A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Hold the child during assessments.
Maintain extended eye contact.
Engage in cooperative play.
Establish a reward system.
The Correct Answer is D
A. Holding the child may increase distress in a child with autism. It's better to respect the child’s need for personal space.
B. Maintaining extended eye contact can be overwhelming for children with autism and may increase anxiety.
C. Cooperative play is typically difficult for preschoolers with autism due to social communication challenges, so individualized approaches are preferred.
D. Establishing a reward system can be effective in reinforcing positive behavior and encouraging cooperation in a preschooler with autism spectrum disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The anesthesiologist would typically explain their role, but the primary responsibility for explaining the procedure lies with the provider performing it.
B. If a guardian does not understand the procedure, the nurse should notify the provider to ensure that the guardian receives a full explanation. The provider is responsible for clarifying any misunderstandings regarding the procedure.
C. While the nurse can provide general information, the provider must explain the details of the procedure to ensure informed consent is obtained.
D. The nurse should not witness the consent unless the guardian fully understands and consents to the procedure.
Correct Answer is C
Explanation
A. A newborn is not a playmate for a 3-year-old, which could lead to unrealistic expectations and frustration when the baby cannot actively engage in play.
B. Preparing the child for changes in their routine helps them adjust better to the arrival of a new sibling, which may affect their daily life, such as parental attention and activities.
C. Providing a doll for the older child to imitate parental behaviors helps them feel included and prepared for their new sibling. This encourages positive sibling interaction, reduces feelings of jealousy, and allows the child to practice nurturing behaviors in a fun, engaging way.
D. Moving the child to a bed before the newborn arrives may increase anxiety and should be done based on the child's readiness rather than waiting for the baby.
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