Why might children with ASD show an increased risk for developing anxiety?

Difficulty in communication and social isolation.

Improved sensory regulation abilities.

Better sleep quality compared to peers outside the spectrum.

Enhanced ability to manage stressful social situations.

Answer and Explanation

The Correct Answer is A

A. Difficulty in communication and social isolation is correct. autism spectrum disorder often impairs a child’s ability to understand social cues, express needs, and engage with peers, which can lead to frustration, uncertainty, and isolation. These challenges create an environment where anxiety is more likely to develop, particularly in unfamiliar or socially demanding situations.

B. Improved sensory regulation abilities is incorrect. Children with ASD often experience sensory sensitivities or dysregulation, which can increase anxiety, not reduce it. Improved regulation would theoretically decrease anxiety, which is not typical in ASD.

C. Better sleep quality compared to peers outside the spectrum is incorrect. Many children with ASD experience sleep disturbances, which can exacerbate anxiety rather than protect against it.

D. Enhanced ability to manage stressful social situations is incorrect. Children with ASD generally have difficulty managing social stress, contributing to heightened anxiety, not an enhanced ability to cope.

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Free Nursing Study Resources

Correct Answer is ["A","D","E","F"]

Explanation

A. Abusive individuals frequently use intimidation, threats, or coercion to control others. This can be verbal, emotional, or physical and serves to maintain power and dominance over victims. Recognizing this behavior allows nurses to implement safety measures for both staff and other clients.

B. Communication style alone, such as brevity of speech, is not a reliable indicator of abusive tendencies. Abusers may be articulate or manipulative in speech; the key factor is their pattern of controlling or aggressive behavior, not sentence length.

C. Bravery or courage is a neutral trait and is not directly linked to a history of abuse. While abusers may present as confident, the presence of “bravery” does not predict abusive behavior.

D. Abusive individuals often have poor impulse control and may react aggressively when frustrated, annoyed, or challenged. Low frustration tolerance can manifest as verbal outbursts, threats, or physical aggression, making this a key behavioral marker.

E. Many perpetrators of abuse struggle with underlying insecurities. Aggression, control, or manipulation is sometimes a way to compensate for feelings of inadequacy or low self-worth. Recognizing low self-esteem can inform interventions aimed at behavioral modification or therapy.

F. Abusive individuals may exhibit controlling and demanding behaviors, expecting others to comply with their wishes and reacting negatively when boundaries are set or expectations are unmet. This trait reinforces the power imbalance often central to abusive dynamics.

A. Encourage the client to express pain using long sentences. B. Administer pain medications based on verbal reports only. C. Monitor for behavioral cues such as guarding or grimacing. D. Presume no pain unless the client reports it directly.

Correct Answer is C

Explanation

A. Encouraging the client to express pain using long sentences is inappropriate. Elderly clients with cognitive impairment may have difficulty articulating pain verbally, so expecting complex verbal descriptions can lead to underassessment.

B. Administering pain medications based on verbal reports only is insufficient. Clients with cognitive impairment may underreport or be unable to communicate pain, so relying solely on verbal reports risks undertreatment.

C. Monitoring for behavioral cues such as guarding or grimacing is correct. pain assessment in cognitively impaired elderly emphasizes that nonverbal indicators—facial expressions, body movements, vocalizations, changes in activity or sleep patterns—are key to recognizing pain in this population. Nurses must assess pain through both behavioral and physiological cues, ensuring timely and appropriate pain management.

D. Presuming no pain unless the client reports it directly is unsafe and can lead to undertreatment and unnecessary suffering. Cognitive impairment often limits verbal reporting, making proactive assessment essential.

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Why might children with ASD show an increased risk for developing anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of being a perpetrator of abuse and violence. Which of following characteristics should the nurse expect the client to have? (Select All that Apply.)

Correct Answer is ["A","D","E","F"]

Explanation

What is a primary nursing consideration for elderly clients with cognitive impairment who exhibit signs of pain?

Correct Answer is C

Explanation

A nurse is caring for a client who has recently started journaling to manage stress. The nurse should identify that which of the following is an outcome for a client who uses journaling to manage stress?

An elderly client with dementia and paranoia is refusing restorative nursing care. What initial approach should the nurse take?

When assessing a client in the emergency department following a sexual assault, what is the most appropriate first action for the forensic nurse to take?

A nurse is educating parents on the signs of suicidal ideation in adolescents. Which sign should the parents be most vigilant about due to its direct association with suicide risk?

What is the most appropriate intervention for an older adult with known alcohol use disorder who presents with symptoms of alcohol withdrawal, including tremors and agitation?

A nurse interviews a client suspected of experiencing abuse in their home. What action should the nurse prioritize during the interaction?

A public health nurse is applying for a grant related to suicide prevention. When describing social groups at highest risk, which of the following should the nurse include?

A nurse is assessing a child with ASD and concurrent social withdrawal. What intervention should the nurse prioritize?