A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?

Use surveillance to investigate outbreaks of foodborne illness.

Monitor the incidence rates of varicella every 2 months.

Organize an immunization clinic for at-risk members of the community.

Educate the community about the health risks of alcohol use.

Answer and Explanation

The Correct Answer is C

A. Use surveillance to investigate outbreaks of foodborne illness. Investigating outbreaks falls under the assessment function of public health, which involves monitoring and identifying health problems within the community through data collection and analysis.

B. Monitor the incidence rates of varicella every 2 months. Tracking disease incidence is part of the assessment function, as it involves ongoing surveillance to detect trends and potential public health concerns. This data helps in planning and evaluating interventions but does not directly ensure service delivery.

C. Organize an immunization clinic for at-risk members of the community. Assurance involves ensuring that essential public health services are available and accessible. Organizing an immunization clinic directly provides a critical health service to protect vulnerable populations, making it an example of the assurance function.

D. Educate the community about the health risks of alcohol use. Providing health education aligns with the policy development function, which focuses on informing and empowering the community to make healthier choices through laws, regulations, and initiatives.

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Correct Answer is B

Explanation

A. Design interventions for a student's individual education plan (IEP): This action focuses on addressing the specific needs of an individual student, which is more aligned with secondary prevention by providing tailored support for those who may already be at risk.

B. Teach students about healthy food choices: This intervention addresses primary prevention by promoting healthy behaviors and lifestyle choices that can help prevent health issues before they occur. Educating students about nutrition empowers them to make informed decisions that support their overall health.

C. Perform first aid for minor injuries: Providing first aid is a reactive measure that addresses immediate health issues rather than preventing them from occurring in the first place. This intervention aligns more closely with secondary prevention, which focuses on managing health conditions after they arise.

D. Perform scoliosis screenings for students: Screening for scoliosis is a method of identifying potential health issues early, which is characteristic of secondary prevention. It aims to detect and address problems early rather than preventing them altogether.

A. High-risk individuals should receive immunoglobulin E (IgE). B. Implement airborne precautions for clients who have botulism. C. Administer an aminoglycoside medication. D. Rinse skin with soap and water following exposure to the botulism toxin.

Correct Answer is D

Explanation

A. High-risk individuals should receive immunoglobulin E (IgE): High-risk individuals do not receive immunoglobulin E for botulism. The treatment for botulism involves the use of antitoxin to neutralize the toxin, along with supportive care to manage symptoms.

B. Implement airborne precautions for clients who have botulism: Airborne precautions are not required for botulism because it is not transmitted through the air. Botulism is primarily contracted through ingestion of contaminated food or wound contamination, so standard precautions are generally sufficient.

C. Administer an aminoglycoside medication: Aminoglycosides are not indicated for treating botulism. The mainstay of treatment includes administering botulinum antitoxin and providing supportive care. Antibiotics may be necessary for any secondary infections but are not the primary treatment for botulism itself.

D. Rinse skin with soap and water following exposure to the botulism toxin: Rinsing the skin with soap and water after exposure to the botulism toxin is an appropriate action. This practice helps eliminate the toxin from the skin, reducing the risk of absorption and potential harm.

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A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?

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