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    Mental Health Northern Kentucky University Proctored Exam 4

    A 31-year-old woman presents to the PMHNP for a regular medication management appointment. While there, she mentions concerns that her 16-month-old son might have autism, and she asks the nurse practitioner how to have him evaluated for the condition. Which of the following is the most appropriate response?

    Explanation & Rationale

    Choice A reason: This is incorrect because autism-specific screening is recommended to begin as early as 18 months. Waiting until after 24 months could delay early identification and intervention, which are crucial for improving developmental outcomes. Choice B reason: This is correct. Evidence-based guidelines recommend universal autism screening at 18 and 24 months during routine pediatric visits. Early identification allows for timely referral to developmental services and behavioral interventions that significantly improve outcomes for children with autism spectrum disorder. Choice C reason: This is incorrect because autism can occur regardless of family history. Relying solely on family history risks missing early signs in children without a known familial predisposition. Choice D reason: This is incorrect because pediatricians may not always identify subtle signs of autism during routine well visits. Proactive screening at recommended ages ensures that potential developmental concerns are systematically assessed.

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