The mother of a child with Asperger disorder tells the nurse that her child has few playmates. She states, "He has such poor social skills with other children, and he strongly rejects any change in his routine by throwing a tantrum
" Based on this information, the nurse identifies which nursing diagnosis as the priority?
A) Self-Care Deficits related to repeated tantrums
B) Risk for Injury related to Asperger disorder
C) Ineffective Family Coping related to having a child with Asperger disorder
D) Risk for Social Isolation related to poor social skills of the child
D
You might also like to view...
Which finding would the nurse suspect as abnormal in the infant during initial assessment?
a. Eyes crossed at times b. Persistent high-pitched cry c. Arms and legs flexed d. Slight bluish tinge of the extremities
The nurse is assessing the murmur on a client with mitral stenosis. Which is the best position for the client to take for this evaluation?
A) Supine B) Prone C) Right lateral D) Left lateral
During a health history, the nurse explores the sleeping habits of a 3-yearold boy by interviewing his parents. Which of the following statements from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
A) "Our son sleeps through the night, and we insist that he takes two naps a day." B) "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story." C) "Our son still sleeps in a crib because we feel it is the safest place for him at night." D) "Our son occasionally experiences night walking so we allow him to stay up later when this happens."
During examination of the male client's external genitalia, a nurse observes a discharge from the urethra when compressing the glans. What is the nurse's best action?
A. Document the observation as the only action. B. Ask the client to turn his head and cough. C. Obtain a specimen for culture. D. Test the cremasteric reflex.