According to the e m guidelines the following type of information is gathered when obtaining the social history of the patient: smoking history, alcohol use, recreational drug use, socioeconomic data, sexual activity, exercise and physical activity. This information is important because it gives clues about the patient's lifestyle and habits and the possible consequences.
The nurse should respond by telling the teacher that something is seriously wrong with the child and to possibly call the child's parents to have her checked out by a doctor.