Georgia is a 6-year-old girl in the first grade whom you meet when working as a school nurse. She lives with her 10-year-old sister and her parents in a three-bedroom home. Her father works long shifts as a coal miner, and her mother cleans houses for a commercial housecleaning firm.
1. Georgia’s mother tells you she received a note from her teacher asking her to help
Georgia “speak more clearly.” Is this a common concern with early school-age children? What further information do you need to know to evaluate whether this is a concern?
2. Georgia’s teacher is also concerned because Georgia does not share well. Is this a developmental step that Georgia should have already mastered?
3. Georgia’s mother wants her to be popular and so has enrolled her in dance classes two times per week, a school soccer club four times per week, violin lessons once per week, and a gymnastics class twice per week. Despite all the effort she puts in driving her daughter to all these sessions, the mother tells you Georgia doesn’t act grateful. She asks you why Georgia isn’t interested in making friends.