A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanations should the nurse give the parent about the disease?
One dose of the immunization gives children lifelong protection from hepatitis B.
Hepatitis B spreads easily among children through casual contact.
Many people who acquire acute hepatitis B develop chronic hepatitis.
People who have had a hepatitis B infection still need the immunization.
The Correct Answer is C
Choice A reason: One dose of the immunization does not give children lifelong protection from hepatitis B. The immunization requires a series of three or four doses, depending on the vaccine type, to provide long-term immunity. The first dose is usually given at birth, followed by the second dose at 1 to 2 months of age, and the third dose at 6 to 18 months of age. Some children may need a fourth dose at 4 to 6 years of age.
Choice B reason: Hepatitis B does not spread easily among children through casual contact. Hepatitis B is a blood-borne infection that is transmitted through exposure to infected blood or body fluids, such as through sexual contact, sharing needles, or from mother to child during birth. Casual contact, such as hugging, kissing, or sharing food, does not pose a risk of transmission.
Choice C reason: Many people who acquire acute hepatitis B develop chronic hepatitis. Chronic hepatitis is a condition where the infection persists for more than six months and causes inflammation and scarring of the liver. Chronic hepatitis can lead to serious complications, such as cirrhosis, liver failure, or liver cancer. About 90% of infants, 25% to 50% of children aged 1 to 5 years, and 5% to 10% of adults who get infected with hepatitis B will develop chronic hepatitis.
Choice D reason: People who have had a hepatitis B infection do not need the immunization. The immunization is only effective in preventing the infection, not treating it. People who have had a hepatitis B infection will develop natural immunity, which means they will not get infected again. However, they should still be monitored for any signs of liver damage or complications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Providing coffee and snacks during the meetings is not an effective intervention, as it does not address the psychological needs of the veterans. Coffee may also worsen the symptoms of PTSD, such as anxiety, insomnia, and irritability, as it is a stimulant.
Choice B reason: Avoiding discussing the traumatic events experienced by the veterans is not a helpful intervention, as it may reinforce the avoidance behavior and prevent the veterans from processing and coping with their trauma. The nurse should encourage the veterans to share their experiences and feelings in a safe and supportive environment, and refer them to appropriate counseling services.
Choice C reason: Changing the meeting sites frequently is not a beneficial intervention, as it may create confusion and stress for the veterans. The nurse should establish a consistent and familiar location for the meetings, and ensure that the veterans feel comfortable and secure.
Choice D reason: Teaching the clients to practice deep breathing exercises is a useful intervention, as it can help the veterans manage their stress and anxiety, and reduce the physiological arousal associated with PTSD. Deep breathing exercises can also promote relaxation and mindfulness, and enhance the veterans' well-being.
Correct Answer is D
Explanation
Choice A reason: Reviewing flashcards that identify holding techniques with the group is not an instructional strategy that the nurse should use to promote psychomotor learning. This is a cognitive strategy that can help the participants to recall and recognize the information, but it does not involve the practice or performance of the skills.
Choice B reason: Showing the group a video on breastfeeding techniques is not an instructional strategy that the nurse should use to promote psychomotor learning. This is an affective strategy that can help the participants to observe and appreciate the techniques, but it does not involve the practice or performance of the skills.
Choice C reason: Facilitating a discussion group about the benefits of breastfeeding is not an instructional strategy that the nurse should use to promote psychomotor learning. This is an affective strategy that can help the participants to express and share their opinions and feelings, but it does not involve the practice or performance of the skills.
Choice D reason: Providing dolls for the participants to demonstrate positioning is an instructional strategy that the nurse should use to promote psychomotor learning. This is a psychomotor strategy that can help the participants to apply and practice the skills in a simulated setting, and to receive feedback and guidance from the nurse.
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