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

Lack of eye contact.

Inability to play quietly.

Constant spinning of a toy.

Withdrawal from physical contact.

Repeated voicing in clothes.

Answer and Explanation

Correct Answer : A,C,D

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.

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Correct Answer is A

Explanation

A reason: The client has a serotonin deficiency. A serotonin deficiency is a known biological risk factor for major depressive disorder. Low levels of serotonin in the brain can contribute to depressive symptoms.

B reason: The client has acute bronchitis. Acute bronchitis is a respiratory condition and is not a recognized risk factor for major depressive disorder.

C reason: The client has an elevated calcium level. Elevated calcium levels can indicate hyperparathyroidism but are not specifically associated with an increased risk of major depressive disorder.

D reason: The client is an only child. Being an only child is not a recognized risk factor for major depressive disorder. Risk factors are more commonly related to biological, psychological, and environmental factors.

A. Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia. B. Screening college students who demonstrate manifestations of depressive disorder. C. Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments. D. Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease.

Correct Answer is B

Explanation

A reason: Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia. This action represents tertiary prevention, as it involves managing long-term symptoms and complications of an existing condition (tardive dyskinesia) in clients with schizophrenia.

B reason: Screening college students who demonstrate manifestations of depressive disorder. Screening for depressive disorders is a form of secondary prevention. It aims to identify and treat mental health conditions early before they become more severe, thus preventing further complications.

C reason: Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments. This action is an example of tertiary prevention, focusing on improving care and support for clients with existing cognitive impairments, rather than preventing the onset or progression of the condition.

D reason: Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease. This action represents tertiary prevention, as it aims to help individuals cope with the stress and challenges of caregiving for relatives with Alzheimer's disease, rather than preventing the condition itself.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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