What is the best intervention when a child with autism is ...

[PhilipSeeMore]

What is the best intervention when a child with autism is hospitalized?
 
  a. Limit the individuals who enter the child's room.
  b. Perform all of the child's activities of daily living for her.
  c. Make sure the nurses know this child may be violent.
  d. Assign the strongest nurse to control the child.

Question 2

Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown, wrinkled forehead, smile, and raised eyebrow?
 
  a. Accessory
  b. Hypoglossal
  c. Trigeminal
  d. Facial

[laurnthompson]

Answer to Question 1

A
The child with autism is often unable to tolerate the slightest change in routine. Limiting who enters the child's room to those knowledgeable about the child's routine will facilitate the child's adaptation to the hospital environment. The most important nursing consideration when planning care for a child with autism is to assign the child to a nurse who is familiar with the child's routine and to follow that routine. The child should be encouraged to perform toileting and self-care activities as she normally would if she were not in the hospital. There is no indication that the child will be violent. Limiting the number of individuals in contact with the child and maintaining a routine will decrease any chance of violence. Strength should not be a consideration in assignments.

Answer to Question 2

D
The facial nerve is assessed as described in the question. To assess the accessory nerve, the examiner palpates and notes the strength of the trapezius and sternocleidomastoid muscles against resistance. To assess the hypoglossal nerve, the examiner asks the child to stick out the tongue. To assess the trigeminal nerve, the child is asked to identify a wisp of cotton on the face. The corneal reflex and temporal and masseter muscle strength are evaluated.

[PhilipSeeMore]

Excellent

[patma1981]

TYSM