question archive   1)Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination

  1)Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination

Subject:NursingPrice:2.84 Bought7

 

1)Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina's body is beginning to change and she has made a number of comments about her body image. Kris is concerned about Gina's self-esteem and emotional development. (Learning Objectives 1, 2, and 3)

A) What are some of the prepubescent changes school-age children experience that the nurse can share with Kris?

B) What are some of the issues regarding body image that the nurse can teach Kris about?

C) What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns? 

 

2)Don is a 10-year-old boy who is being seen by the school nurse today for a fall he experienced on the school's playground. Don's mother, Kandis, has arrived and expresses some concern regarding Don's recent behavior. She explains that he has engaged in more risk-taking behavior and has had more injuries lately. Kandis then asks the nurse what Don's weight is and asks her if she thinks Don is overweight. Don is 5'1" and weighs 130 lb. His body mass index (BMI) is 24.5. (Learning Objectives 4, 5, and 6)

A) What can the nurse teach Kandis about promoting a safe lifestyle for Don? 

B) What can the nurse teach Kandis regarding Don's weight and corresponding BMI?

C) What can the nurse teach Kandis regarding Don's nutritional needs, promoting nutritional healthy intake, and preventing overweight/obesity?

pur-new-sol

Purchase A New Answer

Custom new solution created by our subject matter experts

GET A QUOTE

Answer Preview

 1: A. What are some of the prepubescent changes school-age children experience that the nurse can share with Kris?

These are the changes that normally appears  in all girls before the beginning of menstruation. These changes may includes :

  • Body fat and weight gain occur due to deposition of adipose tissue.
  • Sexual orientation develops at this stage due to hormonal changes
  • The  the development of breast buds. 
  • The hair begins to grow in the pubic area and under the arm. 

    B. What are some of the issues regarding body image that the nurse can teach Kris about?

  • The nurse should  Support them emotionally and talk to them about the changes of her own.
  • The nurse to explain to her about the menarche and how to take care of her.
  • The nurse should advice her mother to Give her Healthy nutritious diet and to be active to maintain a healthy weight.
  •  Gina may feel fear and misconception of their body image. Therefore the nurse should teach  her to  accept  the body image as positive.
  •  The nurse should tell her that, that is the normal body function of transition of child to the adult stage.

    C. What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns? 

  • This is the stage that the school - aged  children faces a lot of challenges  at school and home. The nurse should teach the parents to  Treat their children  with respect which helps them to grow the self-confidence and self-esteem.

When there is an Increased self-esteem, the children  will grow positive behavior. Peer acceptance and social acceptance is necessary which improves her communication skills. Also, Parent should try to avoid health issues and eating disorders which may decrease her self-esteem.

2 : A. What can the nurse teach Kandis about promoting a safe lifestyle for Don? 

The nurse should teach Kandis about the importance of safe lifestyle by: 

  • Personal growth
  • Caring for body image.
  • keenness.
  • Avoiding of injuries during playing by adopting appropriate lifestyle manne
  •  Promoting a nutritious diet.
  • Healthy eating behavior.
  • Exercising

 As Don overweight is one of the causes for injuries, so Kandis should be explained  about the healthy eating habits

     B. What can the nurse teach Kandis regarding Don's weight and corresponding BMI?

Don's weight and BMI indicates  that he is overweighed for his age. This is mainly due the below things:

  • Too bad eating habits.
  • Inappropriate sleep.
  • Wrong selection of food items.
  •  Sedentary lifestyle. 

Therefore  Kandis  should be taught about healthy eating habits, physical activity, the proper sleeping pattern will help him to maintain normal healthy weight.

     C. What can the nurse teach Kandis regarding Don's nutritional needs, promoting nutritional healthy intake, and preventing overweight/obesity.

  • The nurse may  plan to develop a menu plan which comprises of three meals and two nutritious snacks to be taken. 
  • The nurse may also include the fruits, vegetables, grains, and dairy products to meet the essential requirements of carbohydrates , proteins, vitamins, and minerals to the diets.
  • The nurse should include  exercise and physical activities  to prevent obese. Serving size should be strictly followed and advised her to minimize the calorie and increase the nutrient.

Step-by-step explanation

Adolescent development helps  the parents to understand the changes that ones child is going through and have appropriate expectations and responses. Even when the child is experiencing major problems or taking grave risks, it is important to understand the developmental stage they are at so you can respond in the most helpful way.

Related Questions