RN MENTAL HEALTH EXAM

RN MENTAL HEALTH EXAM ( 63 Questions)

Question 9 :

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?



Correct Answer: B

A. Initiates social interactions with caregivers:
While improving social interactions is a valuable goal, individuals with autism spectrum disorder (ASD) often struggle with social communication. Initiating social interactions can be challenging for them due to difficulties in understanding social cues and reciprocal communication. Setting this goal might be too ambitious without considering the individual's specific abilities and progress in social skills development.

B. Meets own needs without manipulating others:
This is a suitable goal for an individual with ASD. Many individuals with ASD can learn self-help skills and independence, such as personal hygiene, dressing, and basic communication, allowing them to meet their own needs. Teaching them to meet their needs without resorting to manipulation is important for fostering independence and appropriate social behavior.

C. Changes behavior as a result of peer pressure:
Individuals with ASD often struggle with understanding and responding to social cues, making it difficult for them to change their behavior based on peer pressure. Setting a goal related to conforming to peer pressure may not be realistic or developmentally appropriate for someone with ASD. Instead, interventions should focus on developing appropriate social skills and fostering self-confidence.

D. Acknowledges that his delusions are not real:
Delusions, which are false beliefs that are strongly held despite evidence to the contrary, are not typically a part of ASD. ASD is characterized by challenges in social communication, repetitive behaviors, and restricted interests. Setting a goal related to delusions is not relevant to the core features of ASD and may indicate a misunderstanding of the disorder's characteristics. Goals should be focused on addressing the specific challenges associated with ASD, such as social communication and sensory sensitivities.
 


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