The parents of a child with an autism spectrum disorder are asking the nurse what social expectations are realistic for their child. Which of the following is the priority nursing diagnosis based on the concerns of the family for their child?
1. Ineffective Coping
2. Deficient Diversional Activity
3. Imparied Social Interaction
4. Social Isolation
3. Imparied Social Interaction
Rationale:
The parents want to know what the social expectations for their child are. Autism spectrum disorders (ASD) involve difficulties in the quality of both the social interactions and the communication of the child. In social interactions, the child may have problems making eye contact, developing appropriate peer relationships, and spontaneously seeking out shared enjoyment with other people, or the child may show no social or emotional reciprocity. When overaroused by sensations (internal or external), the person with ASD reacts as if the stimulus is irritating or even threatening. Children with ASD may shut down or try to get away from the stimulus by screaming, covering their ears, or running away. Often they are overly sensitive to sounds, tastes, smells, and sights, and may prefer soft clothing and certain foods, and may be bothered by sounds or sights no one else hears or sees. At other times, they may be oblivious to what is occurring in the environment. The parents did not ask about social isolation, diversional activity or social isolation. These are nursing diagnoses, not client needs.
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