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.
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