Posted: February 26th, 2023








Preschool Child Case Study

Student’s Name: Edgardo Mejias Chacon

Institutional: Miami Regional University

Course: MSN5550

Professor: Dr. Rafael Camejo

Date: 11/12/2022


Prevention of Disease Case Study

Question One

The nurse would collect information about the child’s physical health to assess Ricky.

According to Martin et al. (2019), the nurse would obtain a history of the child’s eating habits

and be aware of any changes in appetite or refusal to eat. The nurse would inquire about any

recent illnesses or injuries that might have affected his appetite or ability to swallow food.

The nurse would also collect information about the child’s emotional health. Ricky’s physical

health can be assessed by noting signs of dehydration, fever, and changes in blood pressure.

Ricky’s emotional health can be evaluated by recording anxiety symptoms, such as

restlessness and irritability when preparing or eating food. In addition, Shatkin (2019)

supports that the nurse would collect information about the family’s socioeconomic status and


Question Two

The nurse would first want to ascertain whether or not Ricky’s refusal to eat is due to

any underlying medical condition. She would next like to determine whether or not Ricky is

experiencing any pain or discomfort with eating, as this could be a symptom of an underlying

medical condition (Lumba et al., 2018: Martin et al., 2019). The nurse should also ask

Ricky’s mother about his recent behavior at school, including whether there were any new

friends or activities that he joined or participated in recently. If there were any changes, the

nurse should inquire about them so she can further explore the issue of Ricky. The question

to the mother should follow the following criteria. Nurses would ask the following questions:

what are the child’s eating and dietary pattern? How has this changed over time, and why?

What are his preferences, likes, dislikes, and favorite foods? Is he eating enough at meals?

Does he have a problem with food? If so, what is it?

Question Three


The extended family residing far away influences the family’s approach to health

promotion. The extended family can also help by being available for play dates or visits when

needed since the parents have a tight schedule as full-time workers (McNeil, Campbell &

Crews, 2018). They can also support other activities essential to the child’s development,

such as school events or celebrations like holidays with Ricky. As such, Ricky feels it is

necessary to have a close relationship with his family, so he may be stressed about not being

able to visit them often. Dallacker, Hertwig, and Mata (2018) argue that their child is not

getting to see them as much as he would like. It also means that he will not be able to spend

as much time with extended family as he would like.

Question Four

There are several factors to consider when determining whether malnourishment is a

factor in a family of Ricky’s. If the family is experiencing any other issues, it might

contribute to Ricky’s refusal to eat. If so, you may consider those factors in evaluating their

situation. For example, if the family has recently experienced a divorce proposal or other

significant life change, Lumba et al. (2018) support that it may be difficult for them to focus

on nutrition concerns when trying to cope with their own emotional needs. Or if another child

in the household shows signs of malnutrition, such as not gaining weight or being

underweight. Another factor is if the family is currently experiencing a period of economic

hardship. This entails whether the household income is significantly lower than previously

and whether the family’s food budget has been cut (Panda, 2019). This could mean they must

make difficult choices about what they eat and how much they spend on groceries.



Dallacker, M., Hertwig, R., & Mata, J. (2018). The Frequency of Family Meals and

Nutritional Health in Children: A Meta‐Analysis. Obesity Reviews, 19(5), 638-653.

Lumba-Brown, A., Yeates, K. O., Sarmiento, K., Breiding, M. J., Haegerich, T. M., Gioia, G.

A., … & Timmons, S. D. (2018). Centers for Disease Control and Prevention

Guideline on The Diagnosis and Management of Mild Traumatic Brain Injury Among

Children. JAMA Pediatrics, 172(11), e182853-e182853.

Martin, M. A., Perry-Bell, K., Minier, M., Glassgow, A. E., & Van Voorhees, B. W. (2019).

A Real-World Community Health Worker Care Coordination Model for High-Risk

Children. Health Promotion Practice, 20(3), 409-418.

McNeil, J. C., Campbell, J. R., & Crews, J. D. (Eds.). (2018). Healthcare-Associated

Infections in Children: A Guide to Prevention and Management. Springer.

Panda, P. K. (2019). Metabolic Syndrome in Children: Definition, Risk Factors, Prevention

and Management—A Brief Overview. Pediatr Oncall J, 16, 67-72.

Shatkin, J. P. (2019). Mental Health Promotion and Disease Prevention: it’s About time.

MSN 5550 Health Promotion: Prevention of Disease
Case Study Module 6

Instructions: Read the following case study and answer the reflective questions. Please provide
evidence-based rationales for your answers. APA, 7th ed. must be followed.

Due: Saturday by 23:59 pm


Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business
presentation in 3 months. Although he has traveled widely in the United States as a consultant,
this is his first trip to the Middle East.

He requests information regarding immunizations needed before his trip. Albert states that as
he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time
and therefore believes that it is illogical to obtain immunizations.

Albert states that he has heard that the side effects of the immunizations might be worse than
the diseases they prevent. He is also concerned about leaving his wife at home alone because
she is 6 months pregnant.

Reflective Questions
How would you address Albert’s beliefs?
What learning would be needed in each domain?
What learning theories would you consider?
How might his family concerns be addressed?

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