A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?

Choice A reason: For an adolescent with autism spectrum disorder, initiating social interactions can be a significant challenge due to difficulties in communication and social skills. Including an outcome that focuses on initiating interactions with caregivers is appropriate as it targets a key area of development. This goal is realistic and measurable, and progress can be facilitated through various therapeutic interventions, such as social skills training and behavioral therapy. Choice B reason: Acknowledging delusions is not typically associated with autism spectrum disorder. Delusions are more commonly related to other mental health conditions, such as schizophrenia. Autism spectrum disorder primarily involves challenges with social communication and interaction, repetitive behaviors, and restricted interests. Choice C reason: Changing behavior due to peer pressure is not a specific or appropriate outcome for an adolescent with autism spectrum disorder. The focus should be on developing individual skills and coping mechanisms that are independent of peer influence. Additionally, individuals with autism may not respond to peer pressure in the same way as their neurotypical peers. Choice D reason: Meeting one's own needs without manipulating others is a broad outcome that may not directly address the specific needs of an adolescent with autism spectrum disorder. While it is important for all individuals to develop autonomy, this outcome does not target the core areas affected by autism, such as social communication and interaction.