One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?
Immunize all children under age 5 in the one hundred family aggregate.
Immunize all members of the one hundred families.
Quarantine the one hundred family aggregate.
Quarantine all family members of the child with whooping cough.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program:
Evaluating the teachers’ ability to identify pediculosis capitis is important for ongoing surveillance, but it does not directly measure the effectiveness of the program in reducing the prevalence of the condition. This action focuses more on teacher training rather than the program's overall impact.
B) Measure the prevalence of pediculosis capitis among the children after four months:
Measuring the prevalence of pediculosis capitis among children after the implementation of the program is the most effective way to evaluate the program's success. By comparing the prevalence before and after the program, the nurse can assess whether the interventions (educational pamphlets and regular assessments) have led to a reduction in cases.
C) Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition:
Surveying parents about their understanding of pediculosis capitis is useful for evaluating the reach and impact of the educational component. However, it does not directly measure the effectiveness of the program in reducing the actual prevalence of pediculosis capitis among children.
D) Conduct an initial examination of each child in the school to obtain baseline data:
Conducting an initial examination provides valuable baseline data on the prevalence of pediculosis capitis before the program begins. However, this action alone does not evaluate the effectiveness of the program; it must be followed by assessments after the program’s implementation to determine if there has been a reduction in cases.
Correct Answer is ["C","D","E"]
Explanation
(A) Pediculosis: Pediculosis, commonly known as head lice, is not typically classified as a reportable infectious disease. While it is a public health concern, it does not fall under the list of diseases required to be reported to health authorities by the CDC.
(B) Bacterial conjunctivitis: Bacterial conjunctivitis, or pink eye, is not generally considered a reportable infectious disease. Although it is infectious and can spread easily, it is not usually mandated for reporting to public health authorities.
(C) Anthrax: Anthrax is a serious infectious disease caused by the bacterium Bacillus anthracis. It is considered a reportable disease due to its potential for serious public health implications, including the possibility of bioterrorism.
(D) Diphtheria: Diphtheria is a potentially life-threatening bacterial infection caused by Corynebacterium diphtheriae. It is reportable because of its severity and the need for public health intervention to control outbreaks.
(E) Tuberculosis: Tuberculosis (TB) is a serious bacterial infection caused by Mycobacterium tuberculosis. It is reportable due to its potential to cause widespread outbreaks and its significant public health implications, requiring ongoing monitoring and control measures.
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