A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?
The client has multiple motor tics and several vocal tics.
The client becomes overly atached to those around the client.
The client spends time alone and shows litle interest in making friends.
The client has an irresistible urge to pull out the client's own hair.
The Correct Answer is C
Choice A reason: Multiple motor and vocal tics are more characteristic of Tourete syndrome, not autism spectrum disorder.
Choice B reason: Overly atached behavior is not typically associated with autism spectrum disorder; individuals with ASD often have difficulty with social atachments.
Choice C reason: This is correct. Individuals with autism spectrum disorder often prefer solitary activities and may show limited interest in social interactions.
Choice D reason: An irresistible urge to pull out one's hair is indicative of trichotillomania, not autism spectrum disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Given the client has not eaten for several days, addressing nutritional needs is a priority to prevent further physical health complications.
Choice B reason: While there may be a risk for violence, the immediate physical health needs related to nutrition are more pressing.
Choice C reason: Ineffective health maintenance may be a concern, but it is not as immediate as the risk posed by imbalanced nutrition.
Choice D reason: There is no indication in the text that the client is at risk for suicide; therefore, this would not be the priority without further assessment.
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