Case Study 3: Akari Akari is an eight-year-old Asian female. Her
parents are first generation immigrants to the United States. She
has a very good command of the English language. You observe her in
a play setting with other peers and notice that she is having
difficulty playing ball. She throws a tantrum in the middle of the
game and the other kids make fun of her. She was unable to kick the
ball and struggled with her balance. When she is removed from the
situation and given some table activities she is able to engage
with other children. When you engage Akari in a story, she has
difficult time picking out the emotion depicted in the story.

1.Are there development concerns? If so, what are they? 1. Are
there family concerns? If so, what are they?

2. What development milestones should Akari have met by age
eight?

3. According to Erikson’s Stages of Development what stage is
Akari in and what is the primary task for this stage?

4. What do you expect the outcomes to be for Akari based on
Erikson’s Stages of Development?

5. According to Piaget’s Phase of Cognitive Development, what
stage would Akari be in and what tasks should he have
accomplished?

6. As a nurse, what would you include in your physical,
environmental and family assessment of Akari? What do you think you
might find in this case?

7. Are there any cultural factors you should consider in
assessing this patient and family?

8. What resources do you think might be available for this
family and would you make any referrals?

9. What are your personal feelings about this scenario? Are you
aware of any person biases you might have if this were a patient
you were assessing?