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A nurse is planning care for an adolescent who is withdrawn and avoids social group activities. Which of the following interventions should the nurse plan to include?

A.

Encourage the adolescent to spend more time alone to build self-confidence.

B.

Assign the adolescent as the leader of a group project in a school activity.

C.

Arrange one-on-one counseling sessions to explore the causes of social withdrawal.

D.

Advise the adolescent to focus solely on academic achievements to boost self-esteem.

Answer and Explanation

The Correct Answer is C

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.


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Correct Answer is B

Explanation

A. Tricuspid atresia typically leads to decreased pulmonary blood flow due to the absence of normal blood flow to the lungs.

B. Patent ductus arteriosus results in increased pulmonary blood flow because it allows blood to flow from the aorta to the pulmonary artery, increasing the volume of blood going to the lungs.

C. Coarctation of the aorta can cause decreased blood flow to the lower body, which may not directly relate to increased pulmonary blood flow.

D. Tetralogy of Fallot is characterized by decreased pulmonary blood flow due to right ventricular outflow obstruction, making it not associated with increased pulmonary blood flow.

Correct Answer is ["A","C","D","E"]

Explanation

A. The parent applying prescribed medication as instructed indicates proper understanding of post-operative care and adherence to treatment.

B. Allowing the child to lift their older sibling above the ground is inappropriate as it can lead to increased pressure on the ear, risking complications.

C. Enforcing nose blowing only when necessary is a correct action since excessive force can displace the tympanoplasty tube or introduce bacteria into the ear.

D. Planning to have the child use ear plugs in the shower is an effective precaution to protect the ears from water exposure, which is essential post-surgery.

E. Reporting purulent drainage immediately to the surgeon shows awareness of potential complications and the need for prompt medical attention.

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