The parents of a child with autism spectrum disorder (ASD) observe that the child has difficulty making friends and are concerned about social expectations for their child
Which is the priority diagnosis for this child based on the parent's concern?
A) Ineffective Coping
B) Deficient Diversional Activity
C) Social Isolation
D) Impaired Social Interaction
Answer: D
The parents want to know what the social expectations for their child are. Autism spectrum disorder (ASD) involves 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 individual 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, 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 and diversional activity. These are nursing diagnoses, not client needs.
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