Which behavior indicates that the treatment plan for a child ...

[HudsonKB16]

Which behavior indicates that the treatment plan for a child diagnosed with autistic disorder has been effective? The child
 
  a. plays with one toy for 30 minutes.
  b. repeats words spoken by a parent.
  c. holds the parent's hand while walking.
  d. spins around and claps hands while walking.

Question 2

The sibling of a depressed patient says, When we were children my sister always gave up easily. Now as an adult, everyone in the family takes advantage of her. What is the most appropriate nursing intervention?
 
  a. Begin cognitive therapy to reduce negative thinking.
  b. Plan measures to reduce inappropriate feelings of guilt.
  c. Discuss the value of assertiveness training with the patient.
  d. Invite the sibling to join the patient's group therapy sessions.

[jordangronback]

Answer to Question 1

C
Holding the hand of another person suggests relatedness. Usually, a child with autism would resist holding someone's hand and stand or walk alone, perhaps flapping arms or moving in a stereotyped pattern. The other options reflect behaviors that are consistent with autistic disorder.

Answer to Question 2

C
Depressed patients often allow people to violate their rights and then feel resentful or angry. Assertiveness training will help the patient change her interpersonal style from acquiescent to assertive and reduce resentfulness. Cognitive therapy and working on guilt feelings will not address the passive behavior. It would not be appropriate to include the sibling in the patient's group therapy.