UP NHM CHO 7 Sept 2022 (Shift-2)
Child Health Nursing (Pediatrics)
Easy
Most effective treatment for autistic children:
Appeared in: UP NHM CHO 7 Sept 2022 (Shift-2)
Explanation
- The most effective treatments for Autism Spectrum Disorder (ASD) are intensive behavioral and educational interventions that are started early.
- A structured classroom provides the predictability, routine, and minimized distractions that help children with ASD learn and feel secure.
- Behavioral methods, such as Applied Behavior Analysis (ABA), use positive reinforcement to systematically teach social, communication, and adaptive skills.
- This combined approach addresses the core deficits of ASD by breaking down complex skills into manageable steps and rewarding progress, which is considered the gold standard of care.
Why Other Options Were Wrong
- Option A: Punishment is ineffective and can increase anxiety, aggression, or self-injurious behaviors in children with ASD. It fails to teach appropriate replacement behaviors.
- Option B: While social integration is a long-term goal, mainstreaming without intensive, specialized support is often ineffective for addressing the core deficits of ASD. The child may become overwhelmed and fail to learn.
- Option C: This therapy relies on abstract thinking, verbal self-reflection, and emotional insight, which are significant areas of difficulty for most children with ASD.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Effective treatment modalities for Autism Spectrum Disorder (ASD) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses are instrumental in educating families about evidence-based interventions like ABA and structured teaching, helping them navigate complex service systems and avoid unproven treatments.
- In any healthcare setting, nurses must create a predictable and low-stimulus environment for patients with ASD, using visual aids and consistent routines to reduce anxiety and promote cooperation during care.
- A key nursing role is to assess for and manage co-occurring conditions common in ASD, such as GI issues, sleep disorders, and seizures, which can significantly impact behavior.
How to Approach the Question
- First, identify the core characteristics of the condition mentioned: Autism Spectrum Disorder (ASD) involves deficits in social communication and the presence of restricted, repetitive behaviors, and a strong need for routine.
- The question asks for the 'most effective' treatment, which requires you to identify the evidence-based, first-line approach.
- Evaluate each option based on the core deficits of ASD. Does the intervention align with the learning style and needs of a child with ASD?
- Eliminate options that are contraindicated or rely on skills that are impaired in ASD. Punishment (A) is harmful, and insight-oriented therapy (C) requires abstract thought.
- Compare the remaining options. While mainstreaming (B) is a goal, a structured classroom with behavioral methods (D) provides the foundational, evidence-based intervention required to help the child develop skills and manage behaviors.
- Conclude that the most direct and well-supported intervention is the structured, behavioral approach.
Concept Tested & Keywords
- Concept Tested: Effective treatment modalities for Autism Spectrum Disorder (ASD).
- Stem keywords: effective treatment, autistic children
- Lead-in keywords: Most effective
- Negative lead-in flag: false
Question ID
QmbihkBntkEqgbFOG07PPu
Reference Book
E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 425-427
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 406-408
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 12090-12092
Practise the full UP NHM CHO 7 Sept 2022 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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