces guilt and supports emotional coping.

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Correct Answer is D

Explanation

Choice A reason: Encouraging family to meet all self-care needs undermines independence and does not promote skill development. While family support is important, overdependence can hinder autonomy and self-esteem in adolescents with ID.

Choice B reason: Avoiding interference entirely is not appropriate because moderate ID requires structured guidance. Without support, the client may struggle or fail to complete tasks correctly, leading to frustration or unsafe outcomes.

Choice C reason: Meeting all self-care needs for the client fosters dependence and prevents skill acquisition. It is only appropriate in cases of severe disability or when safety is at risk, not for moderate ID where partial independence is achievable.

Choice D reason: Providing simple directions and praising independent efforts is the most appropriate intervention. Adolescents with moderate ID benefit from step-by-step instructions and positive reinforcement, which build confidence and encourage skill mastery. This approach balances safety with autonomy.

A. 35 minutes of playing outdoors B. 40 minutes of building with clay C. 30 minutes of story time D. 45 minutes of painting

Correct Answer is A

Explanation

Choice A reason: Outdoor play supports physical health and wellness by promoting gross motor development, cardiovascular fitness, and exposure to fresh air and sunlight, which aids in vitamin D synthesis. It also encourages social interaction, creativity, and stress reduction. Preschool-aged children benefit most from active play that enhances both physical and emotional well-being.

Choice B reason: Building with clay supports fine motor skills and creativity but does not provide the same level of physical activity needed for overall health and wellness. While beneficial for cognitive and artistic development, it does not address the physical activity requirements of preschoolers.

Choice C reason: Story time enhances language development, listening skills, and imagination. However, it is a sedentary activity and does not directly support physical health and wellness, which is a priority at this developmental stage.

Choice D reason: Painting fosters creativity and fine motor skills but is also sedentary. While important for cognitive and emotional growth, it does not provide the physical activity necessary for health and wellness in preschool-aged children.

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A child has been diagnosed with autism spectrum disorder (ASD). The distraught mother cries out, "I'm such a terrible mother! What did I do to cause this?" Which nursing reply is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with moderate intellectual disability (ID)?

Correct Answer is D

Explanation

Which activity best supports the health and wellness of a preschool-aged child?

Correct Answer is A

Explanation

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