A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect?

A reason: Lack of eye contact. Children with autism spectrum disorder (ASD) often exhibit reduced or lack of eye contact, which can be a key indicator of social communication difficulties associated with ASD.

B reason: Inability to play quietly. While some children with autism might exhibit hyperactive behavior, an inability to play quietly is not a specific characteristic of ASD. It can be seen in various conditions, including attention deficit hyperactivity disorder (ADHD).

C reason: Constant spinning of a toy. Repetitive behaviors, such as spinning objects, are common in children with ASD. These behaviors provide sensory input and can be calming for the child.

D reason: Withdrawal from physical contact. Children with ASD often withdraw from physical contact due to sensory sensitivities. They might find certain touches uncomfortable or overwhelming.

E reason: Repeated voicing in clothes. Repeating phrases or sounds, known as echolalia, is common in ASD, but "repeated voicing in clothes" does not accurately describe this behavior. It seems like a typographical error.

A reason: Dissociation. Dissociation involves a disconnection between thoughts, identity, consciousness, and memory. The inability to recall details of a traumatic event is a common dissociative response in PTSD, where the mind separates from the distressing experience.

B reason: Rationalization. Rationalization involves creating a logical explanation to justify unacceptable feelings or behaviors. It does not involve memory loss or detachment from the event, making it an incorrect choice in this context.

C reason: Undoing. Undoing is a defense mechanism where a person tries to reverse or undo feelings by doing something that indicates the opposite feeling. It does not involve forgetting or dissociating from traumatic events.

D reason: Reaction formation. Reaction formation involves expressing the opposite behavior or emotion of what one truly feels. It does not involve memory loss or dissociation from the traumatic event, making it an incorrect choice in this context.