Nokea
The nurse is caring for a 3½-year-old child with autism who has been hospitalized. The child rocks continuously without any danger present to the child?s safety. Which intervention by the nurse would be most appropriate?
- A. Continue to monitor the child?s behaviors.
- B. Hold the child until the child stops rocking.
- C. Ignore the child?s rocking behavior.
- D. Place the child in a time out area until the rocking stops.
Correct Answer: C
Rationale: Rocking is a common self-soothing behavior in children with autism and is not harmful in this context. Ignoring the behavior (option C) is most appropriate, as it avoids reinforcing or escalating the behavior while ensuring safety. Option A is passive and less specific. Options B and D could distress the child and are inappropriate for non-harmful behaviors.
You may also like to solve these questions
After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?
- A. We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention.
- B. We need to be careful so he doesn?t develop a substance abuse problem as he grows older.
- C. We should stop the medication after 2 months to see how effective it is in really controlling his symptoms.
- D. We should set up regular routines for him but not worry if he violates the limits once in a while.
Correct Answer: A
Rationale: The statement in option A reflects an accurate understanding of ADHD as a disorder of impulse control and attention, not a reflection of the child?s character, indicating effective teaching. Option B is a concern but not directly related to core understanding. Option C is incorrect, as stopping medication abruptly is not advisable. Option D is partially correct but downplays the importance of consistent limits.
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
- A. Having the child recount the reason for the time out
- B. Clearly identifying what is required for the child
- C. Informing the child what will happen because of the behavior
- D. Placing the child in a designated area removed from others
Correct Answer: B
Rationale: The first step in implementing time out is to clearly identify the expected behavior (option B), as this sets the foundation for the child to understand what actions lead to consequences. Options A, C, and D follow later in the process.
The nurse is preparing to initiate a behavioral treatment program for a child with encopresis. Which of the following would the nurse most likely implement first?
- A. Administration of mineral oil
- B. Bowel Cleansing
- C. Low-fiber diet
- D. Toilet sitting after each meal
Correct Answer: B
Rationale: For encopresis, the first step is typically bowel cleansing to address any fecal impaction, which can contribute to involuntary soiling. Mineral oil (option A) or toilet sitting (option D) may follow, and a low-fiber diet (option C) is counterproductive, as high fiber is preferred.
The nurse is caring for a family with a 3-year-old child who has autism disorders. When developing the teaching plan for the parents, which of the following would the nurse most likely include?
- A. The child is at higher risk for seizure disorders as well.
- B. The child?s IQ will typically be higher than that of other children.
- C. Dyslexia also may be a comorbid condition.
- D. A structured physical environment is an important aspect.
Correct Answer: D
Rationale: A structured physical environment is critical for children with autism, as it provides predictability and reduces sensory overload, aiding in behavior management and learning. Option A is true but less central to a teaching plan unless seizures are present. Option B is incorrect, as autism is often associated with a range of IQ levels, not necessarily higher. Option C is less relevant, as dyslexia is not a common comorbidity with autism.
The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?
- A. Locating suitable residential placement for the child
- B. Finding a foster home for the child
- C. Achieving independent functioning of the child as an adult
- D. Preventing the onset of psychiatric disorders in the child
Correct Answer: C
Rationale: For a child with mild mental retardation, realistic long-term goals focus on maximizing independence to the extent possible. Mild mental retardation typically allows individuals to achieve some level of independent functioning as adults, such as living in supported environments or performing simple jobs with guidance. Options A and B (residential placement or foster home) are premature and not necessarily appropriate for mild cases, as they imply more severe disability. Option D is less feasible, as psychiatric disorders may not be preventable due to the complexity of mental health conditions.