A hospitalized 11-year-old child turns down opportunities to play ...

[deesands]

A hospitalized 11-year-old child turns down opportunities to play or engage in diversionary activities. When questioned, the child states I'm bad at that or I can't do anything. What action by the nurse is best?
 
  A.
  Arrange a pediatric psychology consultation.
  B.
  Assess the child for emotional abuse at home.
  C.
  Consult the child developmental specialist.
  D.
  Document the statements in the child's chart.

Question 2

A 10-year-old child who has been hospitalized frequently and for long periods of time has the nursing diagnosis of delayed growth and development. Which action by the child would demonstrate that outcomes for this diagnosis have been met?
 
  A.
  Able to play harmoniously with peers
  B.
  Does own homework independently
  C.
  Seeks out parental approval for activities
  D.
  Selects age-appropriate games and toys

[matt]

Answer to Question 1

ANS: C
This 11-year-old child is in the Erikson stage of industry versus inferiority, and it seems he or she has not mastered tasks and developed a sense of self-confidence. Illness can frequently disrupt growth and behavior, and the child developmental specialist is a vital resource in meeting the developmental needs of the hospitalized child. Documentation should always be accurate and thorough, but simply documenting the statements will not help resolve the problem. The child may or may not need a psychology consultation or an abuse assessment, but the focus is on helping the child meet developmental milestones.

Answer to Question 2

ANS: B
A 10-year-old child is in the Erikson stage of industry versus inferiority. Mastery of tasks leads to self-confidence. Industry is apparent when the child feels capable of doing homework or other assigned tasks independently. This shows resolution of the nursing diagnosis, as appropriate developmental tasks have been accomplished. The other actions do not show resolution of this task.