Author Question: A child has the possible diagnosis of autism spectrum. While awaiting the results of further ... (Read 81 times)

shofmannx20 · **on:** Jun 28, 2018

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.

Question 2

The mental health nurse is preparing a presentation for nurses who work with pediatric patients. Which barriers to mental health screening should the nurse include in the presentation? (Select all that apply.)

A.
Belief that children do not have psychosocial or cognitive conditions
B.
Family shame related to psychosocial or cognitive conditions
C.
High level of health literacy regarding psychosocial or cognitive conditions
D.
Minimizing of psychosocial or cognitive conditions symptoms by health-care providers
E.
Stigma of psychosocial or cognitive conditions in society

Harbringer · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: A, B, D, E
There are many barriers to adequate health care for psychosocial or cognitive conditions in children. The belief that childhood is a time free of stress and problems leads to denial that children can indeed have psychosocial or cognitive conditions. Family shame and the stigma of psychosocial or cognitive conditions are both barriers. Health-care providers often minimize parents' concerns about psychosocial or cognitive conditions. Even people who have a high level of health literacy tend to have low levels of literacy related to psychosocial or cognitive conditions.