A new mom delivered her baby 2 months ago.
The baby's father calls into the office to report that his wife is angry.
She is confused and having conversations with herself.
What is the appropriate response that the nurse should make?

Choice A rationale:
A review of systems is essential in a health history because it helps in understanding the patient's overall health status and can reveal symptoms or issues that the patient might not consider significant. This information aids in making a comprehensive assessment.
Choice D rationale:
Height, weight, and BMI data are crucial parameters to assess a patient's nutritional status and overall health. These measurements help in identifying obesity, malnutrition, or other health-related issues.
Choice E rationale:
Diet and nutritional intake provide insights into the patient's eating habits, dietary restrictions, allergies, and potential deficiencies. This information is vital for assessing the patient's overall health and planning appropriate interventions.
Choice F rationale:
Family medical history is valuable as it helps in identifying genetic predispositions, hereditary diseases, and other health conditions that might run in the family. This information is crucial for understanding the patient's risk factors and developing a personalized healthcare plan. Choice B and C rationales: Physical assessment is indeed essential in healthcare, but it is not a part of the health history, which specifically focuses on the patient's past and current health status, medical conditions, medications, allergies, surgeries, and lifestyle habits. Similarly, a sexual history is important, especially for specific medical conditions, but it might not be relevant to every patient and might not always be included in the general health history.

Choice A rationale:

Asthma. Rationale: A chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration are classic symptoms of asthma. Asthma is a chronic inflammatory condition of the airways characterized by bronchoconstriction, leading to symptoms such as wheezing, coughing, and shortness of breath. These symptoms often worsen during the expiratory phase of respiration, leading to the characteristic expiratory wheezing.

Choice B rationale:

Pneumonia. Rationale: Pneumonia is characterized by inflammation of the lung tissue and is often associated with productive cough, fever, chest pain, and sometimes wheezing. However, diffuse wheezing during the expiratory phase without significant productive cough is not a typical presentation of pneumonia.

Choice C rationale:

Bronchiolitis. Rationale: Bronchiolitis, caused by viruses such as RSV, commonly affects infants and young children. It presents with symptoms such as cough, wheezing, and respiratory distress. However, bronchiolitis typically involves lower airway inflammation and is often associated with viral upper respiratory symptoms. The presented case, with a chronic, nonproductive cough and diffuse wheezing during the expiratory phase, is more indicative of asthma.

Choice D rationale:

Foreign body in the trachea. Rationale: A foreign body in the trachea can cause acute respiratory distress and coughing. While it can lead to wheezing, the chronic nature of the symptoms described in the scenario (chronic, nonproductive cough and diffuse wheezing during the expiratory phase) is not consistent with a foreign body in the trachea.