Question

Chapter 28: Growth and Development of the School-Age Child

1. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina’s body is beginning to change and she has made a number of comments about her body image. Kris is concerned about Gina’s self-esteem and emotional development. (Learning Objectives 1, 2, and 3)

a. What are some of the prepubescent changes school-age children experience that the nurse can share with Kris?

b. What are some of the issues regarding body image that the nurse can teach Kris about?

c. What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns?

Answer 1

a.What are some of the prepubescent changes school-age children experience that the nurse can share with Kris?

Give Chances to Practice Sympathy

Empathy can't be learned by discussing it. Youngsters must practice sympathy in their day by day lives. Troublesome experiences with relatives, schoolmates, and companions display open doors for children another's shoes – to hone compassion. They likewise learn empathy when they work on giving without the need to pick up anything consequently, when they are with individuals or creatures who are enduring, and when they encounter the interior reward of feeling increased in value.

Help Children Understand and Cope with Anger

Outrage is deterrents to empathy since it can overpower kids' brains and soul. However there are times when outrage yields vitality and assurance. We can help youngsters by asking how their outrage will help take care of an issue or make their lives more joyful. We can enable them to see sides of outrage, and how clutching outrage prompts inconsistent and dangerous results.

Encourage Children to Self-Regulate

Cures to outrage come through sympathy and self-control, the capacity to stop or defer an activity as opposed to acting hastily. Youngsters ought to comprehend that directing their outrage is anything but an indication of shortcoming. Rather, a humane mentality is an inner quality. Acclaim kids when they control themselves, ensuring they comprehend the intensity of their smoothness and tolerance. Continuously empower rudimentary and center school kids to discuss their outrage with a steady grown up. Instructing empathy doesn't mean turning a visually impaired eye to hostility in others. We as a whole realize that kids get harassed and are regularly not treated reasonably by peers. On the off chance that trying to avoid panicking just energizes more animosity, at that point we should likewise enable kids to take a solid remain without retaliatory outrage.

b.What are some of the issues regarding body image that the nurse can teach Kris about?

Ladies and young ladies are presently living in a general public where their bodies characterize their identity. Young ladies are frightened to put on weight and are persistently reminded by the media about different new eating regimen items available, and the incentive in weight reduction. They are additionally barraged by incalculable TV programs on plastic medical procedure and the quantity of restorative medical procedures in this nation are expanding each year. Ladies today confront outlandish pictures of magnificence consistently when they sit see a film, or view a magazine. It is evaluated that young ladies are presented to media pictures for every day. In the present society, confidence and body regard have one and the same. Tragically this is having a passionate toll on young ladies, and they are feeling lacking and regularly swing to extreme practices trying to control their bodies to fit into an implausible standard of magnificence. Dietary problems have prospered in this magnificence driven society. Young ladies and ladies are caught in a negative cycle of body contempt. Ladies with dietary problems are especially powerless against this undesirable self-perception cycle.

c.What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns?

Babies are prenatally presented to their moms' utilization of unlawful substances each year, and presentation to these substances is regularly the main point in which kids encounter the negative impacts of parental substance manhandle. Physiological appearances of this introduction may incorporate low birth weight, nourishing troubles, expanded peevishness by the newborn child, and hindered intellectual and physical development. The seriousness and nature of these indications differ contingent upon the unlawful substance utilized, and additionally the recurrence and term of utilization. For instance, kids presented to methamphetamine utilize have been observed to be at expanded danger of being little and display low excitement, low quality of development, and expanded physiological stress. Conversely, pre-birth opioid utilize has been appeared to prompt neonatal restraint disorder, in which newborn children encounter opioid withdrawal side effects after birth because of never again being presented to the substance. Problems coming about because of pre-birth introduction to different medications may not show themselves until some other time in the tyke's advancement. For instance, pre-birth cocaine presentation has been related with poor dialect development, passionate issues, and negative conduct appearances.