A nurse is conducting a group therapy meeting and shares a humorous story. When the group laughs at the story, a client diagnosed with schizophrenia jumps up and runs out while yelling, 'You are all making fun of me.' The nurse recognizes that the client is displaying which of the following behaviors?"

Choice A reason:

Expecting a child with ASD to communicate all needs verbally by discharge may not be realistic, as communication challenges are a core feature of ASD. Some individuals with ASD may never develop verbal communication skills and may rely on alternative methods of communication.

Choice B reason:

Participation in team sports may be challenging for a child with ASD due to difficulties with social interaction and sensory processing. While some children with ASD may enjoy and excel in sports, expecting participation in a team sport by day 4 may not account for the individual needs and preferences of the child.

Choice C reason:

Establishing trust with a caregiver is an important goal, but the timeframe of 5 days may be too short. Building trust can take time, especially for children with ASD who may have difficulty with new relationships and changes in their environment.

Choice D reason:

Focusing on self-care tasks is a realistic and practical goal for a child with ASD. With appropriate support and interventions, many individuals with ASD can learn to perform self-care tasks independently, although the level of independence will vary based on the individual's abilities and needs.

Choice A reason:

Reality orientation is about helping individuals understand their surroundings and the current situation. The statement in question does not directly affect the child's ability to perceive reality but rather ties the parent's affection to the child's performance, which is not related to reality orientation.

Choice B reason:

A sense of responsibility is typically encouraged by allowing children to experience the consequences of their actions and decisions. The statement made by the parent does not address the child's responsibility; instead, it places the child's worth and the parent's love as conditional upon academic performance.

Choice C reason:

A sense of survival would be hindered if the child's basic needs or safety were threatened. In this scenario, the statement does not threaten the child's sense of survival but rather their emotional security and self-worth.

Choice D reason:

Unconditional love is the concept that a parent's love for their child is not based on the child's actions or achievements. The statement made by the parent suggests that their love is conditional upon the daughter's academic success, which can severely impact the child's self-esteem. Children need to know that they are loved regardless of their achievements to develop a healthy sense of self-esteem. When parental love is perceived as conditional, it can lead to feelings of insecurity and unworthiness.