What should the nurse keep in mind when planning to communicate with a child who has autism?
a. The child has normal verbal communication.
b. The child is expected to use sign language.
c. The child may exhibit monotone speech and echolalia.
d. The child is not listening if she is not looking at the nurse.
ANS: C
Children with autism have abnormalities in the production of speech, such as a monotone voice or echolalia, or inappropriate volume, pitch, rate, rhythm, or intonation. The child has impaired verbal communication and abnormalities in the production of speech. Some autistic children may use sign language, but it is not assumed. Children with autism often are reluctant to initiate direct eye contact.
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