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 C
Explanation
Choice A reason: Body dysmorphic disorder involves preoccupation with a perceived defect in appearance that is not observable or appears slight to others. In this case, her concern is secondary to hair-pulling behavior rather than a primary body image distortion.
Choice B reason: Delusional disorder, somatic type, involves fixed false beliefs about bodily functions or appearance. The patient does not have delusional beliefs but engages in repetitive hair-pulling behavior.
Choice C reason: This is correct. Trichotillomania is a body-focused repetitive behavior characterized by recurrent hair-pulling, resulting in noticeable hair loss or scarring, accompanied by distress or functional impairment. The patient’s pattern of pulling and distress fits the diagnostic criteria.
Choice D reason: Normal age-appropriate concerns about appearance would not involve repetitive behaviors causing scarring. The severity and physical consequences distinguish this from typical adolescent self-consciousness.
Correct Answer is B
Explanation
Choice A reason: Rolling the patient into the recovery position is an essential intervention during a seizure. This helps maintain an open airway and prevents aspiration if the patient vomits. It is a safe and recommended practice to protect the patient without causing harm.
Choice B reason: Restraining a patient during a tonic-clonic seizure can cause injury to both the patient and the healthcare provider. It is contraindicated because it can lead to broken bones, joint dislocations, and soft tissue injuries. The safest approach is to ensure the area around the patient is clear and allow the seizure to run its course while maintaining airway and safety.
Choice C reason: Maintaining the patient’s airway is critical during a seizure to prevent hypoxia and aspiration. Interventions can include positioning the patient on their side, suctioning secretions if necessary, and monitoring for respiratory compromise. This is a recommended and life-saving action.
Choice D reason: Obtaining IV access, if possible, is important for rapid administration of emergency medications if the seizure is prolonged or complications arise. While not immediately necessary during the seizure onset, it is appropriate to prepare for potential interventions safely.
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