A nurse is planning care with a family of a 4-year-old in preschool who is often disruptive in class, is difficult to engage, and rarely speaks. The child flaps his arms and screeches when he is...

A nurse is planning care with a family of a 4-year-old in preschool who is often disruptive in class, is difficult to engage, and rarely speaks. The child flaps his arms and screeches when he is upset. Which of the following questions and comments would be appropriate for the nurse to make to the parents? Select all that apply.

1. “Has your child received all his childhood immunizations? You know there is evidence that childhood immunizations play a role in the development of autism.”

2. “Has your child been evaluated by a pediatrician? He seems to have some behaviors that are abnormal for a child of his age.”

3. “How does your child behave at home? If you do not see acting out behavior at home, part of his problem may be dealing with new situations such as school.”

4. “How do you respond if he disobeys or acts out at home? If your techniques help stop or prevent negative behavior, perhaps the teachers can try similar measures at school.”

5. “Have you considered private school? This environment does not seem right for your child.”