NRS-420 Topic 2 Developmental Assessment Case Study
Age Group 12 to 18: Adolescents
Scenario:
Cheyenne is a 15-year-old Native American/Caucasian female who lives in a small, rural town. Cheyenne’s mother,
who was Native American, committed suicide when Cheyenne was 14 years old. Cheyenne has two younger sisters
that are thirteen and ten years of age. Cheyenne’s father is a logger who works as an independent contractor. He
tends to work long hours, and most days of the week when the weather is conducive for logging. Cheyenne is
expected to watch over her sisters and take care of things while her father is working. The family is not religious
and has no relatives or social connections in the community. Cheyenne is in the 10 th grade; she is not active in any
extracurricular activities. She has not dated or had a boyfriend. She has two close friends but tends to be shy
around groups or other people she does not know. She would like to fit in better with her peers. Cheyenne is making
low Cs in most of her classes. She has little interest in school and does not have any future aspirations for a career.
Cheyenne is overweight with a Body Mass Index (BMI) of 32 and has struggled with acne since going through
puberty.
Department of Health Services (DHS) was contacted when a teacher reported that Cheyenne had bruises that were
evident when she dressed for her required Physical Education class. After interviewing both Cheyenne and her
father, DHS found out that Cheyenne took her two younger siblings to a party while he was working late, and all
three siblings drank alcohol and got intoxicated. Cheyenne’s father punished Cheyenne by spanking her with his
belt across her back, buttocks, and thighs when he came home and found out what happened. He regrets having
reacted in anger. DHS is working to put together a safety plan for the family.
Nursing Process:
Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE)
As the Department of Health Services nurse assigned to review this case, you will complete the ADPIE
utilizing the “40 Developmental Assets for Children” resource located in topic Resources. You are
required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be
published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Assessment
Summarize the relevant data obtained during your assessment about the patient’s health status, including
physical, psychological, sociocultural, spiritual, and economic factors that are affecting the patient.
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Diagnosis
Part 1.
Review “40 Developmental Assets for Children,” located in topic Resources. Determine two components
of the Developmental Assets (Support, Empowerment, Boundaries and Expectations, Constructive Use
of Time, Commitment to Learning, Positive Values, Social Competencies and Positive Identity) that
need to be addressed for this patient.
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Part 2.
Define the two components selected and describe your rationale.
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Planning
Part 1.
Create a plan of care for this patient taking into account their health problems and needs.
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Part 2.
Describe how each of the two components of the Developmental Assets identified above would be
addressed; include specific examples in your recommendations and discussion.
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Part 3.
Provide at least one community resource for each of the selected Developmental Asset components.
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Part 4.
Discuss how cultural or religious beliefs may impact the plan of care.
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Implementation
Discuss how the four metaparadigm concepts (person, environment, health, and nursing) support the
implementation of your plan of care.
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Evaluation
Explain how you would evaluate the implementation of your plan of care to determine if it was effective.
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References
