A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Stay with the child for long periods of time.
Give the child three options when making choices.
Explain procedures in detail to the child.
Introduce the child to new situations slowly.
The Correct Answer is D
A. Stay with the child for long periods of time. Children with autism spectrum disorder (ASD) often have difficulties with social interactions and can become overstimulated easily. Staying with the child for long periods may increase anxiety and overstimulation.
B. Give the child three options when making choices. Children with ASD may have difficulty processing multiple choices and can become overwhelmed. Providing too many options can lead to confusion and frustration. A more effective strategy is to offer limited choices, ideally two, to simplify decision-making.
C. Explain procedures in detail to the child. While it's important to explain procedures to all children, those with ASD may find detailed explanations overwhelming. They often benefit from simple, clear, and concise instructions paired with visual supports.
D. Introduce the child to new situations slowly. Correct. Children with ASD often struggle with changes in routine and new situations. Introducing changes slowly helps them adjust gradually and reduces anxiety and behavioural issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B"}
Explanation
The nurse should first: b. Keep the child NPO.
Rationale:
In this scenario, the child may have ingested a battery, which can cause serious complications such as chemical burns if it gets stuck in the esophagus. Keeping the child NPO (nothing by mouth) helps prevent further movement of the battery and reduces the risk of complications.
Other responses:
a. Obtain informed consent: While obtaining informed consent may be necessary for certain diagnostic or treatment procedures, the immediate priority is to ensure the child's safety and prevent complications from the suspected battery ingestion.
c. Teach the child's parents the importance of inspecting the child's play area: While this is an important aspect of preventing accidents, it is not the immediate priority when the child is at risk of battery ingestion. Ensuring the child's safety and preventing further harm take precedence.
Correct Answer is C
Explanation
A. Stevens-Johnson syndrome. Incorrect. While Stevens-Johnson syndrome is a severe adverse effect of some medications, it is not commonly associated with morphine.
B. Prolonged wound healing. Incorrect. Morphine does not typically affect wound healing.
C. Nausea. Correct. Nausea is a common side effect of opioids like morphine.
D. Renal failure. Incorrect. While morphine can have some effects on renal function, it is not commonly associated with causing renal failure directly.
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