The mother of a 16-month-old child expresses concern that her son might have autism. Which of the following is an appropriate autism screening tool for a child of this age?
Child Behavior Checklist
Connors Teacher Rating Scale
Modified Checklist for Autism in Toddlers (M-CHAT)
Vanderbilt Teacher Rating Scale
The Correct Answer is C
Choice A reason: The Child Behavior Checklist is a broad behavioral assessment, not specific for autism, and is more suitable for older children.
Choice B reason: The Conners Teacher Rating Scale is designed to assess ADHD symptoms in school-aged children, not toddlers.
Choice C reason: This is the correct answer. The M-CHAT is a validated screening tool for autism in toddlers aged 16–30 months and is widely used for early detection of autism spectrum disorder.
Choice D reason: The Vanderbilt Teacher Rating Scale is designed for ADHD evaluation in school-aged children and is not appropriate for autism screening in toddlers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The Children’s Behavior Checklist (CBCL) assesses a broad range of emotional and behavioral problems but is less specific for diagnosing ADHD, ODD, or conduct disorder.
Choice B reason: The Child Behavior Rating Scale primarily evaluates classroom behaviors and may not capture home behaviors or provide diagnostic clarity across multiple disorders.
Choice C reason: The Conners-Wells’ Adolescent Self-Report Scale is designed for adolescents and relies on self-report, making it less appropriate for a 7-year-old child.
Choice D reason: This is correct. The Conners 3-Parent Assessment Report is a validated parent-report tool designed to evaluate ADHD, ODD, and conduct disorder in children and is appropriate for use in a 7-year-old.
Correct Answer is A
Explanation
Choice A reason: SAM-e (S-adenosylmethionine) can increase the risk of bleeding by enhancing anticoagulant effects when combined with warfarin. Patients on warfarin must avoid SAM-e due to the potential for potentiating anticoagulation and increasing the risk of hemorrhage.
Choice B reason: Omega-3 fatty acids may have mild antiplatelet effects but generally do not significantly interact with warfarin at typical dietary doses. Clinicians monitor coagulation parameters but do not universally require discontinuation.
Choice C reason: Melatonin is primarily used for sleep regulation and has minimal effect on warfarin metabolism. It does not pose a significant bleeding risk.
Choice D reason: Tryptophan is a precursor to serotonin and primarily affects mood and sleep. It has no clinically significant effect on warfarin or coagulation.
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