Which statement by the nurse would best help alleviate parental guilt about their child, George, who has been recently diagnosed with autism?

"A lack of prenatal care is a known cause of autism, but there is no way you could have predicted this."

"The specific cause of autism is unknown; however, it is known to be associated with problems in the structure of and chemicals in the brain."

"Although autism is genetically inherited, if you didn't have testing, you could not have known this would happen."

"Autism is a rare disorder. Your other children shouldn't be affected."

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is incorrect and could potentially increase feelings of guilt, as a lack of prenatal care is not a known cause of autism.

Choice B reason: This statement is accurate and can help alleviate guilt by explaining that autism is not caused by something the parents did or did not do.

Choice C reason: While it's true that parents without genetic testing could not have known, this statement does not address the feelings of guilt regarding causation.

Choice D reason: This statement is misleading because autism is not considered rare, and siblings can have an increased risk of autism spectrum disorders. It does not provide accurate information or address the parents' feelings of guilt.

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Correct Answer is C

Explanation

Choice A reason: Feeding the toddler is important, but it does not specifically address the development of autonomy or decision-making skills.

Choice B reason: Dressing the toddler is a necessary task, but it does not encourage the child's active participation or independence.

Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of control and independence, which is developmentally appropriate and empowering for the toddler.

Choice D reason: Asking the toddler if he would like to take his medicine is a good practice to involve the child in their care, but it is not as impactful on development as offering choices that promote autonomy.

A. High-pitched cry. B. Decreased lower extremity movement. C. Excessive wet diapers. D. Bulging fontanel when crying.

Correct Answer is D

Explanation

Choice A reason: A high-pitched cry can be a sign of distress in an infant, but it is not a specific indicator of increased intracranial pressure. It could be due to a variety of reasons, including discomfort, hunger, or other forms of distress.
Choice B reason: Decreased lower extremity movement could be a sign of a neurological issue, but it is not a direct indicator of increased intracranial pressure. It would require further evaluation to determine the cause.
Choice C reason: Excessive wet diapers are not typically associated with increased intracranial pressure. This symptom could be related to other conditions such as diabetes insipidus or excessive fluid intake.
Choice D reason: This is the correct choice. A bulging fontanel when crying is a classic sign of increased intracranial pressure in an infant. The fontanel, or soft spot on the baby's head, can bulge when there is increased pressure within the skull. This should be promptly evaluated by a healthcare professional.

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Which statement by the nurse would best help alleviate parental guilt about their child, George, who has been recently diagnosed with autism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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