A 4-year-old has been diagnosed with seizure disorder, and the health care provider suspects the client may also be autistic. What should the nurse have the parents observe for in this client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Does the child make eye contact?
2. Does the child watch television?
3. Does the child have friends at daycare?
4. Can the child entertain self for a period of time?
5. Is the child's language development within normal expectations?
1,3,5
Rationale 1: Marked lack of eye contact is characteristic of impaired social interaction, a core feature of autism spectrum disorder.
Rationale 2: The client with autism may have a fascination with television or may not pay attention to it. This behavior is also seen in children without autism.
Rationale 3: Failure to develop peer friendships is characteristic of impaired social interaction, a core feature of autism spectrum disorder.
Rationale 4: The ability or inability to entertain self for a period of time would have a wide variation of normal in a 4-year-old.
Rationale 5: A delay in or lack of spoken language is characteristic of impaired language and communication, a core feature of autism spectrum disorder.
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