Nurs 241 Mod 8 - Practice Questions With Complete
Solutions
Which descriptive term(s) reflect(s) common characteristics
associated with autism spectrum disorder (ASD)? Select all that
apply.
A) Ritualistic
B) Expressive
C) Repetitive
D) Social
E) Affectionate
A, C. Clients with ASD have characteristic physical and mental
conditions. Ritualistic behaviors, including a need to place
objects in a certain order or do certain things in the same order is
common in clients with ASD. A need for routines and daily
schedules are especially needed when clients are in a facility.
This helps ease anxiety. Many clients with ASD have repetitive
behaviors such as flapping hands or twisting fingers.
Communication difficulties and developmental delays interfere
with making friends or communicating with others so these
clients are not social individuals. Clients with ASD are not
generally expressive or affectionate, rather they often do not
have appropriate facial expressions or gestures and have
difficulty expressing emotions or affection. Social distancing is
more comfortable for this client, therefore, they tend to prefer
being alone and distant from others.
,A client with autism spectrum disorder (ASD) is preparing to
order lunch. Which action would best assist this client?
A) Pointing to the pictures of food on a place card
B) Limiting the number of choices
C) Giving extra choices
D) Ordering for the client
B. When giving a choice to a client with ASD it can be a
building block to help establish communication. Some clients
with ASD have difficulties when making choices or just
communicating the choice wanted. One way of helping is to
limit the number of choices. Autistic clients may not respond to
gestures made by others. So talking will get a better response.
When giving extra choices it may confuse or irritate the client.
They may not understand what is needed from them. Ordering
for the client will not help with teaching responsibility. Letting
the client make limited decisions helps build self-esteem.
A young autistic client is being assigned a room. Which room
assignment is best?
A) A private room close to the nurse's station
B) A room away from the nurse's station with another autistic
client
C) A private room near the playroom
D) A private room away from the nurse's station
D. A young autistic client needs a private room away from
others so that anxiety level stays lowered. A planned routine is
in order especially while in a facility. When routines are not
,followed the client becomes nervous. Also too much stimuli
easily agitates the client. An autistic client prefers to play alone.
They do not make eye contact easily or sometimes at all. They
prefer not to be touched and won't respond to the gestures of
others most of the time.
Which assessment finding(s) of a child would cause the nurse to
suspect autism spectrum disorder (ASD)? Select all that apply.
A) A sibling with autism
B) Repetitive hand gestures
C) No eye contact
D) Responding to gestures from the staff
E) Delayed speech
A, B, C, E. The highest risk factor for a child to be considered
autistic is having a sibling with autism. Autism clients signs and
symptoms include repetitive hand gestures, having no eye
contact, and delayed speech. Repetitive hand gestures like
clasping hands over and over again. The clients also have
repetitive sounds, counting, or repeating the same word over.
These clients also do not like eye contact. They avert their eyes
if someone tries to make eye contact. Clients also have delayed
speech development. They have difficulties answering questions
or talking directly to another person.
Which is most associated with a client with autism spectrum
disorder (ASD)?
A) Parents who are older
B) Upward slanting of palpebral fissures
, C) Early vaccinations
D) Communication difficulties
D. Knowing what is truth and what is myth helps with dealing
with autistic clients. One myth is the client has older parents;
another is that early vaccinations cause autism. This has not
been proven. Clients with autism have trouble making eye
contact. They will avert their eyes and at times turn away.
Communication difficulties are very common among autistic
clients. The speech development is delayed and they may have
echolalia. Echolalia is when a client repeats the words or phrases
heard around him. Echolalia is not always a tool to self-sooth,
but may be a way to communicate with those around him. So
while it may be described as a symptom it can also help parents
and others start working with the client. The highest risk factor
for a client to be diagnosed with autism is having a sibling with
ASD.
When making the care plan for a 16 year old client with ADHD
who is at risk for self harm due to impulsive behaviors, which of
the following is a nursing priority?
A) Assign the client for 1:1 observation
B) Allow the client to be unsupervised
C) Place the client in seclusion
D) Give the client strict rules
A. Attention Deficit Hyperactivity Disorder(ADHD) is a
disorder caused by a decrease in dopamine and norepinephrine.
ADHD can be treated with behavioral therapy and medication.
Solutions
Which descriptive term(s) reflect(s) common characteristics
associated with autism spectrum disorder (ASD)? Select all that
apply.
A) Ritualistic
B) Expressive
C) Repetitive
D) Social
E) Affectionate
A, C. Clients with ASD have characteristic physical and mental
conditions. Ritualistic behaviors, including a need to place
objects in a certain order or do certain things in the same order is
common in clients with ASD. A need for routines and daily
schedules are especially needed when clients are in a facility.
This helps ease anxiety. Many clients with ASD have repetitive
behaviors such as flapping hands or twisting fingers.
Communication difficulties and developmental delays interfere
with making friends or communicating with others so these
clients are not social individuals. Clients with ASD are not
generally expressive or affectionate, rather they often do not
have appropriate facial expressions or gestures and have
difficulty expressing emotions or affection. Social distancing is
more comfortable for this client, therefore, they tend to prefer
being alone and distant from others.
,A client with autism spectrum disorder (ASD) is preparing to
order lunch. Which action would best assist this client?
A) Pointing to the pictures of food on a place card
B) Limiting the number of choices
C) Giving extra choices
D) Ordering for the client
B. When giving a choice to a client with ASD it can be a
building block to help establish communication. Some clients
with ASD have difficulties when making choices or just
communicating the choice wanted. One way of helping is to
limit the number of choices. Autistic clients may not respond to
gestures made by others. So talking will get a better response.
When giving extra choices it may confuse or irritate the client.
They may not understand what is needed from them. Ordering
for the client will not help with teaching responsibility. Letting
the client make limited decisions helps build self-esteem.
A young autistic client is being assigned a room. Which room
assignment is best?
A) A private room close to the nurse's station
B) A room away from the nurse's station with another autistic
client
C) A private room near the playroom
D) A private room away from the nurse's station
D. A young autistic client needs a private room away from
others so that anxiety level stays lowered. A planned routine is
in order especially while in a facility. When routines are not
,followed the client becomes nervous. Also too much stimuli
easily agitates the client. An autistic client prefers to play alone.
They do not make eye contact easily or sometimes at all. They
prefer not to be touched and won't respond to the gestures of
others most of the time.
Which assessment finding(s) of a child would cause the nurse to
suspect autism spectrum disorder (ASD)? Select all that apply.
A) A sibling with autism
B) Repetitive hand gestures
C) No eye contact
D) Responding to gestures from the staff
E) Delayed speech
A, B, C, E. The highest risk factor for a child to be considered
autistic is having a sibling with autism. Autism clients signs and
symptoms include repetitive hand gestures, having no eye
contact, and delayed speech. Repetitive hand gestures like
clasping hands over and over again. The clients also have
repetitive sounds, counting, or repeating the same word over.
These clients also do not like eye contact. They avert their eyes
if someone tries to make eye contact. Clients also have delayed
speech development. They have difficulties answering questions
or talking directly to another person.
Which is most associated with a client with autism spectrum
disorder (ASD)?
A) Parents who are older
B) Upward slanting of palpebral fissures
, C) Early vaccinations
D) Communication difficulties
D. Knowing what is truth and what is myth helps with dealing
with autistic clients. One myth is the client has older parents;
another is that early vaccinations cause autism. This has not
been proven. Clients with autism have trouble making eye
contact. They will avert their eyes and at times turn away.
Communication difficulties are very common among autistic
clients. The speech development is delayed and they may have
echolalia. Echolalia is when a client repeats the words or phrases
heard around him. Echolalia is not always a tool to self-sooth,
but may be a way to communicate with those around him. So
while it may be described as a symptom it can also help parents
and others start working with the client. The highest risk factor
for a client to be diagnosed with autism is having a sibling with
ASD.
When making the care plan for a 16 year old client with ADHD
who is at risk for self harm due to impulsive behaviors, which of
the following is a nursing priority?
A) Assign the client for 1:1 observation
B) Allow the client to be unsupervised
C) Place the client in seclusion
D) Give the client strict rules
A. Attention Deficit Hyperactivity Disorder(ADHD) is a
disorder caused by a decrease in dopamine and norepinephrine.
ADHD can be treated with behavioral therapy and medication.
