A mother brings a child to the pediatric office for a sick visit. Which action by the nurse is the most appropriate?
1. Focus exclusively on the reported illness.
2. Review health-promotion and health-maintenance activities.
3. Ask the mother to leave the room after obtaining the history.
4. Obtain a comprehensive history, including sociodemographic data.
Correct 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.
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