Quiz 21: Promoting Health From Conception Through Adolescence

Nursing

Cognitive development refers to the intellectual growth of a person, which is manifested as an improvement of reasoning, thinking, processing of information, and the development of perceptual ability. According to Jean Piaget, cognitive development occurs through assimilation, accommodation, and adaptation. The patient Shireena is an 8-year-old girl and has been presented with pain in both the ears that has been onset for 4 days. The patient has a previous history of ear infection that is recurrent. She has tympanostomy tubes in the ears. She is, also, aware of her susceptibility to the ear infection and follows the appropriate preventive measures. According to the cognitive development theory of Piaget, the client is in the 'concrete operation phase' where the client is capable of understanding the relationships such as size and strength, solving concrete problems, and has personal viewpoints.

SIDS refers to Sudden Infant Death Syndrome. It is triggered by congestive lung infections such as pneumonia. The accurate nursing intervention is to provide the corresponding parent with detailed explanation so as to give the parent emotional stability and a feeling of control over the situation. In the given case, there is an eight month old infant with pneumonia, and has been admitted to the hospital. Her parents were worried about the possibility of the infant having SIDS. The parent also stated that her sister's baby also died at the age of two months after having a cold. At such a situation, the nurse needs to respond to the parent in the best way to help her calm down and discuss the issue in a productive way. A response stating that the mother need not worry much, since her child is too old for SIDS is incorrect because it provides information but does not address the parents' immediate concerns. Also, stating that boys are more susceptible to SIDS as compared to girls provides the correct fact, but it may enhance anxiety and depression in the parents. Ignoring the situation just because the nurse does not know much about the prevailing condition is inappropriate because it does not address the mother's concerns and anxiety. Hence, the options 1, 2 and 3 are incorrect. The response of a nurse by stating that the parent must be anxious about SIDS and asking her to share some information on SIDS addresses the mother's emotional upset and encourages the parent to express her anxieties regarding SIDS. Hence, the correct answer is option img .

Cognitive development indicates towards the intellectual growth of a person that is manifested as the improvement of reasoning, thinking, processing of information, and the development of the perceptual ability. According to Jean Piaget, cognitive development occurs through assimilation, accommodation, and adaptation. An 8-year-old patient, Shireena, is experiencing pain in both the ears that has been persisting for 4 days. Shireena, also, has a previous history of ear infection that is recurrent in nature. She has tympanostomy tubes in the ears. She is also aware of her susceptibility to the ear infection and follows the appropriate preventive measures. According to the theory of cognitive development given by Piaget, Shireena is in the concrete operation phase. At this phase, she is capable of processing information and solving concrete problems. Therefore, the appropriate way to teach Shireena about her treatment procedure and health problem is to involve her in the active verbal discussions and to encourage her into providing innovative ideas to protect her. The nurse should also involve the mother in the discussion in a way that puts Shireena in the place of the primary decision maker.

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