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.
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Related Questions
Correct Answer is B
Explanation
A. Rotavirus vaccination is typically given in infancy, usually starting at 2 months of age, so it would not be administered to a 5-year-old child who is already up-to-date with the immunization schedule.
B. Varicella (chickenpox) vaccine is routinely administered around 12-15 months of age with a booster dose typically given between 4-6 years of age. Therefore, a 5- year-old child would receive the booster dose if not already administered.
C. Haemophilus influenzae type b (Hib) vaccine is usually completed by 15 months of age, so it would not be administered to a 5-year-old child who is already up-to- date with the immunization schedule.
D. Hepatitis B vaccine is typically administered at birth, 1-2 months, and 6-18 months of age, so a 5-year-old child who is up-to-date with immunizations would have already received the series.
Correct Answer is B
Explanation
A. Encouraging flexion and extension of the neck is contraindicated in a client with a halo vest to prevent further injury to the cervical spine.
B. Repositioning the client using a turning sheet helps to maintain proper alignment and prevent complications such as pressure ulcers.
C. Assessing the pin sites for infection should be done daily, not once every other day, to monitor for signs of infection.
D. Tightening the screws on the halo device should be done as prescribed by the healthcare provider and typically does not occur every 48 hours.
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