A nurse is planning care for an adolescent who is withdrawn and avoids social group activities.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

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

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

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

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 A

Explanation

A. Holding breath for 10 seconds after inhaling the medication allows for better absorption of the medication in the lungs, indicating understanding of proper inhaler technique.

B. Taking a quick inhalation is incorrect; the client should take a slow, deep breath to ensure the medication reaches the lungs effectively.

C. Waiting 10 minutes between inhalations is not necessary unless specifically instructed; usually, a second puff can be taken after 1-2 minutes if needed.

D. The client should exhale before inhaling the medication, not while it is being released; exhaling first clears the lungs for a more effective inhalation.

A. To monitor and assess the patient's lung function and oxygen saturation. B. To provide pain relief and reduce inflammation in the lungs. C. To improve lung function and remove mucus from the airways. D. To administer medications directly into the lungs for targeted treatment.

Correct Answer is C

Explanation

A. Monitoring lung function and oxygen saturation is important but not the primary purpose of chest physiotherapy.

B. Chest physiotherapy does not primarily focus on pain relief or reducing inflammation; instead, it targets mucus clearance.

C. Chest physiotherapy is primarily performed to enhance lung function by mobilizing and clearing thick mucus from the airways, which is critical in managing cystic fibrosis and preventing infections.

D. While medications can be administered via nebulization, chest physiotherapy itself is not used for direct medication delivery but rather for airway clearance.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

Correct Answer is C

Explanation

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