ASSESSMENT NURSING SCIENTIFIC OBJECTIVES OF CARE NURSING ACTIONS RATIONALE EVALUATION

DIAGNOSIS BASIS/SIGNIFICANCE
I. Physiologic Impaired verbal Autism spectrum Goal: 1. Establish means of 1. Eye contact assures client 1. Client was able to
Deficit communication: disorder (ASD) is a After 6 months of communication, for of interest in establish
A. Impaired verbal delayed developmental nursing interventions, example, maintain communicating; if client is communication
communication communication disability that can the client will be able to eye contact; ask able to move head, blink patterns using
Objective cues: related to poor cause significant establish method of yes/no questions; eyes, or is comfortable with various medium such
- Low tone with developmental social, communication in provide magic slate, simple gestures, a great as non-verbal cues,
with awkward maturity communication and which needs can be paper and pencil, or deal can be done with pencil and paper and
motor skills behavioral understood. picture or alphabet yes/no questions. Pointing yes or no questions.
- Inconsistent challenges. People Objective: board; use sign to letter boards or writing 2. Client was observed
imitation skills with ASD often have After 1 month of language as is often tiring to client, who to pay attentiion and
- Delayed problems with social, nursing interventions, appropriate; and can then become to attempt
communication emotional, and the client will be able validate meaning of frustrated with the effort communication.
development communication skills. to: attempted needed to attempt 3. Client was observed
The learning, 1. communicate communications. conversations. Use of to use non-verbal
Subjective cues; thinking, and needs and 2. Recognize subtle cues picture boards that express cues to express what
- The mother problem-solving desired indicating the client is a concept or routine needs he is feeling.
verbalized that abilities of people effectively. paying attention or may simplify 4. Family and was able
her child began with ASD can range attempting to communication. to communicate
using from gifted to communicate. 2. Cues are often difficult properly with the
vocalizations at 3 severely challenged. 3. Describe for the torecognize (glancing out client and there were
months of age Signs of ASD begin client what is ofthe corner of the eye). no feeling of
but had during early happening, and put 3. Naming objects and awkwardness.
developed no childhood and into words what the describing actions, 5. Family of the client
words by 3 years. typically last client might be thoughts, and feelings was able to refer to
throughout a person’s experiencing. helps the client to use special services
life. 4. Encourage family and symbolic language. (speech therapist) to
S.O to talk with client, 4. SO may feel self-conscious improve the well-
SOURCE: providing informatio in one-sided conversation, being of client.
What Is Autism nabout family and but knowledge that he or
Spectrum Disorder? daily happenings. she is assisting the client to
(2020, March 25). 5. Refer to appropriate regain or maintain contact
Retrieved March 14, resources (e.g. with reality and enabling
2021, from speech therapist, client to feel part of family
https://www.cdc.gov/ group therapy, unit can reduce feelings of
ncbddd/autism/facts. individual/ family awkwardness.
html and/or psychiatric 5. Specialized services may be
counselling). required to meet the
patient’s needs.