A preschool child diagnosed with autistic spectrum disorder has ...

[Bernana]

A preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?
 
  1. Place client in restraints until the aggression subsides.
  2. Sedate the client with neuroleptic medications.
  3. Hold client's head steady and apply a helmet.
  4. Distract the client with a variety of games and puzzles.

Question 2

A preschool child is admitted to a psychiatric unit with the diagnosis autistic spectrum disorder. To help the child feel more secure on the unit, which intervention should a nurse include in this client's plan of care?
 
  1. Encourage and reward peer contact.
  2. Provide consistent caregivers.
  3. Provide a variety of safe daily activities.
  4. Maintain close physical contact throughout the day.

[covalentbond]

Answer to Question 1

3
Rationale: The most appropriate intervention for head banging is to hold the client's head steady and apply a helmet. The helmet is the least restrictive intervention and will serve to protect the client's head from injury.

Answer to Question 2

2
Rationale: The nurse should provide consistent caregivers as part of the plan of care for a child diagnosed with autistic spectrum disorder. Children diagnosed with autistic spectrum disorder have an inability to trust. Providing consistent caregivers allows the client to develop trust and a sense of security.

[Bernana]

Excellent

[bblaney]

Gracias!