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:

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Pediatric Mental Health Depression NCLEX Questions Quizlet Questions

Question 1 of 5

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:

Correct Answer: D

Rationale: Rocking for extended periods (D) is a repetitive, self-soothing behavior strongly associated with ASD. (A) is developmental, (B) expected at 3, and (C) typical separation anxiety, none specific to ASD.

Question 2 of 5

The nurse is caring for an autistic child who has been hospitalized. The child rocks continuously, but the rocking does not seem to present any risk to the child's safety. The nurse should take which action?

Correct Answer: B

Rationale: If rocking is safe and self-soothing, as common in autism, allowing it (B) respects the child’s coping mechanism. Holding (A) or time out (C) may escalate distress, and distraction (D) may not address the underlying need.

Question 3 of 5

The nurse is providing community education about autism to a group of parents. The nurse concludes that teaching has been effective if the parents describe which of the following as common behavioral signs of autism?

Correct Answer: A

Rationale: Indifference to physical affection (A) is a common autism sign, reflecting social interaction deficits. Imaginative play (B) and language (C) are often delayed, and clinginess (D) is more typical of anxiety.

Question 4 of 5

The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, 'When the client has bulimia nervosa, an increase in the anxiety level will generally result in:'

Correct Answer: C

Rationale: In bulimia nervosa, anxiety often triggers binging and purging (C) as a maladaptive coping mechanism. Control (A) aligns with anorexia, overeating (B) lacks purging, and high-risk behaviors (D) are less specific.

Question 5 of 5

The client was admitted following a suicidal attempt by drug overdose. The client's Axis I diagnosis is bipolar disorder, Type I. The most appropriate short term goal of the nurse is for the client to:

Correct Answer: B

Rationale: Post-suicide attempt, the immediate priority is safety from further harm (B), aligning with acute care goals. Other options (A, C, D) are longer-term or secondary.

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