A child has been diagnosed with autistic spectrum disorder. The distraught mother cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing response is most appropriate?
1. "Researchers really don't know what causes autistic spectrum disorder, but the relationship between autistic disorder and fetal alcohol syndrome is being explored."
2. "Poor parenting doesn't cause autistic spectrum disorder. Research has shown that abnormalities in brain structure or function are to blame. This is beyond your control."
3. "Research has shown that the mother appears to play a greater role in the development of autistic spectrum disorder than the father."
4. "Lack of early infant bonding with the mother has shown to be a cause of autistic spectrum disorder. Did you breastfeed or bottle-feed?"
2
Rationale: The most appropriate response by the nurse is to explain to the parent that autistic spectrum disorder is believed to be caused by abnormalities in brain structure or function, not poor parenting. Autism occurs in approximately 11.3 per 1,000 children and is about 4.5 times more likely to occur in boys than girls.
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a. knowledge. b. performance. c. independence. d. cooperation.
A nurse is educating a client and his family about vasopressin (DDAVP) for the treatment of diabetes insipidus. In addition to administration instructions, which of the following should the nurse discuss with the client and family? Select all that apply
A) Wearing a medical alert bracelet B) Monitoring the daily intake of fluids C) Avoiding sun exposure while using the drug D) Carrying extra doses with the client at all times E) Carrying liquids with the client at all times
Your 17-year-old male client has been sexually active for the past 2 years. He refuses to use condoms because he believes it is "unmanly" to do so. Which of the following nursing diagnoses would be most appropriate?
1. Ineffective health maintenance 2. Ineffective individual coping 3. Deficient knowledge 4. Altered growth and development
The blood pressure measurement for a client is very different from the one that was assessed a few hours previously. The nurse should suspect that the blood pressure measurement is false when which of the following is assessed in the client?
1. Client needs to void. 2. Client smoked a cigarette 10 minutes prior to the measurement. 3. The examination room is very warm. 4. Doors are slamming and children are crying in the environment. 5. Client just had lunch. 6. Client slept for 8 hours the previous night.