As a first year nursing student, you

As a first year nursing student, you are working with the Ecole St. Joe’s School nurse during one of your community placements. You are asked to intervene with Ben, 9 year old boy who has been noted to be engaging in high risk activities such as smoking, sexual touching of classmates, and verbal abuse. You discover that he has a 15 year old brother, Brad who cares for this child after school. You discover that this student is being exposed to inappropriate adult entertainment on TV and to his brothers circle of teenage friends while waiting for his parents to return from work. Until recently, his mother cared for this boy after school, but 6 months ago her hours of work changed and his brother assumed care. They are concerned regarding noted changes in his behavior since this time. 1. Keeping in mind Ben and Brad’s physical, cognitive and psychosocial development, how are these developments conflicting in this scenario? 2. What social pressures might Ben, 9 year old be experiencing that would impact his current stage of development? 3. What pressures might Brad, 15 year old be experiencing that would impact his current stage of development? 4. What interventions or strategies might you, as the nurse propose in this case? 5. Name key health promotion teaching points that you should include specific to Ben & Brad.

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