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Medical Emergencies · single question

When treating a child with autism spectrum disorder, which of the following should you AVOID?

  1. Using a tell-show-do approach with visual supports
  2. Reducing overhead light, noise and unnecessary equipment sounds
  3. Introducing several new stimuli and unfamiliar staff at each visit
  4. Scheduling short, consistent appointments at the same time of day
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Correct answer: C. Introducing several new stimuli and unfamiliar staff at each visit

  • A. Incorrect (this IS recommended). Tell-show-do supplemented with picture schedules or social stories is the evidence-supported communication approach for ASD.
  • B. Incorrect (this IS recommended). Sensory adaptation — dimmed lighting, reduced noise, sunglasses, weighted blankets — measurably reduces distress in this population.
  • C. Correct — this is what to AVOID. Patients with ASD rely on predictability. Rotating operatories, new staff, and multiple novel stimuli at each visit provoke sensory overload and behavioural escalation. Care should be consistent, familiar and highly structured (same room, same team, same sequence).
  • D. Incorrect (this IS recommended). Short, predictable, consistently timed visits build tolerance and reduce anxiety.

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