1
Scenario: A 5-year-old child with ASD becomes anxious and covers ears when entering the busy hospital corridor.
Question: What is the most appropriate nursing assistant response?
2
Scenario: During a routine vital sign check, a child with ASD becomes agitated and flaps hands repeatedly.
Question: How should the nursing assistant handle this behavior?
3
Scenario: A child with ASD refuses oral medication due to taste and texture.
Question: What is the best nursing assistant approach?
4
Scenario: A non-verbal patient with ASD points at the IV line repeatedly.
Question: How should the nursing assistant respond?
5
Scenario: A child with ASD refuses to wear hospital gown due to texture discomfort.
Question: What is the best nursing assistant action?
6
Scenario: During mealtime, a child with ASD refuses hospital food.
Question: What should the nursing assistant do?
7
Scenario: A patient with ASD pulls on medical lines and becomes frustrated during care.
Question: How should the nursing assistant respond?
8
Scenario: A child with ASD becomes upset when routine hospital procedures change unexpectedly.
Question: What is the best nursing assistant intervention?
9
Scenario: A patient with ASD repeatedly repeats phrases from the TV in the hospital room.
Question: How should the nursing assistant respond?
10
Scenario: During hygiene care, a patient with ASD refuses to participate in showering.
Question: What is the most effective nursing assistant strategy?
Feedback
Rationale: Children with ASD are often hypersensitive to noise. Providing reassurance and sensory aids helps reduce distress.
Reference: Grandin, T., & Scariano, M. (2013). The Way I See It: Autism & Sensory Processing.
Rationale: Flapping (stimming) is a self-soothing behavior. Safety is prioritized over suppression.
Reference: American Psychiatric Association. (2013). DSM-5: Diagnostic Criteria for ASD.
Correct Answer: C
Rationale: Sensory sensitivities affect medication adherence. Alternatives ensure treatment without causing distress.
Reference: Cermak, S. A., et al. (2010). Sensory Processing and Feeding Challenges in ASD.
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Rationale: Non-verbal cues are a primary communication method; responding appropriately supports care and trust.
Reference: Ganz, J. B., et al. (2012). Effects of AAC on Communication in ASD.
Rationale: Respecting sensory preferences reduces anxiety and improves cooperation.
Reference: Grandin, T., & Scariano, M. (2013). The Way I See It: Autism & Sensory Processing.
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Rationale: Allowing familiar foods supports intake while gradually expanding options prevents mealtime stress.
Reference: Cermak, S. A., Curtin, C., & Bandini, L. (2010). Feeding Difficulties in Children with ASD.
Rationale: Safety is priority; redirecting attention reduces frustration and prevents injury.
Reference: Leaf, R., et al. (2016). Behavior Management in ASD.
Rationale: Predictable routines and preparation reduce anxiety and improve cooperation.
Reference: National Autism Center. (2015). Evidence-Based Practice Guidelines for ASD
Rationale: Echolalia can be a bridge for communication; modeling functional language encourages development.
Reference: Prizant, B. M., et al. (2003). Autism Spectrum Disorders and Communication.
Rationale: Gradual, structured support with visual guidance reduces anxiety and promotes cooperation.
Reference: National Autism Center. (2015). Evidence-Based Practice Guidelines for ASD.
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