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?

Establish a reward system.

Hold the child during assessments.

Maintain extended eye contact.

Engage in cooperative play.

Answer and Explanation

The Correct Answer is A

A.   Many children with autism respond well to structured reward systems. This can help motivate desired behaviors and reduce challenging ones.
B.   Children with autism often have sensory sensitivities. Holding them during assessments might cause anxiety or distress. It's important to respect their personal space and allow them to feel comfortable.
C.   Many children with autism find eye contact overwhelming. Focusing on other communication cues and respecting their comfort level is more appropriate.
D.   Cooperative play can be challenging for children with autism, who often prefer solitary or parallel play. It's important to respect their play preferences and provide opportunities for enjoyable activities.

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Correct Answer is A

Explanation

A. A quick-release knot allows for the restraints to be removed swiftly in case of an emergency. This is important to ensure that the child can be freed quickly if needed, such as if there is a sudden change in the child’s condition or an emergency arises.
B. This is not adequate for ensuring the child’s safety. Regular assessments are critical for monitoring the child's physical condition, circulation, and overall comfort while in restraints. Typically, the child should be assessed at least every 15-30 minutes, depending on the facility’s policy and the child’s condition, to prevent complications such as skin breakdown, impaired circulation, or increased distress.
C. The renewal of a restraint order typically must occur more frequently than every 48 hours. According to most regulations and facility policies, restraint orders are usually valid for a shorter period, often 24 hours, and must be renewed daily by a provider.
D. This is not appropriate and can be dangerous. Restraints should never be tied to bed rails because this can cause serious injury if the child moves or if there is any sudden movement of the bed. Instead, restraints should be secured to a part of the bed frame that moves with the bed and does not pose a risk of injury. Proper restraint attachment helps avoid entrapment and injury.

A. "My child has been doing Kegel exercises to strengthen their pelvic muscles." B. "My child went to the bathroom two times when the alarm went off last night." C. "My child has been drinking a lot less since they started treatment." D. "My child held their urine for about 15 minutes before going to the bathroom."

Correct Answer is B

Explanation

A. While Kegel exercises can be beneficial for bladder control, they are not typically part of conditioning therapy for enuresis.
B. This statement indicates that the conditioning therapy (often involving a bedwetting alarm) is working. The child is waking up and responding to the urge to urinate.
C. Reducing fluid intake is not a recommended approach for enuresis treatment. Adequate hydration is important for overall health and bladder function.
D. While bladder control is important, holding urine for extended periods is not the goal of enuresis treatment. The focus is on waking up and responding to the urge to urinate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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