A nurse is advising a 15-year-old boy on managing acne during puberty. Which of the following recommendations is most appropriate?
"Avoid all oily foods to prevent acne."
"Pop pimples to reduce their size."
"Use strong astringents to dry out your skin."
"Wash your face with a gentle cleanser twice a day."
The Correct Answer is D
A. Avoiding all oily foods is not necessary, as dietary factors have varying effects on acne; instead, moderation is key.
B. Popping pimples can lead to scarring, infection, and further inflammation, making this an inappropriate recommendation for acne management.
C. Using strong astringents can irritate the skin and worsen acne; gentle skin care is more effective for maintaining healthy skin.
D. Washing the face with a gentle cleanser twice a day helps to remove excess oil and dirt without irritating the skin, which is the most appropriate recommendation for managing acne during puberty.
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Correct Answer is C
Explanation
A. Encouraging the adolescent to spend more time alone may reinforce their withdrawal and does not promote social interaction or engagement.
B. Assigning the adolescent as a leader may increase anxiety and exacerbate their withdrawal rather than encourage socialization.
C. One-on-one counseling can provide a safe space for the adolescent to express feelings and explore the reasons for their withdrawal, which is a supportive and therapeutic intervention.
D. Focusing solely on academic achievements may lead to further isolation and does not address the need for social skills development and peer interaction.
Correct Answer is A
Explanation
A. A child with varicella (chickenpox) should return to school only after all the blisters have crusted over, indicating that the infectious stage has passed and they are no longer contagious.
B. Receiving the varicella vaccine does not apply to children who already have the infection; vaccination is preventive, not a treatment for those already infected.
C. Completing one week of antiviral medication is not a sufficient criterion for returning to school, as the child may still be contagious until all lesions are crusted.
D. Returning to school as soon as the rash appears is not safe, as the child is highly contagious during the initial rash stage and until all lesions have crusted.