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DDahl DDahl
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6 years ago
A preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?
 
  1. Place client in restraints until the aggression subsides.
  2. Sedate the client with neuroleptic medications.
  3. Hold client's head steady and apply a helmet.
  4. Distract the client with a variety of games and puzzles.
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wrote...
6 years ago
3
Rationale: The most appropriate intervention for head banging is to hold the client's head steady and apply a helmet. The helmet is the least restrictive intervention and will serve to protect the client's head from injury.
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