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","B","D"]

Explanation

A reason: Grandiosity. Grandiosity is a common behavior in manic episodes, where the individual may have an inflated sense of self-importance, abilities, or identity.

B reason: Flight of ideas. Flight of ideas involves rapidly shifting from one topic to another with little to no logical connection between them. This is a characteristic behavior during a manic episode.

C reason: Splitting. Splitting, or viewing others as all good or all bad, is more commonly associated with borderline personality disorder. It is not a typical behavior during a manic episode of bipolar disorder.

D reason: Hyperactivity. Hyperactivity, including increased energy, restlessness, and engaging in multiple activities simultaneously, is a hallmark of a manic episode.

E reason: Withdrawal. Withdrawal, or social isolation, is more characteristic of depressive episodes rather than manic episodes of bipolar disorder. During mania, individuals are more likely to be excessively social and active.

A. Hallucinations. B. Depression. C. Delusions. D. Catatonia. E. Tinnitus.

Correct Answer is ["B","C"]

Explanation

A reason: Hallucinations. Hallucinations can be distressing and are associated with various mental health conditions, but they are not a direct indicator of suicide risk without other contributing factors.

B reason: Depression. Depression is a significant risk factor for suicide. Clients experiencing persistent sadness, hopelessness, and a lack of interest in life are at a higher risk for attempting suicide.

C reason: Delusions. Delusions, particularly those that are paranoid or nihilistic, can contribute to feelings of hopelessness and despair, increasing the risk of suicide attempts.

D reason: Catatonia. Catatonia involves motor immobility and behavioral abnormality. While it is a serious condition requiring treatment, it is not a direct indicator of suicide risk without other contributing factors.

E reason: Tinnitus. Tinnitus, or ringing in the ears, is not associated with an increased risk of suicide. It is a physical symptom that does not directly influence suicidal behavior.

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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

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is ["B","C"]

Explanation

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