A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with the child's disorder? The child:
a. has occasional toileting accidents.
b. is unable to read children's books.
c. cries when separated from a parent.
d. continuously rocks in place for 30 minutes.
ANS: D
Autism spectrum disorder involves distortions in development of social skills and language that include perception, motor movement, attention, and reality testing. Body rocking for extended periods suggests autism spectrum disorder. The distracters are expected findings for a 3-year-old.
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a. warm, edematous, and red. b. painful and cyanotic. c. painless and numb. d. edematous and cool.
The nurse is teaching a client who is a paraplegic about prescribed rehabilitation. The client verbalizes that he doesn't know why he should go. What is the nurse's best response?
a. "Your doctor ordered rehabilitation, and he does know what is best for you." b. "When new discoveries are made, people in rehabilitation programs benefit first." c. "Rehabilitation will teach you how to maintain the functional ability you have." d. "You are right. It will not benefit you. I will cancel the orders for rehabilitation."