In addition to the physical aspects of body image changes, there are also social and emotional impacts with these changes. For example, in terms of the perideath period, some religious practices include a clergy person like a Catholic priest to perform that religion's Sacrament of the Sick. Your priority nursing concepts for this lesson are, clinical judgement, prioritization and health promotion. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. We break down the diseases into different body systems to help provide clarity and make them easier to understand. When nurses assess clients they incorporate their knowledge of developmental levels into this assessment to determine and evaluate whether or not the client is achieving the expected milestones associated with their age. Growth slows at age 12-18 months, the appetite and need for food decreases. It is important to have an understanding of where they are from both a developmental and a cognitive perspective. This theorist developed 6 age groups and the physical, psychological and social tasks associated with each of these 6 age groups. Health promotion/Education • Social interaction)-Health maintenance, ineffective • Health management, self, ineffective • Health-seeking behaviors (specify) • It can be a bit of a scary move to go from the cozy colourful peds unit to an adult ward. The adult which is defined as from twenty six to sixty five years of age and, lastly, The older adult who is over sixty five years of age, Sensitivity and reactions to external stimuli, The provision of parent or legal guardian patient education when an infant and the young child is being cared for, The provision of safe and nontoxic, large toys for infants and young children to prevent aspiration and a foreign body obstructing the young child's respiratory tract, The use of touch and a soft voice to communicate with an infant, The use of a graphic pain assessment tool, rather than a numerical pain assessment scale, for young children and elderly adults who have a cognitive impairment, Using the vastus lateralis as the muscle of choice for an intramuscular injection among infants. Staff members must be educated about the age related changes and the age specific characteristics and needs of clients across the life span so that they can modify the care of their client's accordingly. For example, a young mother may be taught about her toddler's age appropriate toys and a middle age adult may have a need to learn about depression among the elderly when the parents are not coping with the normal changes of the aging process. (Cheat Sheet), High Risk Behavior Last but not least – teenagers with chronic illnesses need to be prepped for transitioning to adult care. Some of these modified approaches to care, communication, explanations, teaching and diversionary activities include: Clients and staff members must be knowledgeable and educated about expected age related changes and age specific characteristics and needs. Your key points are, 1) Think of growth and development findings as important clues. That’s a wrap for this development session. For example, in the past the mother stayed at home and cared for the children while the father worked as the bread winner of the family. So major milestones and the important things that are happening here are really shifting from skills to social and cognitive experiences. They love understanding processes and appreciate being given the facts. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. Which of the following age groups include a child who can tie knots, begin growing permanent teeth and losing temporary ones, is more independent, and can begin to understand concepts like the future? So usually around 5 or 6 we no longer have to hold down and restrain during procedures! As somewhat previously discussed with the "Integrated Process: Communication" and the "Integrated Process: Teaching and Learning", communication and teaching are modified according to the client's age, level of cognition, and developmental stage. A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Allow the family to bring in the child’s favorite computer games; Encourage the parents to room-in with the child So, our important topics to consider for teenagers are 1) reproductive health 2) mental health 3) healthy lifestyle and 4) Transitioning to adult medical care. (Cheat Sheet), Theories of Development Which of the following nursing interventions is most appropriate to facilitate normal growth and development? Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. This nursing test bank set includes 50 questions divided into two parts. Again, all maladaptation and/or poor coping skills must be determined, documented and reported so that the patient's plan of care can be changed to meet these needs. When questioning a 15-year-old about potential causes of stress, the nurse knows which of the following to be true about adolescent development? Nutrition. A nurse is working with a 13-year-old girl who is going through puberty. Throughout your nursing training and career, you will care for patients and family members of all ages. The 5 stages of Sigmund Freud's stages of psychosexual development are: Some of the lesser known theories of growth and development include those of Stella Chess and Alexander Thomas, Roger Gould, Robert Havighurst, and Robert Peck. All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. 36. For example, a family system can be impacted with the empty nest syndrome which is an expected and developmentally normal change; and the death of a child or a spouse is an unexpected and often disruptive change for members of the family. Some of the same impacts that culture has, religion also has. This is awesome because it means that you can now put in an IV without also feeling like you also got a total body workout. In the past roles within the family were gender based; now these roles are not usually based on gender. Those are scary statistics and just highlight how important it is to pay attention to any signs of psychological distress you may come across in your teenage patients. Growth and development • Dentition, impaired • decreased Development delayed, risk for • •Growth, disproportionate, risk for • Growth and development, delayed . Language and vocabulary progressively develop. Physical care, including medication administration, as will be discussed later in this review, is also modified according to the client's age and developmental status. Cognitively, they are able to process things in a more complex, less black and white way. Religion may impact on the family's beliefs about illness, nutritional patterns, beliefs about elders and the elderly, parenting, birth control, family size, and even death and death vigils are often driven by the family's religion. Provide stimulation activities, according to age. When a staff or client/family learning need is assessed, the nurse then plans, implements and evaluates the teaching that is given specific to the learners' needs. These assessments include the physical, cognitive and psychosocial stages of growth and development. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. In the correct sequential order, Jean Piaget's levels of cognitive development include: The sensorimotor thought level has 6 sub stages; this level includes the development of the infant's and young child's ability to manipulate concrete objects. Some of these changes are expected and developmentally normal and other changes are unexpected and often disruptive to the homeostasis of the family. The nurse recognizes that which of the following developmental tasks are associated with a child of this age? How do they fit in with what I already know? A seven-year-old child must take an oral medication that is provided in the form of a tablet. It can be a pretty stressful phase with all the physical changes and emotions that go along with becoming an adult. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? Because of this it’s is super important to ask questions about their environment and also their social and mental well being. Set limits. Check out the OB lesson on Family Planning for more on this. For example, communication patterns, beliefs about illness, who is the major family decision maker, family dynamics, perspectives about health and health care, space orientation, time orientation, nutritional patterns, beliefs about elders and the elderly, parenting, family size, and even death and death vigils are often driven by the family's culture, as passed on from generation to generation. Some of these expected life transitions include attachment and bonding to the neonate, puberty, pregnancy, care of the newborn, parenting, and retirement. Provides evidence of progress to evaluate program to correct any growth and developmental deficit. Obesity has become more and more a problem for children and adolescents so that needs to be on our radars for patient education. Feel Like You Don’t Belong in Nursing School? Nurses also determine the impact of expected body image changes on the client in terms of how the patient's perceptions are interfering with the patient's quality of life and the continued performance of their activities of daily living. She got her bachelor’s of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. Prompt planning and intervention will then be instituted for children who may benefit from referral to early intervention programs. So you may see things like headaches and stomach aches occur, related to an upcoming performance or stressful event. A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Also, the writing of questions sets up a perfect stage for exam-studying later. Some of the most stressful expected body image changes that may adversely affect the client and family include body image changes such as those associated with pregnancy, menopause, puberty, and aging. So nursing care takes on the additional goal of encouraging autonomy and independence with all aspects of their health. The girl is upset because she is taller than everyone in her class at school and she asks the nurse if it will always be this way. Your nursing concept for this one and all the other ones as well are human development, patient centered care and health promotion. Growth And Development Throughout your nursing training and career, you will care for patients and family members of all ages. Okay, so socially and cognitively – teenagers are developing rapidly. In the grand scheme of things, it is essential for nurses to understand normal development as well as the variations that are considered acceptable so nurses can recognize pathologic patterns and developmental delays. And you’ve got a high risk phase of development. An 8-year-old child is in the hospital for a respiratory illness. Nurses also determine and evaluate the impact of expected body image changes on the client and family in terms of how their perceptions and beliefs may be interfering with the patient's quality of life and the continued performance of their activities of daily living. SEE - Health Promotion & Maintenance Practice Test Questions. The nurse caring for a nine-year-old boy knows which of the following is consistent with his social development at this stage? Similarly, registered nurses can identify knowledge deficits and assess the learning needs among their clients and family members across the life span in terms of their knowledge about expected age related changes and age specific characteristics and needs. And equitably shared by the adults in the child 's favorite computer games B Encourage... 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