PGICH Noida NO-2025
Child Health Nursing (Pediatrics)
Medium
Nursing management of children with autistic disorder focuses on all of the following, EXCEPT:
Appeared in: PGICH Noida NO-2025
Explanation
- Assuring parents that their child will lead an independent life constitutes false reassurance, which is non-therapeutic and unprofessional.
- The prognosis for Autism Spectrum Disorder (ASD) is guarded and highly variable; many individuals require lifelong care and support, making such a guarantee unrealistic (SRC_29011).
- The nurse's role is to provide honest information, manage expectations, and offer support to help families plan for a future that may involve long-term care (SRC_29012).
Why Other Options Were Wrong
- Option A: Providing supportive care to the child and family is a fundamental component of nursing management for any chronic pediatric condition, especially ASD, due to the high levels of family distress (SRC_29011).
- Option B: Maintaining a safe environment is a critical priority, as children with ASD may engage in self-injurious behaviors or lack awareness of common dangers (SRC_29011).
- Option C: Children with ASD often have sensory hypersensitivity, so decreasing excessive environmental stimuli is a key intervention to prevent anxiety and behavioral outbursts (SRC_29013).
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Nursing management principles for children with Autism Spectrum Disorder (ASD) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- A core nursing responsibility is to build a trusting relationship with the patient's family through honest and empathetic communication. False reassurance undermines this trust.
- Nurses must be knowledgeable about the variable prognosis of ASD to provide accurate education and anticipatory guidance, helping families to set realistic goals and access appropriate long-term resources.
- What if? If a child has high-functioning autism and strong cognitive skills, the nurse would focus on maximizing their potential for independence through skill-building and vocational training, but would still avoid making absolute guarantees about their future.
How to Approach the Question
- First, identify the keywords in the question stem: 'nursing management', 'autistic disorder', and the crucial negative lead-in 'EXCEPT'.
- Understand that you are looking for the option that is NOT a correct nursing action for a child with autism.
- Evaluate each option based on standard nursing care for ASD.
- A) 'Providing supportive care' is a fundamental nursing role for all patients and families, especially those dealing with chronic conditions.
- B) 'Maintaining a safe environment' is a top priority due to the risk of self-injury.
- C) 'Decreasing environmental stimuli' directly addresses the common issue of sensory hypersensitivity in ASD.
Concept Tested & Keywords
- Concept Tested: Nursing management principles for children with Autism Spectrum Disorder (ASD).
- Stem keywords: nursing management, children, autistic disorder
- Lead-in keywords: EXCEPT
- Negative lead-in flag: This is a negative lead-in question, asking for the action that is NOT part of nursing management.
Question ID
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Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 2 (pp 290-564 of 579) p. 47-49
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 13241-13243
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 3 (pp 477-702 of 713) p. 124-126
Practise the full PGICH Noida NO-2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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