Soru

Zorluk: ZorDevelopmental Stages and Transitions

A pediatric nurse is evaluating a 4-year-old child during a routine health maintenance visit. The parents report several observations about the child's recent behavior. Which of the following parental reports should the nurse recognize as expected developmental characteristics for a child of this age? Select all that apply.

  1. "My child insists on wearing a bandage over a tiny scratch even after it has stopped bleeding."Cevap
  2. "My child believes that being mad at their little sister caused her to trip and scrape her knee."Cevap
  3. C
    "My child plays right next to other children at the park but doesn't actually interact or share toys with them."
  4. D
    "My child understands that water poured from a short, wide cup into a tall, thin glass is still the same amount."
  5. "My child constantly asks 'why' and 'how' questions about everything they see in the clinic."Cevap
  6. F
    "My child becomes inconsolable and throws a temper tantrum every time I leave the room."

Cevap

The expected developmental characteristics for a 4-year-old include insisting on wearing bandages for minor scratches, exhibiting magical thinking, and constantly asking 'why' and 'how' questions.
A 4-year-old child is in the preschool stage of development. Expected characteristics include a strong fear of bodily injury (leading to a reliance on bandages), magical thinking (believing thoughts cause events), and significant curiosity (frequent 'why' questions) indicative of Erikson's Initiative vs. Guilt stage.

Adım Adım Çözüm

1
Identify the client's age and relevant developmental stage.
The client is a 4-year-old child, placing them in the preschool developmental stage.
Nursing assessments must be grounded in expected age-related milestones to differentiate normal behavior from delays or pathology.
2
Analyze the developmental theories applicable to a preschool-age child.
According to Erikson, this is the Initiative vs. Guilt stage. According to Piaget, this is the preoperational cognitive stage.
These theoretical frameworks predict the child's behavioral, cognitive, and social responses.
3
Evaluate each parental report against expected preschooler milestones.
Fear of bodily mutilation, magical thinking, and intense curiosity align with preschool development. Parallel play, lack of conservation, and severe separation anxiety do not.
Differentiating between adjacent stages (toddler, preschool, and school-age) allows the nurse to accurately assess the child's developmental transition.

Anahtar Kavram

Developmental Stages and Transitions
Tahmini Süre:1m 30s
Bu soruyu puanla