Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?
"No shots, no school" legislation, which legally requires children be immunized before school
Answering parents’ questions about the safety and importance of vaccines today
Offering all immunizations to all children for a small fee
Educational campaigns to all health care providers about the importance of immunizations when a child is seen
The Correct Answer is A
Choice A reason: Mandatory school vaccination laws drastically cut disease rates. This fits public health history. It’s universally recognized, distinctly effective policy.
Choice B reason: Answering questions helps, but laws enforce vaccination broadly. This errors in impact scope. It’s universally distinct, less instrumental.
Choice C reason: Small fees aid access; mandatory laws ensure compliance. This misaligns with historical success. It’s universally distinct, not primary.
Choice D reason: Provider education supports; legislation drives widespread immunization. This errors per public health impact. It’s universally distinct, secondary.
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Correct Answer is D
Explanation
Choice A reason: Pandemic is global; this is local to a picnic. Epidemic fits, per epidemiology standards. This errors in scale. It’s universally distinct.
Choice B reason: Polidemic isn’t a term; epidemic describes this outbreak. This misaligns with nursing definitions entirely. It’s universally distinct, a non-existent category.
Choice C reason: Endemic is constant; this is a sudden outbreak. Epidemic suits, per public health. This errors in pattern. It’s universally distinct.
Choice D reason: Epidemic is a sudden disease spike, like this picnic outbreak. This aligns with epidemiology standards. It’s universally recognized, distinctly accurate.
Correct Answer is B
Explanation
Choice A reason: Secondary screens for infection; sterilizing aids existing users. This errors per prevention levels. It’s universally distinct, not detection.
Choice B reason: Tertiary reduces disease spread in active drug users. This fits public health standards. It’s universally applied, distinctly harm reduction.
Choice C reason: Legal issues aren’t prevention; sterilizing targets health. This misaligns with nursing focus. It’s universally distinct, not disease-related.
Choice D reason: Primary prevents drug use; sterilizing manages current use. This errors per prevention definitions. It’s universally distinct, post-use.
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