Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
13-year-old daughter reporting headaches, grades dropped, sleeping late and going to bed early.A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?
Correct answer
A
Rationale
The correct answer is A: scheduling an immediate history and physical examination. This is the priority because it allows for a comprehensive assessment of the child's physical health, which could be contributing to the headaches and changes in behavior. By conducting a thorough history and physical examination, the nurse can rule out any underlying medical conditions that may be causing or exacerbating the symptoms. The other choices (B, C, D) focus on psychological or academic aspects without first addressing the potential physical health concerns, making them less appropriate as the initial step.