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A nurse is planning care for an adolescent who is withdrawn and avoids social group activities.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 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 B

Explanation

A. This option is incorrect as it does not describe the expected blood pressure difference in coarctation of the aorta.

B. Coarctation of the aorta typically presents with higher blood pressure in the upper body (arms) and lower blood pressure in the lower body (legs) due to the obstruction of blood flow distal to the aortic arch.

C. This option is incorrect because while coarctation can lead to decreased perfusion in the lower extremities, it does not typically result in decreased blood pressure in both the arms and legs simultaneously.

D. While increased blood pressure may occur in the arms, the legs would not typically show increased blood pressure in cases of coarctation.

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