A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?

Promoting social skills and communication development

Administering medications to manage symptoms

Implementing strict routines and schedules

Providing sensory stimulation to reduce hyperactivity

Answer and Explanation

The Correct Answer is A

A. Promoting social skills and communication development: This is a priority because individuals with Asperger's disorder often struggle with social interactions and communication. Interventions focus on improving these skills to enhance their quality of life and ability to function in society.

B. Administering medications to manage symptoms: While medications may be prescribed for co-occurring conditions (e.g., anxiety, ADHD), they are not typically the primary intervention for core symptoms of Asperger's disorder.

C. Implementing strict routines and schedules: Routine and structure can be beneficial for individuals with Asperger's disorder but are not the primary focus compared to social and communication skills.

D. Providing sensory stimulation to reduce hyperactivity: Sensory issues can be part of Asperger's disorder, but it is not the priority over social and communication development.

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Correct Answer is D

Explanation

. Use physical restraints during severe outbursts to ensure safety. Physical restraints are not appropriate for managing behavioural issues in children with ODD. They can escalate the situation, cause physical harm, and damage the trust between the child and caregivers.

B. Assign daily chores that are challenging to encourage discipline. While chores can teach responsibility, assigning challenging tasks is not appropriate for managing ODD and could lead to frustration and further defiance.

C. Encourage solitary play to reduce social stressors. Solitary play might reduce social stress but does not address the underlying behavioural issues of ODD. Social skills and interactions need to be improved rather than avoided.

D. Put into practice consistent consequences for rule-breaking behaviour. Consistent consequences help the child understand the link between behaviour and outcomes, which is crucial for managing ODD. It provides structure and clear expectations, which are essential for children with behavioral issues.

A. Rotate assignment of daily caregivers. B. Limit time for the client to perform activities. C. Provide guidance for tasks one step at a time. D. Provide an activity schedule that changes from day to day.

Correct Answer is C

Explanation

A. Rotate assignment of daily caregivers: Consistency in caregivers helps minimize confusion and anxiety for Alzheimer’s patients.

B. Limit time for the client to perform activities: Allowing more time can reduce frustration and improve the chance of successful task completion.

C. Provide guidance for tasks one step at a time: Breaking tasks into simple, manageable steps helps Alzheimer’s patients complete them more easily and reduces confusion.

D. Provide an activity schedule that changes from day to day: Consistency in routine is important for patients with Alzheimer’s to reduce confusion and anxiety

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A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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