Choice A rationale:

Creating a safe environment, encouraging physical activity, and offering counseling are appropriate nursing interventions to promote the well-being of an individual with Down syndrome.

Safety is essential to prevent injuries, and physical activity can support overall health and well-being.

Additionally, counseling can address emotional and psychological needs, which are often important for individuals with Down syndrome.

This choice covers a wide range of well-being aspects.

Choice B rationale:

Administering medications, monitoring vital signs, and facilitating communication are important aspects of nursing care, but they may not be the top priorities for promoting the well-being of an individual with Down syndrome.

Medications and vital signs monitoring are specific to medical conditions, and communication is important but does not cover all aspects of well-being.

Choice C rationale:

Providing emotional support, promoting cognitive development, and offering early intervention services are indeed relevant interventions for individuals with Down syndrome.

However, choice A is more comprehensive as it not only includes these but also emphasizes creating a safe environment and counseling, which are essential aspects of overall well-being.

Choice D rationale:

Collaborating with therapists, addressing health conditions, and advocating for inclusive education are important interventions for individuals with Down syndrome, but they may not be the top priorities for promoting overall well-being.

These interventions focus more on specific domains of care, whereas choice A offers a broader perspective on well-being.