A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

Echolalia

Ambivalence

Expressive affect

Associative looseness

Answer and Explanation

The Correct Answer is A

A. Echolalia: Echolalia, the repetition of words or phrases spoken by others, is a common characteristic of autism spectrum disorder. It can be part of the individual’s attempt to communicate or self-stimulate and may be indicative of difficulties in expressive language development.

B. Ambivalence: Ambivalence, the state of having mixed feelings or contradictory ideas about something or someone, is more commonly associated with conditions like schizophrenia, not ASD.

C. Expressive affect: Individuals with ASD often have difficulties with expressive affect, meaning they may show limited emotional expression, which contrasts with the term "expressive affect" suggesting full emotional expression.

D. Associative looseness: Associative looseness, a symptom where a person’s thoughts are disconnected and fragmented, is more characteristic of schizophrenia than ASD.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The adolescent is at greatest risk for: i. Impaired social interaction as evidenced by the adolescent's ii. discourteous behavior.

Rationale: The adolescent's behavior, such as sneaking out, roaming the neighborhood alone, and not following teachers' directions, indicates difficulties in interacting appropriately within social contexts and respecting boundaries, which can lead to impaired social interactions.

A. Evaluate liver function B. Check for blood glucose levels C. Assess for signs of infection D. Monitor for electrolyte alterations

Correct Answer is D

Explanation

A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.

B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.

C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.

D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.

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A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for an adolescent. Exhibits Complete the following sentence by using the lists of options. The adolescent is at greatest risk for dropdown as evidenced by the adolescent's dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

A nurse is caring for a client with Anorexia. When reviewing the labs for a client with Anorexia, what is the nurse's priority?

Correct Answer is D

Explanation

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