Which of the following should be the appropriate action by a nurse attempting to develop a therapeutic relationship with a client?

Choice A reason:

Notifying the facility chaplain to request scheduling an appointment may be helpful for some clients, but it assumes the client's willingness or desire for spiritual support. It should not be the first action taken without assessing the client's preferences and needs.

Choice B reason:

Confirming that everything will be all right because belongings can be replaced may seem reassuring, but it can also come across as dismissive of the client's emotional distress. Material possessions often have sentimental value, and their loss can be deeply traumatic beyond their monetary worth.

Choice C reason:

Identifying other housing options and sources of transportation is a practical step and may eventually be part of the care plan. However, it should not be the immediate focus when the client is in acute emotional distress and unable to think clearly.

Choice D reason:

Maintaining eye contact with the client and summarizing the client's feelings is an empathetic approach that validates the client's experience. It demonstrates active listening and provides emotional support, which is crucial in the immediate aftermath of a traumatic event.

Choice A Reason:

Ritualistic behavior is a common characteristic of autism spectrum disorder (ASD). Children with ASD may engage in routines or rituals and may become distressed if these routines are disrupted. This behavior provides a sense of order and predictability for them.

Choice B Reason:

A short attention span is often observed in children with ASD. They may have difficulty focusing on tasks or activities that do not interest them, which can affect their learning and social interactions.

Choice C Reason:

Repetitive behaviors, such as spinning a toy, are hallmark signs of ASD. These behaviors are often referred to as "stimming" and can serve various functions, including self-regulation and sensory processing.

Choice D Reason:

Consistent limit testing is not typically associated with ASD. While children with ASD may have difficulty understanding social norms and boundaries, limit testing implies a behavioral response that is not characteristic of the core symptoms of ASD.

Choice E Reason:

Delayed language development is a common finding in children with ASD. They may have limited speech or not speak at all, and those who do talk often have difficulty with the use of language in a social context.