A child has the possible diagnosis of autism spectrum. While awaiting the results of further testing, which action by the nurse is the most appropriate?
A.
Continue to monitor the child for late signs of autism.
B.
Reassure the parents that concerns are probably not valid.
C.
Refer the child to audiology to rule out a hearing impairment.
D.
Wait for results before referring the child to early intervention or a local school program.
ANS: C
Because children on the autism spectrum have difficulties in communication, a hearing test is in order to rule out any physiological cause contributing to this manifestation. Continued monitoring is always appropriate, but that is not the best option. Parents usually do have concerns that are valid regarding their child. Referrals to school-based or early intervention programs should not wait for a definitive diagnosis.
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