The nurse is caring for a 3-year-old boy. The parents are concerned that he is exhibiting signs of cognitive delays. Which statement by the parents would lead the nurse to suspect autism spectrum disorder rather than possible learning disability?
A) "He is not speaking in complete sentences."
B) "We can understand a lot of what he says, but no one else can."
C) "He seems to be speaking words less and less frequently."
D) "He is unable to sit still for a short story."
Ans: C
Reports of regression or the loss of previously acquired skills points to autism rather than intellectual disability. Not speaking in complete sentences, others not being able to understand what the child is saying, and an inability to sit still for a short story suggest a learning disability.
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