A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

A) Parent's report about behavior:
The parent’s report about the adolescent's behavior is crucial for evaluating the effectiveness of methylphenidate in managing ADHD symptoms. Parents observe the child’s behavior in various settings and can provide detailed information on improvements or ongoing challenges with attention, hyperactivity, and impulsivity. This feedback is essential in assessing whether the medication is having the desired effect and if any adjustments are needed.

B) Current grade report:
While academic performance is an important aspect of evaluating the impact of ADHD medication, it is not the sole indicator of effectiveness. Grades can be influenced by multiple factors, including teaching methods, learning environment, and personal circumstances, so they provide only part of the picture.

C) Self-report about treatment progress:
Self-reports from adolescents can offer valuable insights into their own perception of how well the medication is working. However, younger individuals might not always accurately assess or communicate the effects of the medication, especially in the context of ADHD, where self-awareness can be limited.

D) Past grade report:
Past grade reports can provide historical context and help in comparing changes over time. However, they do not provide immediate feedback on the current effectiveness of the medication. Current behaviors and symptoms, as reported by parents, are more directly relevant to assessing the current impact of the medication.

A) Immunize all children under age 5 in the one hundred family aggregate:
Immunization would be a standard preventive measure to control the spread of whooping cough, but in this case, the immediate focus should be on managing the current outbreak. Ensuring that the child with whooping cough and their close contacts are managed appropriately is crucial, rather than preemptively immunizing all children in the aggregate without addressing the existing case.

B) Immunize all members of the one hundred families:
While immunization is essential in preventing whooping cough, implementing this measure without considering the specific outbreak context and the families' religious beliefs might not be feasible or immediately effective. Additionally, managing the outbreak and containing its spread is the immediate priority.

C) Quarantine the one hundred family aggregate:
Quarantining an entire aggregate of families, especially when the infection is present in only one documented case, would be excessive and likely impractical. Quarantine measures should be targeted to those directly exposed or infected to prevent further spread.

D) Quarantine all family members of the child with whooping cough:
Quarantining all family members of the child with whooping cough is the most appropriate immediate intervention. This targeted quarantine helps prevent the spread of the infection within the affected household and controls the outbreak. It addresses the specific exposure and containment needs of the situation effectively.