When assessing a 2-year-old child with suspected autistic ...

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When assessing a 2-year-old child with suspected autistic disorder, the nurse should be particularly
  alert for
 
  a. failure to develop interpersonal skills.
  b. hyperactivity and attention deficits.
  c. high levels of anxiety when separated from the mother.
  d. a history of disobedience and destructive acts.

Question 2

Which behavior would the nurse evaluate as indicating successful completion of a bereaved
  individual's grieving process?
 
  a. After 15 months, the widow realistically remembers both the pleasures and
  disappointments of her relationship with her husband.
  b. Three years after her husband's death, the widow talks about her husband as if he
  were alive, then weeps when others mention his name.
  c. For 2 years after her husband's death, the widow has kept his belongings in their
  usual places.
  d. Eighteen months after her husband's death, the widow states she has never cried
  or experienced feelings of loss even though they were very close.

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Answer to Question 1

A
Autistic disorder involves distortions in development of social skills and language that include
perception, motor movement, attention, and reality testing. Caretakers nearly always mention the
child's failure to develop interpersonal skills. Option B is more relevant for assessment of ADHD.
Option C is more relevant to children with separation anxiety. Option D becomes more important in
the assessment of children with conduct disorder.

Answer to Question 2

A
The work of grieving is over when the bereaved can remember the individual realistically and
acknowledge both the pleasure and disappointments associated with the loved one. The individual is
then free to enter into new relationships and activities. The other options suggest unresolved grief.