A pediatric nurse who is employed in a busy ambulatory clinic setting is informed by the nurse manager that average nursing time allocated for each child and family is being reduced to 10 minutes to more efficiently manage the clinic
The nursing activities must include a nursing assessment and discussion on anticipatory guidance. Which of these strategies should the nurse utilize in the plan of care delivery?
1. Attempt to complete the assessmentand education in 10 minutes but extend the time whenever the nurse deems necessary.
2. Plan to do the anticipatory guidancefirst since either the nurse practitioner or the physician can perform the assessment of the child.
3. Ask each parent to complain to thenurse manager that there is not adequate time to talk with the nurse at each visit.
4. Focus anticipatory guidancestrategies on topics that the parent or child have expressed as an area of interest.
Answer:4
Rationale: With limited time for each visit,the nurse should focus on anticipatory guidance strategies that will most benefit the parent and child during that office visit.Limiting assessment and education to 10 minutes,performing anticipatory guidance prior to history taking,and suggesting that parents complain to a nurse manager may be destructive to the needs of the children and parents and may adversely affect the operation of the nursing unit.
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