A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include?

A. Working with clients to develop services promotes direct client care and community health but is more aligned with client or community advocacy rather than legislative advocacy. It focuses on service delivery rather than influencing laws or policies.

B. Translating medical terminology into basic terms improves communication and client understanding, which supports client advocacy and education but does not involve efforts to change legislation or policy.

C. Building partnerships between providers, practitioners, and clients fosters collaboration and coordinated care. While important, this activity is more related to community or organizational advocacy rather than legislative advocacy.

D. Working with nursing organizations to facilitate health policy directly involves efforts to influence laws, regulations, or policies affecting healthcare. Legislative advocacy includes activities such as lobbying, policy development, and working with lawmakers to shape healthcare legislation.

A. Gonorrhea: Gonorrhea is a nationally notifiable disease in the U.S. due to its high prevalence and potential for serious reproductive health complications. Health care providers are legally required to report confirmed cases to local or state health departments for surveillance and control.

B. Gastroenteritis: Although common, gastroenteritis is usually not a notifiable condition unless it is linked to a specific outbreak or caused by a pathogen that is reportable (e.g., norovirus outbreak in a facility).

C. Hepatitis E: Hepatitis E is not currently listed as a nationally notifiable disease in the U.S., despite being a concern in some global regions. Reporting requirements may vary by state but are not mandated nationally.

D. Respiratory syncytial virus (RSV): While RSV activity is monitored by public health agencies, and surveillance data are collected, it is generally not a nationally notifiable condition in the same mandatory reporting sense as diseases like gonorrhea.