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?
Maintain extended eye contact.
Establish a reward system.
Engage in cooperative play.
Hold the child during assessments.
The Correct Answer is B
A. Maintaining extended eye contact may be uncomfortable or overwhelming for a child with autism spectrum disorder (ASD) and may not be an appropriate intervention.
B. Establishing a reward system can help reinforce positive behaviors and encourage desired outcomes in children with ASD.
C. Engaging in cooperative play may be challenging for a child with ASD due to difficulties with social interaction and communication.
D. Holding the child during assessments may cause distress or discomfort for a child with ASD and may not be necessary for the assessment process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. No head lag when pulled to a sitting position is a normal finding at 4 months of age and does not require notification of the provider.
B. The Doll's eye reflex (also known as oculocephalic reflex) should be absent by 4 months of age. Its persistence could indicate neurological abnormalities and warrants further evaluation by the provider.
C. Presence of tears when crying is a normal physiological response and does not require notification of the provider.
D. Positive Babinski reflex is normal in infants under 2 years old and typically disappears by 12 to 24 months of age. It does not require immediate notification of the provider.
Correct Answer is C
Explanation
A. Checking the newborn's eyes every 8 hours is not directly related to the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is not necessary for the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is important during phototherapy to prevent complications such as hypothermia or hyperthermia.
D. Applying lotion to the newborn's skin is not directly related to the management of hyperbilirubinemia or phototherapy.
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