NRS-420 Topic 2 Developmental Assessment Case Study
Age Group 5 to 9: Childhood Grades K-3
Scenario:
Kevin is a 9-year-old Caucasian boy. Kevin has two siblings, sisters who are 6 and 11 years old. Kevin and his two
siblings were placed into foster care with their aunt and uncle when Kevin was 6 years old. There is a history of
neglect and physical abuse along with suspected sexual abuse that resulted in the children being placed with their
aunt and uncle. Their biological parents were drug abusers, and the children were raised living with their parents
amongst several other adults in the woods in tents and homemade shelters. Additional details of what the children
were exposed to or history from their early childhoods are not known.
Kevin’s foster parents (paternal aunt and uncle) live in a country setting on three acres in a large well-kept home.
The aunt and uncle have two children of their own who are 18 and 21 years of age. Both daughters are away
attending university. The family is Christian and very involved in their church and church community. The aunt is a
stay-at-home mother who plays the violin and is very involved in the youth orchestra in the community. Their uncle
has an administrative job working for the state and makes a good income. The aunt and uncle are committed to
family and feel a responsibility to raise their nephew and nieces since the children’s parents are not able to provide
a safe and nurturing environment for the children.
Kevin’s health is good, and he has no physical impairments. Kevin is in the 25 th percentile for height for his age and
the 30 th percentile for weight. Kevin’s biological mother is of small stature, but his biological father was tall (6’2″)
as is his uncle. Kevin is currently on a behavioral Individualized Education Plan (IEP) at the small, rural school he
attends and is in the third grade. Kevin is one grade level year behind his peers in school. Kevin’s scores are in the
lower percentiles for the third grade in reading and comprehension. Kevin is consistently in trouble at school for
bullying the other children. He has been in trouble for inappropriate touching of other students. Kevin was in a Boy
Scout troop, but his aunt and uncle were told they would have to always attend meetings for Kevin to remain in the
troop due to his aggressive and violent behavior towards both the other scouts and the scout master. At home Kevin
is hostile and aggressive towards his aunt, uncle, and sisters. He has not shown an interest in learning to play a
musical instrument in the youth orchestra. Kevin tends to play alone and has few interests outside of wanting to
watch TV and video games which his aunt and uncle limit. Kevin’s aunt and uncle are working with the school to
try to develop a plan for addressing everyone’s concerns for Kevin.
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 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.
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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
