13.5 Spotlight Application
The following spotlight application provides an example applying the nursing process to assessing and providing care to a school-aged child at a well-child check.
1. What assessment data should the nurse and provider collect?
| Objective Data | Subjective Data |
|---|---|
| Height | Well-blanaced nutrition and food security |
| Weight | Sleeping and sleep hygiene |
| Body mass index (BMI) | Screen time |
| Scoliosis screening | Start of menstruation |
| Hearing screening | |
| Signs of breast development or pubic hair | |
| Skin for acne | |
| Heart and lung assessment | |
| Anemia (Red blood count, hemoglobin, and hematocrit) | |
| Cholesterol |
2. Based on the assessment data, what child-related nursing diagnosis applies?
Readiness for enhanced health self-management
3. What is an appropriate goal for this child?
Client will practice healthy behaviors of exercise, nutrition, social activity, sleep, immunizations, dental care, and safety appropriate to their age.
4. What nursing interventions could the nurse implement?
Complete screenings appropriate to age
Measure vital signs, height, and weight
Administer vaccines according to the CDC schedule for client’s age and prior vaccines
Provide anticipatory guidance on the following:
Exercise
Nutrition
Social activity
Sleep
Safety equipment like helmets and seatbelts
Access to guns
Social media
Dental care
5. How will the nurse evaluate if the interventions were effective?
Client’s BMI is within the normal range.
Client reports 60 minutes of physical activity per day.
Client reports eating a well-balanced diet.
Client reports interactions with friends on a regular and healthy basis.
Client reports sleeping 9-12 hours per night.
Client and parents report safety rules for the child and family.
Client reports they have a cellphone but not a smartphone. They do not use social media.
Client reports a yearly teeth cleaning and dental check-up.
6. If the child is appropriately progressing toward the goal, what should the nurse do next?
Document that the child is progressing toward the overall goal and if the outcomes were met, partially met, or not met.
The provider will set a time to reevaluate progress at a well check one year later.