The parents of an autistic child ask the nurse, 'Will my child ever be normal?' Which would be the most appropriate response by the nurse?
- A. You seem worried about your child's future.
- B. Autistic children can fully recover with the right treatment and education.
- C. Your child should outgrow autistic traits by adolescence.
- D. Your child will probably always have some autistic traits.
Correct Answer: D
Rationale: Autism spectrum disorder traits typically persist, with varying degrees of dependence, making this the most accurate response.
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A parent of a child with autism spectrum disorder asks the nurse if there is anything that can be done to control the child's tantrums. Which option should the nurse inform the parents that may be appropriate?
- A. Give the child rewards for resisting tantrums.
- B. Reason with the child why tantrums are not effective.
- C. Place the child in a time-out when tantrums occur.
- D. Explore the use of antipsychotic medications to control tantrums.
Correct Answer: D
Rationale: Antipsychotics like risperidone can help manage severe tantrums and related behaviors in autism, unlike reasoning or time-outs, which are less effective.
The parents of a child with ADHD express to the nurse, 'We get so frustrated when our son never minds us.' Which parenting strategies should the nurse discuss with the parents? Select all that apply.
- A. Use time-out for behavior control.
- B. Provide occasional rewards and consequences for behavior.
- C. Give verbal reprimands for negative behavior.
- D. Resist giving praise until fully compliant with requests.
- E. Use a point system for positive and negative behavior.
Correct Answer: A,C,E
Rationale: Time-outs, verbal reprimands, and point systems are effective strategies for managing ADHD behaviors consistently.
An 8-year-old with attention deficit hyperactivity disorder is jumping off the bed onto a chair. Which should be the nurse's first step?
- A. I need to talk to you.
- B. Stop that right now.
- C. You are going to hurt yourself.
- D. Why are you jumping off the bed?
Correct Answer: B
Rationale: Stopping dangerous behavior immediately is critical to ensure safety in a child with ADHD.
The nurse is assisting a child with ADHD to complete his ADLs. Which is the best approach for nurse to use with this child?
- A. Break tasks into small steps.
- B. Let the child complete tasks at his own pace.
- C. Offer rewards when all tasks are completed.
- D. Set a time limit to complete all tasks.
Correct Answer: A
Rationale: Breaking tasks into smaller steps prevents overwhelming the child and supports task completion in ADHD.
Which of the following would be important circumstances to gather assessment data for a child with ADHD? Select all that apply.
- A. Direct observation of the child
- B. Reviewing the client's record
- C. Interviewing the client's parents
- D. Interviewing the client's teachers
- E. Assessing the client in a group of peers
Correct Answer: A,C,D,E
Rationale: Direct observation, parent and teacher interviews, and peer group assessment provide comprehensive data on ADHD behaviors, unlike record review alone.
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