A hospitalized 11-year-old child turns down opportunities to play or engage in diversionary activities. When questioned, the child states "I'm bad at that" or "I can't do anything." What action by the nurse is best?
A.
Arrange a pediatric psychology consultation.
B.
Assess the child for emotional abuse at home.
C.
Consult the child developmental specialist.
D.
Document the statements in the child's chart.
ANS: C
This 11-year-old child is in the Erikson stage of industry versus inferiority, and it seems he or she has not mastered tasks and developed a sense of self-confidence. Illness can frequently disrupt growth and behavior, and the child developmental specialist is a vital resource in meeting the developmental needs of the hospitalized child. Documentation should always be accurate and thorough, but simply documenting the statements will not help resolve the problem. The child may or may not need a psychology consultation or an abuse assessment, but the focus is on helping the child meet developmental milestones.
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