A 15-year-old is newly diagnosed with scoliosis and refuses to wear the prescribed brace due to embarrassment.
What is the best nursing intervention?
Emphasize the importance of treatment compliance.
Tell the adolescent their peers will not notice.
Involve the adolescent in selecting brace customization options.
Explain the risks of noncompliance.
The Correct Answer is C
Choice A rationale
Emphasizing compliance without addressing the underlying emotional distress of an adolescent regarding body image can be counterproductive. Adherence to medical regimens, especially those affecting appearance, is significantly influenced by psychosocial factors and perceived stigma. A confrontational approach often increases resistance, hindering long-term treatment success.
Choice B rationale
Dismissing an adolescent's concern about peer perception trivializes their developmental stage, where social acceptance and body image are paramount. Telling them peers will not notice is often untrue and undermines trust, as adolescents are highly attuned to social cues and peer judgment, which can lead to further noncompliance.
Choice C rationale
Involving the adolescent in brace customization promotes autonomy and ownership over their treatment, significantly increasing compliance. This approach addresses the emotional impact of body image concerns by allowing for personalization, which can mitigate feelings of embarrassment and enhance self-esteem during a critical developmental period.
Choice D rationale
While explaining risks is important for informed consent, focusing solely on negative consequences without offering solutions or addressing emotional barriers can instill fear without promoting adherence. This approach can also lead to resentment or a feeling of being lectured, further alienating the adolescent from treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This interpretation incorrectly assigns the meaning of the numbers. In obstetric documentation, the first number represents dilation, the second effacement, and the third fetal station. Therefore, 3 cm for effacement and 30% for dilation is an inaccurate interpretation of standard labor documentation.
Choice B rationale
This is the correct interpretation. In standard obstetric documentation of a vaginal examination, the first number (3 cm) refers to cervical dilation, indicating the opening of the cervix. The second number (30%) refers to effacement, the thinning of the cervix. The third number (-1) indicates the fetal station, meaning the presenting part is 1 cm above the ischial spines.
Choice C rationale
This interpretation incorrectly assigns the meaning of the numbers for dilation and effacement. Additionally, a fetal station of -1 signifies the presenting part is 1 cm *above* the ischial spines, not below. This demonstrates a misunderstanding of both effacement/dilation order and station definition.
Choice D rationale
This interpretation misinterprets the fetal station. A station of -1 means the presenting part is 1 cm *above* the ischial spines, not below. This error in understanding fetal station is critical for assessing labor progression and fetal descent.
Correct Answer is A
Explanation
Choice A rationale
Ensuring the car seat is securely installed and properly buckled is paramount for infant safety. Correct installation prevents excessive movement of the car seat during a collision, and proper buckling ensures the infant is restrained effectively, reducing the risk of ejection or injury from impact forces.
Choice B rationale
Using an expired car seat or one that has been involved in a previous accident is highly dangerous. Over time, materials degrade, and the structural integrity of a car seat can be compromised after an accident, even if there are no visible signs of damage. Expired seats may not meet current safety standards.
Choice C rationale
Always placing the car seat in the front seat, facing forward, is incorrect and extremely dangerous. The front passenger airbag can deploy with significant force, causing severe or fatal injuries to an infant in a car seat. Infants and young children should always be in the back seat to mitigate this risk.
Choice D rationale
Placing the car seat in the middle of the back seat, facing forward, is incorrect for infants. Infants should always be in a rear-facing car seat until they meet the maximum height or weight limits for their rear-facing car seat, typically around 2 years of age or older. The middle back seat is generally safest for placement due to optimal crash protection.
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