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


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:

Nursing

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