A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

Echolalia

Ambivalence

Expressive affect

Associative looseness

Answer and Explanation

The Correct Answer is A

A. Echolalia: Echolalia, the repetition of words or phrases spoken by others, is a common characteristic of autism spectrum disorder. It can be part of the individual’s attempt to communicate or self-stimulate and may be indicative of difficulties in expressive language development.

B. Ambivalence: Ambivalence, the state of having mixed feelings or contradictory ideas about something or someone, is more commonly associated with conditions like schizophrenia, not ASD.

C. Expressive affect: Individuals with ASD often have difficulties with expressive affect, meaning they may show limited emotional expression, which contrasts with the term "expressive affect" suggesting full emotional expression.

D. Associative looseness: Associative looseness, a symptom where a person’s thoughts are disconnected and fragmented, is more characteristic of schizophrenia than ASD.

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Correct Answer is B

Explanation

A. Ensuring that the client takes care of their ADLs to prevent dependence: While maintaining independence in activities of daily living (ADLs) is important, safety takes precedence because the client may not have the cognitive ability to perform ADLs safely.

B. Ensuring that the client environment is safe to prevent injury. Safety is the priority for clients with Alzheimer's disease due to their risk of confusion, disorientation, and falls. Creating a safe environment helps prevent accidents and injuries.

C. Ensuring that the client receives food they like to prevent anxiety: Providing familiar food can help reduce anxiety, but this is secondary to ensuring safety. The primary concern is to prevent injury in a client who may be disoriented or confused.

D. Ensuring that the client meets the other patients to prevent social isolation. While social interaction is beneficial, it is not the priority in the acute care setting for someone with Alzheimer's disease. The focus should first be on the client’s immediate safety and well-being.

A. Amenorrhea B. Hyperkalemia C. Dental decay D. Lower than normal expected reference range of body weight

Correct Answer is C

Explanation

A. Amenorrhea: This is more commonly associated with anorexia nervosa rather than bulimia nervosa.

B. Hyperkalaemia: Bulimia nervosa is more likely to cause hypokalemia due to frequent vomiting, which leads to loss of potassium.

C. Dental decay: Frequent vomiting exposes teeth to stomach acid, leading to erosion of dental enamel and subsequent decay.

D. Lower than normal expected reference range of body weight: While some individuals with bulimia nervosa may have a low body weight, many maintain a normal weight or may even be overweight.

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A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is being admitted to the hospital with a neurocognitive disease due to Alzheimer's disease. Which action by the nurse is the priority?

Correct Answer is B

Explanation

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

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