A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?
Promoting social skills and communication development
Administering medications to manage symptoms
Implementing strict routines and schedules
Providing sensory stimulation to reduce hyperactivity
The Correct Answer is A
A. Promoting social skills and communication development: This is a priority because individuals with Asperger's disorder often struggle with social interactions and communication. Interventions focus on improving these skills to enhance their quality of life and ability to function in society.
B. Administering medications to manage symptoms: While medications may be prescribed for co-occurring conditions (e.g., anxiety, ADHD), they are not typically the primary intervention for core symptoms of Asperger's disorder.
C. Implementing strict routines and schedules: Routine and structure can be beneficial for individuals with Asperger's disorder but are not the primary focus compared to social and communication skills.
D. Providing sensory stimulation to reduce hyperactivity: Sensory issues can be part of Asperger's disorder, but it is not the priority over social and communication development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.
B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.
C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.
D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.
Correct Answer is D
Explanation
A. Early-stage dementia: At this stage, individuals might have some memory problems but can generally maintain independence. The symptoms described (significant memory loss, confusion, difficulty with language, and struggles with daily tasks) are more advanced than what is typically seen in early-stage dementia.
B. Mild cognitive impairment: This is a transitional stage between normal cognitive aging and dementia. It involves some memory problems and cognitive changes but not severe enough to impact daily functioning to the extent described.
C. Severe dementia: In this stage, individuals typically require assistance with most activities of daily living, have severe memory loss, and may not recognize close family members or understand their surroundings. The described symptoms do not yet indicate this level of severity.
D. Moderate dementia: This stage is characterized by more pronounced memory loss, confusion, difficulty with language, and an increasing need for help with daily tasks such as dressing and bathing, matching the client's symptoms.
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