A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

A. Children with autism spectrum disorder often have difficulties with social interaction and imaginative play. They benefit from structured and supervised activities to support social skills and reduce anxiety. B. A reward system for positive behavior (positive reinforcement) is a key behavioral strategy in managing children with autism. It helps encourage desired behaviors and provides consistent feedback in a way the child can understand. C. Rules should be clear, consistent, and structured. Allowing rules to vary with the child’s behavior can lead to confusion and make behavior management more difficult. D. Children with autism generally thrive on routine and predictability. A flexible schedule that changes based on interests may increase anxiety and behavioral issues. A structured and predictable routine is more beneficial.