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

Lack of eye contact

Inability to play quietly

Constant spinning of a toy

Withdrawal from physical contact

Answer and Explanation

Correct Answer : A,C,D

A. Lack of eye contact: Difficulty with eye contact is a common characteristic of ASD. Many individuals with ASD may have challenges in establishing or maintaining eye contact during social interactions.

B. Inability to play quietly: Individuals with ASD may engage in repetitive or stereotyped behaviors, including noisy or disruptive play. However, the inability to play quietly is not universally present in all individuals with ASD.

C. Constant spinning of a toy: Repetitive or stereotyped movements, such as spinning objects or repetitive hand movements, are common behaviors observed in individuals with ASD. This behavior is often referred to as "stimming" or self-stimulatory behavior.

D. Withdrawal from physical contact: Sensory sensitivities are common in individuals with ASD, and some may be hypersensitive to touch or physical contact. As a result, they may withdraw from or avoid physical contact with others.

E. Repeated voiding in clothes: Repeated voiding in clothes is not typically considered a core feature of ASD. However, some individuals with ASD may have challenges with toileting, including difficulties with toilet training or sensory sensitivities related to bathroom routines.

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Correct Answer is ["2"]

Explanation

To find out how many tablets the nurse should administer per dose, we need to divide the total daily dose (300 mg) by the dose strength per tablet (50 mg).

300 mg total daily dose / 50 mg per tablet = 6 tablets per day

Since the dose is divided equally every 8 hours, we divide the total daily dose by the number of times it is administered in a day:

6 tablets per day / 3 doses per day = 2 tablets per dose

So, the nurse should administer 2 tablets per dose

A. Encourage the client to attend group therapy sessions B. Allow the client to choose scheduled daily activities C. Use simple words to describe procedures to the client D. Avoid discussing topics that can trigger a panic attack

Correct Answer is C

Explanation

A. Encourage the client to attend group therapy sessions: While group therapy can be beneficial for some individuals with panic disorder by providing support and opportunities for learning coping strategies, it may not be appropriate for all clients. Some clients may feel overwhelmed or anxious in group settings, especially during panic attacks. The nurse should assess the client's readiness and comfort level with group therapy and individualize the treatment plan accordingly.

B. Allow the client to choose scheduled daily activities: Providing the client with a sense of control and autonomy over their daily activities can be helpful in managing anxiety and panic symptoms. However, this intervention alone may not address the specific cognitive and behavioral aspects of panic disorder. It is important to incorporate other evidence-based interventions, such as cognitive-behavioral therapy (CBT) techniques, into the treatment plan to address the underlying causes of panic attacks.

C. Use simple words to describe procedures to the client: Individuals with panic disorder may experience difficulty processing information and focusing during panic attacks or periods of heightened anxiety. Using simple and clear language to describe procedures can help reduce confusion and alleviate anxiety in these situations. It is important to provide information in a calm and reassuring manner to facilitate understanding and cooperation.

D. Avoid discussing topics that can trigger a panic attack: While it is important to be mindful of potential triggers for panic attacks, avoiding all discussion of triggering topics may not be practical or helpful in the long term. Instead, the nurse should work collaboratively with the client to identify triggers and develop coping strategies to manage them effectively. Avoidance alone may reinforce avoidance behaviors and perpetuate anxiety.

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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? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?

A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

A nurse is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect?

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