A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?

Expressive affect

Ambivalence

Echolalia

Associative looseness

Answer and Explanation

The Correct Answer is C

A. Expressive affect: Individuals with autism spectrum disorder (ASD) often have difficulty expressing their emotions in a typical manner. They may display a restricted range of facial expressions or have difficulty conveying emotions through facial expressions and gestures. However, "expressive affect" typically refers to the appropriate display of emotions, which may not be characteristic of ASD.

B. Ambivalence: Ambivalence refers to conflicting feelings or attitudes about a situation or person. While individuals with ASD may experience a range of emotions, including ambivalence, it is not a specific characteristic associated with the disorder. Ambivalence is a common human experience and may occur in individuals with or without ASD.

C. Echolalia: Echolalia is a common communication characteristic observed in individuals with ASD. It involves the repetition or echoing of words or phrases spoken by others. This behavior may occur immediately after hearing the words or phrases (immediate echolalia) or may be delayed. Echolalia can serve various functions, including communication, self-regulation, or expression of anxiety.

D. Associative looseness: Associative looseness is a thought disorder characterized by a lack of logical connection between thoughts and ideas. It is typically associated with conditions such as schizophrenia rather than ASD. Individuals with ASD may exhibit difficulties with social communication, including challenges in maintaining conversations or understanding social cues, but this is different from the disorganized thinking observed in associative looseness.

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Correct Answer is B

Explanation

A. Reprimand the client about the potential damage that has occurred due to overexercising her body: Reprimanding the client is not a therapeutic approach and may worsen the client's feelings of guilt or shame. It's essential to approach clients with eating disorders with empathy and understanding rather than criticism.

B. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise: Encouraging the client to communicate with a nurse when she feels the urge to exercise is a supportive intervention. This allows the nurse to provide assistance, encouragement, or distraction techniques to help the client cope with the urge in a healthier way.

C. Praise the client for looking at herself in a mirror: Praising the client for looking at herself in a mirror may inadvertently reinforce body image concerns or obsessive behaviors related to appearance. Instead of focusing on the client's appearance, it's important to encourage behaviors and thoughts that promote self-acceptance and body positivity.

D. Restrict the client from being weighed: Restricting the client from being weighed may exacerbate anxiety and control issues related to weight. It's essential to monitor the client's weight as part of their overall health assessment and treatment plan. However, discussions about weight should be conducted sensitively and in collaboration with the client, focusing on health rather than numbers.

A. Unaware of compulsions B. Irrational fear of certain objects C. Perfectionist behavior D. Difficulty relaxing E. Rule conscious behavior

Correct Answer is ["C","D","E"]

Explanation

A. Unaware of compulsions: Clients with obsessive-compulsive disorder (OCD) are usually aware of their compulsions, which are repetitive behaviors or mental acts performed in response to obsessions. Compulsions are typically recognized by the individual as excessive or unreasonable, although they feel driven to perform them.

B. Irrational fear of certain objects: While individuals with OCD may experience irrational fears or obsessions, these are not exclusive to the disorder. Phobias, generalized anxiety disorder, and other conditions can also involve irrational fears of specific objects or situations. OCD is characterized more by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) rather than specific fears.

C. Perfectionist behavior: Perfectionism is a common characteristic of OCD. Individuals with OCD often feel a strong need for things to be perfect or "just right." They may spend excessive amounts of time on tasks to ensure perfection or may be overly concerned with order, symmetry, or cleanliness.

D. Difficulty relaxing: Individuals with OCD often experience significant anxiety related to their obsessions and compulsions. This can make it difficult for them to relax or feel at ease, as their symptoms may constantly occupy their thoughts and compel them to engage in repetitive behaviors.

E. Rule conscious behavior: People with OCD often exhibit rule-bound or rule-conscious behavior. They may adhere rigidly to specific routines, rituals, or rules in an attempt to alleviate anxiety or prevent perceived negative consequences associated with their obsessions. This behavior can manifest as strict adherence to self-imposed rules or rituals, even when these behaviors are not logically connected to the obsession.

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A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is ["C","D","E"]

Explanation

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