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The nurse is caring for a nine-year-old client on the pediatric unit. What is the most effective way for the nurse to support this child in achieving Erikson's developmental task of industry versus inferiority?

A.

Encourage the child to spend most of their time resting and avoiding physical activities.

B.

Limit social interactions with other children to prevent potential conflicts.

C.

Focus on providing constant supervision to ensure the child does not engage in any risky behavior.

D.

Involve the child in making decisions about their care whenever possible, and provide tasks they can complete independently.

Answer and Explanation

The Correct Answer is D

A. Encouraging excessive rest and avoidance of physical activities can lead to feelings of inferiority by limiting opportunities for achievement and social interactions.  

 

B. Limiting social interactions is counterproductive, as friendships and peer relationships are critical for social development during this stage.  

 

C. While supervision is important, overly controlling the child’s activities can inhibit their ability to explore and learn, negatively impacting their sense of industry.

 

D. Involving the child in decision-making and providing opportunities for independent tasks fosters a sense of competence and accomplishment, essential for developing a sense of industry, according to Erikson’s theory.  


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Correct Answer is C

Explanation

A. Montelukast is a leukotriene receptor antagonist used for long-term management and prevention of asthma symptoms, not for acute relief.

B. Budesonide is an inhaled corticosteroid used for long-term control of asthma but does not provide immediate relief during an acute attack.

C. Albuterol is a short-acting beta-agonist (SABA) that provides rapid bronchodilation and is the first-line medication for relieving acute asthma symptoms.

D. Fluticasone is also an inhaled corticosteroid intended for long-term management, which does not address the immediate needs of an acute asthma attack.

Correct Answer is B

Explanation

A. This statement is incorrect; the spacer does not primarily increase medication delivery to the oropharynx.

B. The spacer helps to increase the amount of medication that reaches the lungs by allowing larger particles to settle out and preventing them from being deposited in the mouth and throat.

C. Inhaling slowly and deeply is recommended for effective medication delivery when using an MDI with a spacer.

D. Covering the exhalation slots would prevent proper airflow and could cause the child to inhale exhaled air, which is not recommended during inhalation.

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