Which of the following approaches is included in milieu therapy for the child with autism?
A) Providing a routine and predictive environment
B) Scheduling a group in which the children talk about school
C) Having a playroom with climbing structures and rolling chairs
D) Activities that promote interpersonal interaction
Ans: A
Verbal and nonverbal communication is impaired in children with autism; therefore, a group modality would not be appropriate. Children with autism have difficulty with interpersonal interaction; thus, these activities would increase anxiety and acting-out behaviors. Having a playroom with climbing structures and rolling chairs would increase the child's risk for injury. Maintaining a routine and predictable environment would be therapeutic for the client with autism.
You might also like to view...
A client is prescribed phenelzine (Nardil). Which of the following statements by the client should indicate to a nurse that discharge teaching about this medication has been successful? (Select all that apply.)
1. "I'll have to let my surgeon know about this medication before I have my cholecystectomy." 2. "I guess I will have to give up my glass of red wine with dinner." 3. "I'll have to be very careful about reading food and medication labels." 4. "I'm going to miss my caffeinated coffee in the morning." 5. "I'll be sure not to stop this medication abruptly."
The patient with an NG tube has orders for several enteral drugs (e.g., capsules, tablets, and liquids). What should you do before giving these drugs? (select all that apply)
a. Check with the pharmacist about crushing the tablets. b. Follow the procedures of the "eight rights." c. Aspirate to check for stomach contents. d. Open the extended-release capsules. e. Inject 150 mL of water to check tube patency. f. Place the patient in a supine position.
Which set of instructions is most appropriate when preparing the patient for collection of a 24-hour creatinine clearance for a prelithium workup?
a. "Collect all urine when you wake up and for 12 hours thereafter, and then discard all collected urine, noting the time. Begin again to collect all urine, and refrigerate it for the next 12 hours after your blood is drawn.". b. "Discard your first morning urine on awakening, and then begin to time and collect your urine. Keep it refrigerated in a clean 3-L plastic container. Your blood may be drawn at any time during the collection.". c. "Sign this consent form; then collect your urine for the next 24 hours after discarding the first urine of the morning and then refrigerate the clean 3-L container between voidings.". d. "Sign this consent form, and then begin to collect your urine in a clean 3-L plastic container for 24 hours. You may refrigerate the urine collection if you wish.".
A community health nurse is presenting an in-service for a group of other community health nurses about ecological perspective of environmental health. Which of the following would the nurse incorporate into the program when describing this concept?
A) The study of governmental and private sector regulations of the environment B) A technological view of strategies for preventing illness and injury C) Identification of not only the physical environment but also the social and cultural factors that exist for populations D) The role of the community health nurse in preventing injury, disease, and illness