A nurse is caring for a school-age child who has autism spectrum disorder and has difficulty expressing emotions. Which of the following interventions should the nurse include in the child's plan of care?
Use progressive muscle relaxation exercises with the child.
Teach the child guided imagery techniques.
Provide extended play sessions for the child with other children.
Implement art therapy for emotional expression.
The Correct Answer is D
Choice A reason: Progressive muscle relaxation may help reduce anxiety, but it requires a level of cognitive and emotional awareness that may be challenging for children with autism who struggle with emotional expression.
Choice B reason: Guided imagery is a cognitive strategy that may be difficult for children with autism due to challenges with abstract thinking and imagination.
Choice C reason: Extended play sessions with peers may be overwhelming or counterproductive for children with autism, especially if they have difficulty with social reciprocity or sensory processing.
Choice D reason: Art therapy is a developmentally appropriate and evidence-based intervention that allows children with autism to express emotions nonverbally, supporting emotional regulation and communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Rheumatoid arthritis is not a contraindication for ECT unless it involves cervical spine instability. It should be assessed but is not an immediate concern.
Choice B reason: Kidney failure requires monitoring of fluid and electrolyte balance but is not a direct contraindication to ECT.
Choice C reason: Congestive heart failure poses a significant risk due to the hemodynamic changes induced by ECT, including sympathetic stimulation and increased cardiac workload. This must be reported and evaluated.
Choice D reason: Diabetes requires glucose monitoring but does not contraindicate ECT unless there are associated cardiovascular complications.
Correct Answer is A
Explanation
Choice A reason: Assisting with self-care needs such as hygiene, dressing, and feeding is within the scope of practice for assistive personnel. These tasks do not require clinical judgment and support the client’s daily functioning.
Choice B reason: Monitoring for command hallucinations requires clinical assessment and interpretation, which must be performed by a licensed nurse. It involves evaluating risk and safety concerns.
Choice C reason: Reinforcing teaching involves understanding the care plan and evaluating client comprehension, which is outside the scope of assistive personnel. It requires nursing knowledge and judgment.
Choice D reason: Exploring a client’s feelings is part of therapeutic communication and requires advanced interpersonal skills and clinical insight. This is a nursing responsibility and cannot be delegated.
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