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advocate

Although the nurse would fulfill the roles of educator, care provider, and counselor, the nurse's most important role would be that of an advocate. Children with developmental disabilities often have special health needs. If so, they often interact with many different health care professionals (nurses, pediatricians, occupational therapists, physical therapists, psychologists, and speech and language pathologists) and may require adaptive modifications for school to maximize attendance and learning (e.g., assistance from health aides, nursing care, modifications for regular classes, special education classes, barrier-free facilities). A key nursing role is advocating to obtain services and care that will enable these children to fully participate in and benefit from their educational experiences.

trauma, poverty, and neglect

Various factors have been associated with an increased risk for mental health disorders in children, including trauma, poverty or neglect, difficult temperament or attachment problems, medical illness, or major losses to the family such as divorce or death. Stress could be an issue, but prematurity and poor nutrition are not risk factors for mental health disorders. Death in the family or divorce can cause mental health issues as well as illness, but intellectual disability does not. Developmental delay may be a symptom of a problem, but it is not a risk factor. Anoxia at birth is can cause cognitive disability and possible learning problems, but these are not risk factors for mental illness in themselves.

Which signs and symptoms would the nurse observe in a child with autism spectrum disorder?

Restricted, repetitive, and stereotyped patterns of behavior, interests, and activities, including motor stereotypies and mannerisms. General loss of interest in objects and the environment.

When assessing a toddler with autism spectrum disorder ASD which characteristic findings behaviors would the nurse expect?

No back-and-forth gestures such as showing, pointing, reaching or waving by 12 months. No words by 16 months. No meaningful, two-word phrases (not including imitating or repeating) by 24 months. Any loss of speech, babbling or social skills at any age.

Which of the following would the nurse expect to see as symptoms in a child with ADHD?

Constant fidgeting and squirming, difficulty paying attention to details, easily distracted, and talking constantly, even when inappropriate. A, C, D, and F; These behaviors are all characteristic of ADHD and indicate that the child is inattentive, hyperactive, and impulsive.

Which behavior would be most characteristic of a child who has been diagnosed with autism?

Repetitive and characteristic behaviors Many children with ASD engage in repetitive movements or unusual behaviors such as flapping their arms, rocking from side to side, or twirling. They may become preoccupied with parts of objects like the wheels on a toy truck.