Growth and Development Q 16



A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development?
  
     A. Allow the family to bring in the child’s favorite computer games
     B. Encourage the parents to room-in with the child
     C. Encourage the child to rest and read
     D. Allow the child to participate in activities with other individuals in the same age group when the condition permits
    
    

Correct Answer: D. Allow the child to participate in activities with other individuals in the same age group when the condition permits.

Adolescents often are not sure whether they want their parents with them when they are hospitalized. Because of the importance of the peer group, separation from friends is a source of anxiety. Ideally, the members of the peer group will support their ill friend.

Option A: Adolescents love computer games, however, peer groups and spending time with friends is extremely important. Self-esteem is largely influenced by peer acceptance.
Option B: Having the parent’s room-in is more appropriate with a toddler or preschooler because they have a fear of separation. Going to the hospital can be overwhelming, boring, and frustrating for children. It’s normal for children to behave in some unexpected ways.
Option C: Reading a book while in the hospital may be appropriate, but this can isolate the child from the peer group. Set up ways for the child to keep in contact with family, friends, and schoolmates. This can be done by asking people to visit, letting the child use email or social media to keep in touch, or setting up video calls.