A Pediatric Nurse Who Is Employed in a Busy Ambulatory

A pediatric nurse who is employed in a busy ambulatory clinic setting is informed by the nurse manager that average nursing time allocated for each child and family is being reduced to 10 minutes to more efficiently manage the clinic. The nursing activities must include a nursing assessment and discussion on anticipatory guidance. Which of these strategies should the nurse utilize in the plan of care delivery?

A) Attempt to complete the assessment and education in 10 minutes, but extend the time whenever the nurse deems necessary.
B) Plan to do the anticipatory guidance first since either the nurse practitioner or the physician can perform the assessment of the child.
C) Encourage the parent to ask for specific time to talk with the nurse privately at each office visit.
D) Focus anticipatory guidance strategies on topics that the parent or child have expressed as an area of interest.