Examkin

Question

Difficulty: HardDevelopmental Stages and Transitions

A nurse on a pediatric medical unit is planning care for a 9-year-old client who requires frequent respiratory treatments and complex medication management for newly diagnosed asthma. Which nursing intervention best promotes the client's psychosocial development during this hospitalization?

  1. Providing a daily routine schedule and a checklist for the client to mark off when each respiratory treatment is completedAnswer
  2. B
    Arranging for an older teenager with asthma to visit and discuss how to manage the condition during high school
  3. C
    Explaining the cellular pathophysiology of airway inflammation using interactive 3D medical models
  4. D
    Recommending that the parents manage all medication administration to alleviate the client's anxiety about making a mistake

Answer

Providing a daily routine schedule and a checklist for the client to mark off when each respiratory treatment is completed.
The correct answer supports Erikson's psychosocial stage of Industry vs. Inferiority. School-age children (typically ages 6 to 12) thrive on accomplishment, structure, and participating in tasks. Allowing the client to use a checklist for treatments fosters a sense of competence, mastery, and control over their environment. This directly promotes healthy psychosocial development by preventing feelings of inadequacy that can arise during hospitalization.

Step-by-Step Solution

1
Identify the client's developmental stage based on age.
The client is 9 years old, placing them in the school-age stage.
Developmental interventions must be tailored to the specific cognitive and psychosocial stage of the child.
2
Determine the relevant developmental theories for a school-age child.
According to Erikson, the child is in the Industry vs. Inferiority stage. According to Piaget, they are in the Concrete Operational stage.
These frameworks define what the child needs to achieve healthy psychosocial adaptation and how they process information.
3
Evaluate the nursing interventions against these theoretical frameworks.
A checklist provides a concrete task that the child can complete to gain a sense of mastery and industry, perfectly aligning with their developmental needs.
Nursing care for a school-age child must balance necessary medical supervision with opportunities for the child to achieve, participate, and feel productive.

Key Concept

School-Age Psychosocial Development (Industry vs. Inferiority)
Estimated Time:1m 30s
Rate this question

Topics

Developmental Stages and Transitions

More questions from this topic