A public health nurse is asked to see Kimball Norman, a 3 ½-month-old baby, who presents  in the Well Child Clinic today with his mother, Mary, age 16, and his aunt Pam, age 19. Mary and Kimball live with Mary and Pam’s mother, Eunice Norman. Pam lives with her husband and son a mile away from her mother’s house. Kimball has had no immunizations or check- ups since he left the hospital at two days of age. Applying family nursing constructs, which one of the following education approaches would be MOST effective?

The nurse explains the standard immunization schedule to Kimball’s mother and makes Well Child Clinic appointments for Kimball at 2-month intervals for the next year.

The nurse reviews a written copy of the standard immunization schedule with Kimball’s mother and his aunt, and makes a referral to a home health nursing agency.  

The nurse explains Kimball’s individual immunization schedule to his mother and aunt and obtains permission to contact Kimball’s grandmother about Kimball’s schedule. 

The nurse explains Kimball’s individual immunization schedule to his mother and aunt and instructs his mother to review a written copy of the schedule with his grandmother.