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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Toddlers are typically moving towards independence, not increased dependency. This is a stage of exploration and asserting their autonomy.
B. Toddlers are known for their intense emotions and rapid mood swings. This is a normal part of their development.
C. While toddlers can be unpredictable, they often thrive on routines. However, they also enjoy exploring new things, which can sometimes lead to resistance to established routines.
D. The "terrible twos" is a common phrase for a reason. Toddlers often assert their independence through negative responses, such as saying "no" or throwing tantrums.
Correct Answer is A
Explanation
A. The FLACC (Faces, Legs, Activity, Cry, Consolability) pain scale is ideal for assessing pain in toddlers, especially those who are cognitively impaired. It relies on observable behaviors rather than self-report.
B. A visual analog scale requires the patient to rate pain on a linear scale, which is not suitable for a toddler, especially one who is cognitively impaired.
C. While the FACES pain scale is useful for older children who can understand facial expressions, it is not appropriate for toddlers, especially those with cognitive impairments.
D. The CRIES pain scale is primarily used for neonates, not toddlers.
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