Nokea
When providing care for the 3-year-old autistic child, which behavior is the nurse most likely to note?
- A. Constant use of the words 'I' and 'me'
- B. Insensitivity to pain
- C. Flexibility in normal routine
- D. Increased interest in others' actions
Correct Answer: B
Rationale: Insensitivity to pain is common in autism.
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If and when the autistic child actually makes an effort to self-feed, which of the following suggestions is most appropriate for the nurse to make?
- A. Note if the self-feeding effort is repeated.
- B. Stop feeding the child thereafter.
- C. Demonstrate approval in some way.
- D. Offer food more frequently during the day.
Correct Answer: C
Rationale: Positive reinforcement encourages repetition of desired behaviors.
Which of the following is the best indication that haloperidol (Haldol) is achieving a therapeutic effect?
- A. The client no longer hears voices.
- B. The client sleeps more than before.
- C. The client thinks of himself or herself as a good person.
- D. The client feels more energetic and rested.
Correct Answer: A
Rationale: Reduction in hallucinations indicates therapeutic efficacy.
Which rationale is the best justification for openly discussing the child's prognosis?
- A. In this age group, children already have a sense that death is a possibility.
- B. Sharing prevents the child from dealing with fears alone.
- C. Concealing the truth will be very difficult.
- D. Being less than honest is immoral and unethical.
Correct Answer: B
Rationale: Sharing allows the child to express fears with support, reducing isolation.
The nurse recognizes that methylphenidate hydrochloride (Ritalin) is classified as which type of drug?
- A. Central nervous system depressant
- B. Central nervous system stimulant
- C. Antidepressant
- D. Tranquilizer
Correct Answer: B
Rationale: Methylphenidate is a CNS stimulant used for ADHD.
After conferring with the nurse, which response by the receptionist to the mother is most appropriate at this time?
- A. The clinic cannot release that information.
- B. Your daughter will return the phone call shortly.
- C. You may talk to your daughter after her examination.
- D. Your daughter came to the clinic for birth control.
Correct Answer: A
Rationale: Confidentiality protects the teen's privacy, especially for reproductive health.