NRS-420 Topic 2 Developmental Assessment Case Study
Age Group 3 to 5: Early Childhood
Scenario:
Shakayla is a 4-year-old biracial (African American/Caucasian) female who was born suffering from Neonatal
Opioid Withdrawal Syndrome (NOWS). Shakayla was placed into foster care at birth and her mother (age 18)
entered a residential substance abuse treatment program. Her biological father’s whereabouts have been unknown
since her birth. Shakayla was weaned off opioids, and her mother completed residential treatment. Shakayla was
placed back into her mother’s care with the support of the Department of Human Services (DHS) and a safety plan
in place. When Shakayla was 36 months old her mother was arrested for prostitution, possession of a narcotic, and
endangering a minor (Shakayla). Shakayla was placed back into foster care. Her mother served a 60-day prison
sentence and was then released to the Drug Court Treatment Program for further rehabilitation. During this time
her mother completed her GED. Her mother is now established in an apartment in supportive housing for
recovering women and their children.
Shakayla, at the age of 4, has been reunited with her mother. Shakayla’s mother has secured a job working at
Walmart as a cashier. Shakayla has been enrolled in Head Start and goes to the YMCA for childcare after her
morning Head Start class. At Shakayla’s recent visit with a pediatrician prior to being returned to her mother’s
care she was found to be meeting developmental norms for her age. She is in the 30th percentile for height and 50th
percentile for weight for her age. Vision and hearing are normal. Shakayla has severe dental erosion.
Shakayla enjoys Head Start and playing with the other children. She loves her teacher and enjoys music. Shakayla
enjoys looking at books but walks away if asked a question about the story or what a word is on the page. Shakayla
has difficulty with sharing and there have been several incidents at Head Start of her being aggressive with the
other children. Shakayla is fearful around authority figures and men. During the parent/teacher conference at
Head Start, Shakayla’s mother stated she does not feel confident in her parenting skills. She states she is struggling
with just maintaining her sobriety, working, and dealing with the stress of trying to make ends meet. She very much
wants to be a good mom and does not want to lose Shakayla back to foster care.
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.
<Answer>
Diagnosis
Part 1.
Review the “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.
<Answer>
Part 2.
Define the two components selected and describe your rationale.
<Answer>
Planning
Part 1.
Create a plan of care for this patient taking into account their health problems and needs.
<Answer>
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.
<Answer>
Part 3.
Provide at least one community resource for each of the selected Developmental Asset components.
<Answer>
Part 4.
Discuss how cultural or religious beliefs may impact the plan of care.
<Answer>
Implementation
Discuss how the four metaparadigm concepts (person, environment, health, and nursing) support the
implementation of your plan of care.
<Answer>
Evaluation
Explain how you would evaluate the implementation of your plan of care to determine if it was effective.
<Answer>
References
