Case Studies,
Chapter 27, Growth and Development of the Preschooler
1. Donnie has brought his 4-year-old son, Isaac, to the pediatric free clinic for a kindergarten
physical. Isaac is the older of two children of Donnie and Mary Smith. Donnie is employed as a
farrier, but his work does not provide insurance and he has come to a nurse-operated free clinic.
Donnie shares that Isaac enjoys spending time with his father when he is working with the
horses, but he is concerned that Isaac has an imaginary friend named “Tackle.” On physical
examination, Isaac is 39 in tall and weighs 35 lb. Donnie is a man of average height (5’9” with a
slim build). Donnie is concerned that Isaac may be too small for his age. (Learning Objectives 1)
A. What can the nurse communicate to Isaac’s father about his physical growth?
The nurse can discuss with Isaac’s father that preschool-age children typically remain
orderly. Some preschoolers can develop faster than others as well as reach various
developmental milestones quicker. If at any occasion the preschooler manages to be
hospitalized, growth development may be altered. However, if their development is good
and there are no signs of developmental delay then Isaac’s father has no need to be
concerned.
B. What can the nurse teach Isaac’s father about his cognitive and psychosocial
development?
The nurse can teach Donnie that his sons cognitive development is in a good state.
During preschool development it is normal to have magical thinking. This explains why
Isaac claims he has an imaginary friend has named, “Tackle.” Imaginary friends serve as
creative ways that preschoolers use to sample different behaviors and activities for
conversational skills.
C. What can the nurse teach Isaac’s father about his moral development?
The nurse can teach Donnie that Isaac is now able to understand the concepts of right and
wrong. As well as progressively developing in the preschool years. Furthermore, as Isaac
progresses and matures he will learn how to deal with his feelings of anger.
2. Nina is the 5-year-old adopted daughter of Sarah and Tim Johnson. Nina is the Johnsons’ only
child. They adopted Nina before her first birthday. The Johnsons have brought Nina to the clinic
today to discuss some concerns they have about her development. Nina is attending a public
kindergarten. Since beginning school, the Johnsons have noticed that they are catching Nina
lying more. They are concerned that this may be a result of attending school. In addition, they are
This study source was downloaded by 100000817935606 from CourseHero.com on 01-25-2022 14:47:08 GMT -06:00
https://www.coursehero.com/file/50501982/3-Case-study-on-Preschoolerdocx/
Chapter 27, Growth and Development of the Preschooler
1. Donnie has brought his 4-year-old son, Isaac, to the pediatric free clinic for a kindergarten
physical. Isaac is the older of two children of Donnie and Mary Smith. Donnie is employed as a
farrier, but his work does not provide insurance and he has come to a nurse-operated free clinic.
Donnie shares that Isaac enjoys spending time with his father when he is working with the
horses, but he is concerned that Isaac has an imaginary friend named “Tackle.” On physical
examination, Isaac is 39 in tall and weighs 35 lb. Donnie is a man of average height (5’9” with a
slim build). Donnie is concerned that Isaac may be too small for his age. (Learning Objectives 1)
A. What can the nurse communicate to Isaac’s father about his physical growth?
The nurse can discuss with Isaac’s father that preschool-age children typically remain
orderly. Some preschoolers can develop faster than others as well as reach various
developmental milestones quicker. If at any occasion the preschooler manages to be
hospitalized, growth development may be altered. However, if their development is good
and there are no signs of developmental delay then Isaac’s father has no need to be
concerned.
B. What can the nurse teach Isaac’s father about his cognitive and psychosocial
development?
The nurse can teach Donnie that his sons cognitive development is in a good state.
During preschool development it is normal to have magical thinking. This explains why
Isaac claims he has an imaginary friend has named, “Tackle.” Imaginary friends serve as
creative ways that preschoolers use to sample different behaviors and activities for
conversational skills.
C. What can the nurse teach Isaac’s father about his moral development?
The nurse can teach Donnie that Isaac is now able to understand the concepts of right and
wrong. As well as progressively developing in the preschool years. Furthermore, as Isaac
progresses and matures he will learn how to deal with his feelings of anger.
2. Nina is the 5-year-old adopted daughter of Sarah and Tim Johnson. Nina is the Johnsons’ only
child. They adopted Nina before her first birthday. The Johnsons have brought Nina to the clinic
today to discuss some concerns they have about her development. Nina is attending a public
kindergarten. Since beginning school, the Johnsons have noticed that they are catching Nina
lying more. They are concerned that this may be a result of attending school. In addition, they are
This study source was downloaded by 100000817935606 from CourseHero.com on 01-25-2022 14:47:08 GMT -06:00
https://www.coursehero.com/file/50501982/3-Case-study-on-Preschoolerdocx/
