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?
Asking the mother to leave the room after obtaining the history.
Reviewing health promotion and maintenance activities.
Obtaining a comprehensive history, including sociodemographic data.
Focusing exclusively on the reported illness.
The Correct Answer is D
Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.
Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.
Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.
Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect. Confidentiality laws often protect the privacy of minors seeking treatment for sexually transmitted diseases.
Choice B reason: This is the correct choice. The law typically allows minors to receive confidential treatment for sexually transmitted diseases.
Choice C reason: This choice is incorrect. It suggests that someone else needs to be contacted, which is not necessary if the patient wishes for the visit to remain confidential.
Choice D reason: This choice is incorrect. Minors may consent to their own treatment for sexually transmitted diseases in many jurisdictions without parental consent.
Correct Answer is B
Explanation
Choice A reason: Discussing the child's previous history of injury is important, but it does not address the immediate concern of pain management.
Choice B reason: Consulting with a practitioner to determine safe analgesia options is crucial for managing pain while also monitoring the child's variable consciousness levels.
Choice C reason: While it is true that analgesia can mask neurological symptoms, it is essential to manage pain effectively, and the healthcare team can monitor for changes in consciousness.
Choice D reason: Teaching the family about specific medications like benzodiazepines is not the most immediate concern and should be left to the practitioner's discretion based on the child's condition. Pain management and safety are the priorities.
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