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 manage the clinic more efficiently. 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) Ask each parent to complain to the nurse manager that there is not adequate time to talk with the nurse at each visit.
B) Perform a limited assessment based on reason for visit and provide pamphlets covering anticipatory guidance.
C) Focus anticipatory guidance strategies on topics in which the parent or child has expressed interest.
D) Plan to do the anticipatory guidance first, because either the nurse practitioner or the physician can perform an assessment of the child.