A mother brings her two-year-old child to the pediatric office ...

[pane00]

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago.
 
  Based on this information, which is the most appropriate action by the nurse? 1. Asking the mother to leave the room after obtaining the history
  2. Obtaining a comprehensive history, including sociodemographic data
  3. Focusing exclusively on the reported illness
  4. Reviewing health promotion and maintenance activities

Question 2

Which of these nursing activities can be classified as those which promote health promotion and maintenance? Select all that apply.
 
  1. Administration of the flu vaccine for infants from 6 to 23 months of age
 
  2. Daily feeding schedules for infants
 
  3. Instruction to adolescents on how to use dental floss
 
  4. Treatment for a child with a diagnosis of acute otitis media
 
  5. Teaching parents how to perform pulmonary drainage and cupping on their ill child.

[scottmt]

Answer to Question 1

4
Rationale 1: A two-year-old child will be more cooperative with the parent(s) present. The mother should remain with the child.
Rationale 2: Because the child is a regular at this office, there is no need to take a comprehensive history.
Rationale 3: Focusing exclusively on the reported illness(es) ignores the opportunity to use health promotion strategies.
Rationale 4: A nurse should use every opportunity and office visit to review health promotion and maintenance activities.
Global Rationale:

Answer to Question 2

1, 2, 3

Rationale:

1. Administration of flu vaccines, discussion of feeding schedules, and instructions to adolescents are all health promotion and/or maintenance topics.
2. Administration of flu vaccines, discussion of feeding schedules, and instructions to adolescents are all health promotion and/or maintenance topics.
3. Administration of flu vaccines, discussion of feeding schedules, and instructions to adolescents are all health promotion and/or maintenance topics.
4. Treatment of an acute ear infection (otitis media) would not be a topic for health promotion and maintenance, since it is an acute illness.
5. Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance, as it is treating an acute illness.

[pane00]

Thank you

[scottmt]

Happy to help you