AUTISM
The parents of a 3-year-old child with infantile autism bring their child to a mental health clinic on a regular
basis. Currently, a care conference is planned with the mental health team and the family.
[Link] the social worker, who has not had experience with autistic children, asks the nurse to identify signs and
symptoms of the disorder, the nurse correctly identifies which finding as most characteristic?
[ ] 1. Repetitive body movements
[ ] 2. Intense parental attachment
[ ] 3. Early sexual development
[ ] 4. Profound mental retardation
2..When providing care for the 3-year-old autistic child, which behavior is the nurse most likely to note?
[ ] 1. Constant use of the words “I” and “me”
[ ] 2. Insensitivity to pain
[ ] 3. Flexibility in normal routine
[ ] 4. Increased interest in others’ actions
3. When planning care for an autistic child, which nurs-ing intervention is most appropriate?
[ ] 1. Providing interactive play activities
[ ] 2. Applying soft restraints while in bed
[ ] 3. Using a consistent caregiver
[ ] 4. Rocking the child as a calming technique
[Link] the 3-year-old child is typical of other autistic children, how would the nurse expect that child to respond to its
parents?
[ ] 1. Indifference
[ ] 2. Friendliness
[ ] 3. Submissiveness
[ ] 4. Impatience
5. On the basis of the nurse’s knowledge of autistic behavior, which nursing diagnosis is most likely to be a
priority at the team conference?
[ ] 1. Ineffective health maintenance
[ ] 2. Chronic low self-esteem
[ ] 3. Risk for activity intolerance
[ ] 4. Risk for self-directed violence
During the care conference, the parent of the autistic child says that the child helps to get dressed but will not eat
independently unless fed by others.
6. Which suggestion by the nurse would be most benefi-cial for the child’s nutrition at this time?
[ ] 1. Continue to feed the child until the child tries to pick up food.
[ ] 2. Try giving the child finger foods while in the act of dressing.
[ ] 3. Leave the food until the child becomes hungry enough to eat it.
[ ] 4. Demonstrate how to use a spoon at every meal.
7. If and when the autistic child actually makes an effort to self-feed, which of the following suggestions is most
appropriate for the nurse to make?
[ ] 1. Note if the self-feeding effort is repeated.
[ ] 2. Stop feeding the child thereafter.
[ ] 3. Demonstrate approval in some way.
[ ] 4. Offer food more frequently during the day.
8. When discussing the home environment with the parents, the nurse should explain that which one of the fol-
lowing is the most appropriate environment for an autistic child?
[ ] 1. Stimulating, with a variety of sensory experiences
[ ] 2. Consistent, with a minimum of physical change
[ ] 3. Flexible, with the freedom to initiate activity
[ ] 4. Strict, with narrow limits for acceptable behavior