Author Question: A 12-year-old girl is experiencing prepubescence, and tells the school nurse that she feels very out ... (Read 156 times)

olgavictoria · **on:** Jun 28, 2018

A 12-year-old girl is experiencing prepubescence, and tells the school nurse that she feels very out of place in her school. What would be acceptable responses by the nurse? Select all that apply.

A) It must be difficult for you. Why don't you sit down and we can talk about it.
B) I would suggest that you talk to your parents about your feelings. This isn't something that I can talk to you about.
C) All of the girls and boys will be going through the same thing as you so that should make you feel a little better.
D) Tell me how this makes you feel. Talking about your feelings may help you feel better about school.
E) I went through the same thing when I was in school. I know it doesn't feel like it now but I promise it will get easier.

Question 2

The mother of a 12-year-old boy is talking with the school nurse about her son's clumsiness. She reports that he seems to fall a lot, his writing is horrible, and as much as he practices he can't play his guitar very well.

How should the nurse respond to the mother?

A) Boys tend to take a bit longer than girls to mature.
B) Have you spoken with your pediatrician about your observations?
C) Boys tend to refine their fine motor skills by this age.
D) I will make a note of your observations and talk to his teachers.

marict · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: A, D
Prepubescence typically occurs in the 2 years before the beginning of puberty and is characterized by the development of secondary sexual characteristics, a period of rapid growth for girls, and a period of continued growth for boys. Acknowledging the student's feelings and encouraging her to talk about her feelings will likely help her to feel better about herself. She may not be comfortable with talking about her feelings with her parents at this point, and the nurse discussing this topic with the student is acceptable. Telling her that everyone goes through it and that it will get easier does not address the student's feelings and is nontherapeutic communication.

Answer to Question 2

Ans: B
Myelinization of the central nervous system is reflected by refinement of fine motor skills. The child between 10 and 12 years of age begins to exhibit manipulative skills comparable to adults. In order to determine if the child is delayed in fine motor skill development, the pediatrician should be made aware because further examination or testing may be warranted. Just stating the fact that his motor skills should be developed by this age, although true, does not address the mother's concerns. The teachers can be notified of the mother's observations, but the child should still be assessed by the pediatrician.