A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
A.
Initiates social interactions with caregivers
B.
Meets own needs without manipulating others
C.
Changes behavior as a result of peer pressure
D.
Acknowledges that his delusions are not real
The correct answer and Explanation is :
The correct answer is A. Initiates social interactions with caregivers.
Explanation
When planning care for an adolescent with autism spectrum disorder (ASD), it’s essential to focus on enhancing their social communication skills and fostering positive interactions with others. Option A targets this aspect directly. Adolescents with ASD often struggle with social cues and initiating interactions, so promoting social engagement with caregivers is a critical goal in their care plan.
- Social Skills Development: Initiating social interactions can lead to improved social skills and emotional understanding. Caregivers play a crucial role in modeling appropriate social behaviors, and positive interactions can help the adolescent practice these skills in a safe environment.
- Building Relationships: Establishing a rapport with caregivers can enhance the adolescent’s sense of security and trust, making it easier for them to engage with others in various settings. This foundation is essential for developing friendships and participating in group activities, which are vital for overall development.
- Emotional and Behavioral Support: Interacting with caregivers can help the adolescent express their feelings and needs more effectively. This interaction can also provide an opportunity for caregivers to understand the adolescent’s unique perspective, fostering a supportive environment that can reduce anxiety and behavioral issues.
In contrast, the other options are less suitable for the care plan.
- B involves manipulation, which is not a realistic or healthy expectation for adolescents with ASD.
- C refers to changing behavior due to peer pressure, which may not be a productive or appropriate focus for someone with ASD, as their challenges often include understanding and responding to peer influences.
- D addresses delusions, which is more aligned with conditions like schizophrenia and is not characteristic of ASD.
Thus, focusing on initiating social interactions with caregivers aligns best with the overall goals of enhancing communication and social integration for adolescents with autism.