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 D
Explanation
A. "Your child might need to have their tonsils and adenoids removed." Removal of tonsils and adenoids is not typically related to cystic fibrosis management. This statement is not accurate in the context of cystic fibrosis home care.
B. "Your child will take isoniazid for 9 months." Isoniazid is used for the treatment or prevention of tuberculosis, not cystic fibrosis. This statement is not relevant to cystic fibrosis.
C. "Your child will have chest x-rays periodically to monitor for disease reactivation." Periodic chest x-rays are more commonly used to monitor lung infections and complications in cystic fibrosis patients, not specifically for disease reactivation.
D. "Your child should take pancreatic enzymes with meals and snacks." Children with cystic fibrosis often have pancreatic insufficiency, requiring pancreatic enzyme supplements with meals and snacks to aid digestion and nutrient absorption.
Correct Answer is A
Explanation
A. "Your baby's crying is a way to communicate with you." Correct. This response validates the parent's concern and provides an understanding that crying is a normal behaviour for infants as a form of communication.
B. "Why do you feel like your baby cries a lot?" This question might make the parent feel defensive and does not provide reassurance or helpful information about infant behaviour.
C. "Is it possible that you have spoiled your baby?" This response is inappropriate and can make the parent feel judged or blamed. It also suggests a misunderstanding of infant development, as infants cannot be spoiled by responding to their needs.
D. "Letting your baby cry will teach them how to self-soothe." This advice is not suitable for a 1-month-old infant, as they are too young to self-soothe and need their caregivers to respond to their needs for comfort and care.
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