The nurse is caring for a child with Autism Spectrum Disorder. The nurse recognizes that which of the following may trigger anxiety and frustration during the hospitalization? SELECT ALL THAT APPLY

Use of consistent caregivers

Overstimulation

Illness and pain

Changes in the child's routine

Providing short simple instructions

Answer and Explanation

Correct Answer : B,C,D

A. Use of consistent caregivers is beneficial for children with Autism Spectrum Disorder as it provides stability and predictability.
B. Overstimulation from the environment (e.g., noise, lights, activity) can lead to anxiety and frustration in children with Autism Spectrum Disorder.
C. Illness and pain are distressing and can increase anxiety and frustration, especially if the child has difficulty communicating their discomfort.
D. Changes in the child's routine can be particularly unsettling and may lead to anxiety and frustration.
E. Providing short, simple instructions helps in clear communication and reduces confusion, which can minimize anxiety.

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Correct Answer is D

Explanation

A. This statement is incorrect as current research shows no credible evidence linking immunizations to autism.
B. While it might be necessary to have documentation if a parent refuses immunizations, this is not the most effective first response to the mother's concerns.
C. While it is true that parents have the right to make decisions regarding immunizations, this response does not address the mother's specific concern about autism.
D. Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.

A. Nothing, as toddler's frequently fall and have multiple injuries in the home B. Report the suspicions about abuse to the proper authorities (Child Protective Services) C. Discuss the findings with the physician to collaborate and initiate a plan of care D. Immediately verbally confront the caregivers about the suspicious injuries

Correct Answer is B

Explanation

A. It is inappropriate to dismiss suspicions of abuse based on the assumption that toddlers frequently fall and have multiple injuries.
B. The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.
C. While discussing findings with the physician can be part of the process, it does not take precedence over the mandatory reporting of suspected abuse.
D. Confronting the caregivers directly is not appropriate and may put the child at further risk.

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The nurse is caring for a child with Autism Spectrum Disorder. The nurse recognizes that which of the following may trigger anxiety and frustration during the hospitalization? SELECT ALL THAT APPLY

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?

Correct Answer is D

Explanation

An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?

Correct Answer is B

Explanation

A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

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