Diagnosis & Screening
True or False: A delay in speech alone is sufficient for an autism diagnosis.
False — diagnosis requires deficits in multiple developmental domains, not just speech.
What is a priority nursing action when providing care to a hospitalized autistic child?
Maintain routines and reduce environmental stimuli.
Name two assistive communication methods for a nonverbal autistic patient.
Using picture cards to ask for things (PECS), communication devices with buttons or screens (AAC), or using hand signs (sign language).
What should a nurse say to a parent who asks, “Did vaccines cause my child’s autism?”
Reassure that research shows no link between vaccines and autism (CDC, AAP supported).
What are the two core diagnostic criteria for autism according to the DSM-5?
Deficits in social communication and interaction, and restricted/repetitive behaviors.
A nonverbal autistic child is anxious about a dressing change. Name 2 nursing strategies you could use.
Use a picture schedule, demonstrate on a doll, provide calming object.
A patient covers their ears and hides under a blanket. What sensory issue might they be experiencing?
Sensory overload — likely from noise, light, or touch.
Why is it important to keep caregivers involved in planning hospital care for a child with autism?
They help maintain routines, reduce anxiety, and support communication needs.
Which validated tool is commonly used to screen toddlers for autism around 18–24 months?
M-CHAT (Modified Checklist for Autism in Toddlers).
A patient begins to stim more frequently. What might this indicate, and what should you do?
Indicates stress or overstimulation. Offer sensory tools, reduce stimuli, allow self-soothing.
Define “echolalia.”
Repetition of words or phrases, often out of context.
A parent says their child only eats 2 foods and refuses anything new. What resource should you suggest?
Refer to an occupational therapist or feeding specialist for sensory-based food aversion.