A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that the parents have missed the last two health care visits
The nurse also notes that the child has not received the second measles, mumps, and rubella (MMR) vaccine. The nurse should: 1. Plan to discuss the principles of health supervision at the next scheduled visit.
2. Call the parents and encourage them to bring the child for recommended care.
3. Notify the physician that the child's immunizations are no longer up to date.
4. Speak firmly with the parents at the next health care visit about the importance of being compliant.
2
Rationale 1: A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example.
Rationale 2: Partnering with the parents and encouraging them to follow health supervision guidelines is the best strategy to use.
Rationale 3: The nurse is responsible for reviewing the health supervision of the child, and there is no reason to abdicate this to another health professional.
Rationale 4: Speaking firmly with the parents about compliance will alienate the parents at this time.
Global Rationale:
You might also like to view...
The nurse is promoting nutrition to a 13-year-old boy who is overweight. Which of the following comments should the nurse expect to include in the discussion?
A) "You need to go on a low-fat diet." B) "Eat what your parents eat." C) "Go out for a sport at school." D) "Keep a food diary."
Freud theorized that methods used to toilet-train children might have a lasting effect on their personality. Children who had rigid, severe toilet training would most likely show which of the following behaviors later in life?
a. narcissistic c. self-mutilating b. meticulous and hypercritical d. bullying to others and aggressive
Which are components of Evidence-Based Practice (EBP)? (Choose all that apply.)
a. Best research evidence b. Expert opinion consensus c. Patient needs and values d. Safe, cost-effective care
How is theory tested in quantitative research?
a. Assumptions about the theoretical framework are evaluated. b. Concepts become more clearly defined as they are tested. c. Relationships among concepts are tested. d. The entire theory is proven or disproven.