The nurse is discussing the need for early diagnosis and treatment of autism spectrum
disorder (ASD) with parents of children suspected of having the condition.
Which statement should the nurse include?
"Early diagnosis and treatment provides the only means for a cure of ASD."
"Early diagnosis and treatment gives your child the best chance of becoming a fully
functioning adult."
"Early diagnosis and treatment provides the best way to ensure that your child can be
admitted to an assisted living facility as an adult."
"Early diagnosis and treatment prevents your child from developing any other mental
condition." - answer"Early diagnosis and treatment gives your child the best chance of
becoming a fully functioning adult."
Early diagnosis and treatment of ASD provides access to treatments and therapies that
give patients the best chance to become fully functioning adults. Undiagnosed or
untreated ASD decreases quality of life and the likelihood that comorbid conditions such
as depression will be identified. ASD is a lifelong condition and is not "cured." Early
detection and treatment does not prevent the development of any other mental
condition but allows for the early diagnosis and treatment of depression or anxiety. It
does not help the adult with ASD enter into an assistive living facility.
The nurse is assessing a 3-year-old child for symptoms of autism spectrum disorder
(ASD).
Which assessment finding should lead the nurse to question the diagnosis?
Inability to react accordingly to social clues
Engages in repetitive behaviors
Comprehends language well beyond the complexity of age
Displays self-destructive behavior - answerComprehends language well beyond the
complexity of age
,While children with autism may have high IQs, they do not understand the nuances of
language and therefore do not comprehend well beyond the complexity of their age, so
this is not a clinical manifestation that supports the diagnosis. Clinical manifestations
that support the diagnosis of ASD include the inability to react accordingly to social
cues, engaging in repetitive behaviors, and displaying self-destructive behavior.
The nurse is presenting to a group of parents whose children are suspected of having
autism spectrum disorder (ASD).
Which statement by the nurse should be included?
"The features of autism are typically apparent by the time a child is 3 years of age."
"You should notice deficits in your child by the age of 5."
"A feature of ASD is the ability to understand nonverbal behavior."
"A child with ASD should be able to successfully engage in imaginative play." -
answer"The features of autism are typically apparent by the time a child is 3 years of
age."
The essential features of ASD (social deficits, language impairment, and repetitive
behaviors) typically become apparent by the time a child is 3 years of age, not 5. The
child with ASD is unable to read nonverbal behavior or engage in imaginative play.
The parents of a child diagnosed with autism spectrum disorder (ASD) are trying to
determine why their child has the disorder.
In response, the nurse should include which etiology?
Genetic factors
Chemical factors
Psychological factors
Toxins - answerGenetic factors are seen as being one of the associated causes of
autism spectrum disorder. Those with autism have defects in the genes and gene
expression in the areas of cell-cycle expression. The other responses are not thought to
cause ASD.
The graduate nurse is caring for a family with a child who was recently diagnosed with
autism spectrum disorder (ASD) and is discussing treatment options for the child.
, Which goal of collaborative therapy would require correction from the preceptor?
Advocating for parent support and coping groups
Use of focusing techniques and behavior management
Implementing treatments that decrease maladaptive behaviors such as rigidity and
stereotype
Behavior modification through electroconvulsive therapy - answerBehavior modification
through electroconvculsive therapy
The goals of therapy for a child with ASD and their family include advocating for parent
support and coping groups, using focused techniques and behavior management, and
implementing treatments that decrease maladaptive behaviors. While behavior
modification may be a goal of treatment, electroconvulsive therapy is not a treatment
option for children with ASD.
The nurse is caring for an elderly patient with a history of autism spectrum disorder
(ASD).
For which condition should the nurse screen the patient?
Depression
Schizophrenia
Diabetes mellitus
Gout - answerThe elderly patient with ASD has an increased likelihood of developing
depression. Schizophrenia does not develop as a result of ASD. There is no evidence
that patients with ASD are more likely to develop gout or diabetes mellitus than the
normal population.
The nurse is teaching about autism spectrum disorder to a group of community
members.
Which risk factor should the nurse include?
Maternal age over 40
Female gender
Paternal age less than 20
Parents who are close in age - answerMaternal age over 40
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