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 C

Explanation

A. Use detailed explanations when providing education to the client: Providing detailed explanations can help the client better understand their condition and treatment, which is essential for managing obsessive-compulsive disorder (OCD). This intervention promotes client education and empowerment, enabling them to participate more effectively in their care and treatment.

B. Maintain a stimulating environment for the client: Individuals with OCD often benefit from a calm and organized environment rather than a stimulating one. A stimulating environment might exacerbate anxiety and OCD symptoms. Therefore, maintaining a calm and structured environment is typically more beneficial for clients with OCD.

C. Provide the client with a structured schedule of daily activities: Providing a structured schedule of daily activities can help regulate the client's routine and provide a sense of predictability, which can be comforting for individuals with OCD. A structured schedule can also help minimize the impact of OCD symptoms on daily functioning by providing a framework for completing tasks and managing time effectively.

D. Limit time for rituals to 20 minutes each day: Limiting time for rituals to a specific duration each day may not be appropriate or effective for all clients with OCD. While gradual exposure and response prevention (ERP) therapy may involve gradually reducing the time spent on rituals, setting a specific time limit may not address the underlying causes of OCD and could potentially increase anxiety and distress for the client.

A. Give the client a cup of hot black tea before bed B. Wake the client at the same time each morning C. Take me cent for a walk 2 he before bedtime each might D. Allow the client to take a 90-min nap immediately after lunch

Correct Answer is B

Explanation

A. Give the client a cup of hot black tea before bed: Consuming caffeinated beverages such as black tea before bed can interfere with sleep and exacerbate sleep disturbances. This instruction is not appropriate for addressing sleep issues in Alzheimer's disease.

B. Wake the client at the same time each morning: Maintaining a consistent wake-up time can help regulate the client's sleep-wake cycle and promote better sleep hygiene. Consistency in waking time is an important aspect of managing sleep disturbances in Alzheimer's disease.

C. Take the client for a walk 2 hours before bedtime each night: Engaging in physical activity during the day, including taking a walk, can promote better sleep patterns. However, engaging in vigorous physical activity close to bedtime may have the opposite effect and disrupt sleep.

D. Allow the client to take a 90-min nap immediately after lunch: While brief daytime naps may be beneficial for some individuals with Alzheimer's disease, allowing a 90-minute nap immediately after lunch may interfere with the client's ability to consolidate nighttime sleep and worsen sleep disturbances.

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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

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Correct Answer is C

Explanation

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Correct Answer is B

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