A 10-year-old client with autism spectrum disorder is hospitalized for a diagnostic workup. Which is the most appropriate nursing action?

Question

Quizplus · Accepted Answer

A structured routine and consistency during hospitalization are critical in the care of clients with autism spectrum disorder (ASD). The nurse should talk with the parent and/or caregiver to determine the client's usual patterns and habits for a typical day at home, including meal times, bath time, and play time. In the unfamiliar and often unpredictable environment of the acute care setting, a schedule of activities can decrease anxiety and help the client with ASD anticipate what will happen next. (Option A) A common nursing diagnosis associated with ASD is impaired social interaction characterized by unresponsiveness to people. Limiting the number of visitors can help avoid client overstimulation and facilitate a trusting relationship with the caregiver. (Option C) Invasive procedures may be particularly difficult and painful for clients with ASD due to their hypersensitivity to touch. Strategies such as distraction and being held by parents or caregivers are preferred over the use of restraints. (Option D) The young client with ASD may be overwhelmed and overstimulated if given too many choices. The best approach is for family members to bring in some of the client's favorite toys. Educational objective: Structure and consistency are crucial when caring for a client with autism spectrum disorder. A daily schedule of activities can decrease anxiety and help the client anticipate what will happen next. Limiting the number of visitors and choices can help avoid overstimulation and enhance communication with the caregiver.

A 10-Year-Old Client with Autism Spectrum Disorder Is Hospitalized for a Diagnostic