Betty is a 2-year-old being admitted from herpediatrician’s office for dehydration following 3 days of fever,vomiting, and concern for a urinary tract infection.
1. Describe Betty’s development in terms of Erikson’s stage ofpsychosocial development
2. Describe Betty’s development in terms of Piaget’s stage ofcognitive development
3. You will need to perform an assessment and obtain vitalsigns, but Betty cries every time you enter the room. Describe howyou will do this based on her development.
4. Oh no! Betty needs an IV! How will you explain the processand get the job done?
5. The MD ordered an ultrasound of the kidneys and bladder. Nosedation will be used. How will you explain this procedure toBetty?
Sam is a 5-year-old who was transported to the EmergencyDepartment after falling from the monkey bars atschool.
1. Describe Sam’s development in terms of Erikson’s stage ofpsychosocial development
2. Describe Sam’s development in terms of Piaget’s stage ofcognitive development
3. First thing we need to do is perform an assessment and obtainvital signs. You tell him this word for word and he says “what’s avital?”. How will you explain this differently to Sam?
4. Sam doesn’t know if he hit his head, so he will need a CTscan. How would you explain this to him using his developmentalstage (Erikson and Piaget)?
5. Uh-oh. Sam’s arm doesn’t look right! It’s definitely brokenand he will need a cast. How are you going to explain this tohim?
Nina is a 11-year-old admitted for an asthma attack. Shehas an IV with fluids, nasal cannula for oxygen, and is connectedto the monitor to watch her heart rate, respiratory rate and oxygensaturation.
1. Describe Nina’s development in terms of Erikson’s stage ofpsychosocial development
2. Describe Nina’s development in terms of Piaget’s stage ofcognitive development
3. You will need to perform an assessment and vital signs. Shetells you she wants to be a nurse when she grows up and wants toknow what everything means. How would you describeher numbers and assessment to her (FYI- you hear wheezingbilaterally)?
4. Nina is generally a very active child, but now she is stuckin bed! How would you explain her activity restrictions and whatactivities would you recommend?
5. Nina is getting ready to go home, but she will need to useher inhaler every day. She tells you she doesn’t use medicine athome. Explain why she needs to use it now in terms she willunderstand.
Rebecca is a 15-year-old girl who was admitted for newonset diabetes. She is stable and just needs teaching so she can gohome.
1. Describe Rebecca’s development in terms of Erikson’s stage ofpsychosocial development
2. Describe Rebecca’s development in terms of Piaget’s stage ofcognitive development
3. You will need to perform an assessment and obtain vitalsigns, but Rebecca is asleep when you enter the room because shestayed up until 2 AM talking to her friends. What is your plan toget your job done?
4. Rebecca’s breakfast is here! She needs to check her bloodsugar and give herself insulin before she eats, but she is nervous.How would you help her through the process?
5. Rebecca expressed concerns about what her friends will thinknow that she has diabetes. How would you help her explain this toher friends?
