A mother brings a child to the pediatric office for a sick visit. ...

[imanialler]

A mother brings a child to the pediatric office for a sick visit. The nurse should
 
  1. focus exclusively on the reportedillness.
  2. review health-promotion and healthmaintenance activities.
  3. ask the mother to leave the roomafter obtaining the history.
  4. obtain a comprehensive history,including sociodemographic data.

Question 2

A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that because the parents often miss routine healthcare visits the child has not received the second measles,mumps, and rubella (MMR) vaccine.
 
  The nurse should
  1. speak firmly with the parents aboutthe importance of being compliant.
  2. notify the physician that the child'simmunizations are no longer up to date.
  3. call the parents and encourage themto bring the child for recommended care.
  4. plan to discuss the principles ofhealth supervision at the next scheduled visit.

[rleezy04]

Answer to Question 1

Answer:2
Rationale: A nurse should use every opportunity during an office visit to review health-promotion and health-maintenance activities.Focusing exclusively on the reported illnesses ignores the opportunity to use health-promotion strategies. There is not enough data in this scenario to determine whether the mother should be asked to leave the room. There is not enough information to indicate that a comprehensive history should be taken at this visit.

Answer to Question 2

Answer:3
Rationale: The nurse in the pediatric healthcare setting is responsible for reviewing the health supervision of the child.Partnering with the parents and encouraging the parents to follow health-supervision guidelines are the best strategies to use.Speaking firmly with the parents about compliance will alienate the parents at this time. A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example.Discussing with the physician that the immunizations are not up to date is not necessary in an outpatient clinic.Immunization s are given per schedule.