A nurse is assessing a child with ASD and concurrent social withdrawal. What intervention should the nurse prioritize?

Advise the parents to limit playtime to reduce overstimulation.

Focus purely on managing anxiety without considering social skills.

Encourage the child to participate in activities with peers to improve social skills.

Recommend individualized play activities to avoid peer interaction,

Answer and Explanation

The Correct Answer is C

A. Advising parents to limit playtime to reduce overstimulation may help manage sensory overload, but it does not address social withdrawal or promote development of social skills. Limiting interaction can worsen social isolation, so this is not the priority intervention.

B. Focusing purely on managing anxiety without considering social skills is incomplete. While anxiety management is important, children with autism spectrum disorder also benefit from interventions that enhance social engagement. Ignoring social skill development would not address the child’s withdrawal.

C. Encouraging the child to participate in activities with peers to improve social skills is correct. Social interaction is a core area of difficulty in ASD. Structured and supportive peer activities can help the child practice communication, cooperation, and social engagement, while also addressing concurrent withdrawal. This intervention promotes social development in a safe and guided manner, making it the priority.

D. Recommending individualized play activities to avoid peer interaction may reduce anxiety but does not help the child develop social skills. Avoiding peers reinforces social withdrawal and delays social competence, so this is not the most appropriate intervention.

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Correct Answer is D

Explanation

A. Monitoring vital signs and cognitive status is important, but it is not sufficient as an immediate response when delirium is suspected to be medication-induced. Waiting without intervention could worsen the client’s condition.

B. Administering more sleeping pills would exacerbate delirium and increase the risk of adverse effects such as sedation, falls, respiratory depression, or further cognitive decline. This action is unsafe.

C. Encouraging increased fluid intake may help overall health but does not address the acute cause of delirium. It is insufficient as an immediate intervention.

D. Discontinuing the sleeping pills and consulting the healthcare provider is the safest and most appropriate immediate action. Older adults with neurocognitive disorders are particularly sensitive to sedative-hypnotic medications, and these drugs are a common precipitating factor for delirium. Stopping the causative medication and seeking medical guidance allows for rapid assessment, prevention of complications, and adjustment of the treatment plan.

A. They are unable to comprehend speech and cannot form words. B. They understand speech but struggle to articulate full sentences. C. They speak in long, flowing sentences with no meaning D. They speak fluently, but their words include unnecessary and made-up terms.

Correct Answer is B

Explanation

A. "They are unable to comprehend speech and cannot form words." describes global aphasia, not expressive aphasia. In global aphasia, both comprehension and expression are severely impaired. This does not match the typical presentation of expressive aphasia.

B. "They understand speech but struggle to articulate full sentences." is correct. expressive aphasia, also called Broca’s aphasia, is characterized by intact comprehension with difficulty in verbal expression. Clients can understand what is said to them but have trouble forming complete sentences, often speaking in short, fragmented phrases or single words. This is the hallmark presentation.

C. "They speak in long, flowing sentences with no meaning" describes Wernicke’s aphasia, a type of receptive aphasia, where speech is fluent but nonsensical, and comprehension is impaired. This is not consistent with expressive aphasia.

D. "They speak fluently, but their words include unnecessary and made-up terms" also aligns with Wernicke’s or other fluent aphasias involving neologisms. Expressive aphasia typically involves non-fluent, effortful speech rather than fluent but meaningless speech.

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A nurse is assessing a child with ASD and concurrent social withdrawal. What intervention should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During her assessment, a nurse identifies that an older adult client with mild neurocognitive disorder is showing symptoms of delirium after being given sleeping pills. What should be the immediate action?

Correct Answer is D

Explanation

A client with expressive aphasia is most likely to communicate in which way?

Correct Answer is B

Explanation

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