The community health center has noticed a dramatic increase in influenza cases over prior years. The facility nurses have been charged with reviewing outcome data to determine if there is a trend in vaccination rates, and if a trend is noted, reasons for decline. An action plan will be developed to increase rates, if needed. The facility nursing team develops a plan to survey the community and facility records. Select all applicable action(s) that will facilitate gathering data for analysis.

Client survey both in clinic and in the home

Ask a set number of clients if they have had the flu

Determine change in immunization rates from prior year to current year

Generate influenza immunization and case reports from the electronic record for prior year and current year

Develop an action plan to increase immunization rates

Delineate geographic distribution of area to survey and review for patterns

Answer and Explanation

Correct Answer : A,C,D,F

A) Client survey both in clinic and in the home:
Conducting surveys in both the clinic and home settings provides a comprehensive approach to gathering data on vaccination rates and influenza cases. This method ensures a wider reach and captures information from diverse populations, which can help in understanding factors influencing vaccination rates.
B) Ask a set number of clients if they have had the flu:
This action is less systematic and may not provide comprehensive data on vaccination rates or trends. It focuses more on individual experiences rather than providing a broad analysis of vaccination coverage and influenza cases.
C) Determine change in immunization rates from prior year to current year:
Analyzing the change in immunization rates over time helps identify trends and patterns. This comparison will reveal whether there has been a decline in vaccination rates, which could correlate with the increase in influenza cases. This step is crucial for understanding the effectiveness of past vaccination efforts and identifying areas for improvement.

D) Generate influenza immunization and case reports from the electronic record for prior year and current year:
Generating and reviewing reports from electronic health records provides concrete data on immunization rates and influenza cases. This data is essential for identifying trends and making informed decisions about where and how to target interventions.

E) Develop an action plan to increase immunization rates:
While developing an action plan is a necessary step after analyzing the data, it is not part of the data gathering process itself. It comes after understanding the current trends and patterns from the data collected.
F) Delineate geographic distribution of area to survey and review for patterns:
Understanding the geographic distribution helps in identifying areas with higher or lower vaccination rates and influenza cases. This spatial analysis can reveal patterns related to vaccination coverage and infection rates, guiding targeted interventions and resource allocation.

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Correct Answer is A

Explanation

A. Diabetes mellitus:
Given that a large percentage of Hispanic children in the elementary school are overweight, diabetes mellitus is a significant health concern. Overweight and obesity are major risk factors for type 2 diabetes, which is increasingly prevalent in children with these conditions. Screening for diabetes mellitus is crucial for early identification and management to prevent complications associated with this condition.

B. Hypothyroidism:
While hypothyroidism can contribute to weight gain, it is less directly linked to the prevalence of overweight in the general population compared to diabetes mellitus. Screening for hypothyroidism would be less prioritized unless there are specific indications or symptoms related to thyroid dysfunction.

C. English proficiency:
Although English proficiency is important for academic success and communication, it is not directly related to the health concerns associated with overweight and obesity. Addressing health issues like diabetes is more urgent for managing the overweight problem.

D. Iron deficiency anemia:
Iron deficiency anemia is a concern in some populations, but it is less directly associated with overweight and obesity compared to diabetes mellitus. Screening for iron deficiency anemia would be relevant in different contexts but is not the highest priority in addressing the immediate health impact of obesity-related conditions.

A. Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit. B. Schedule blood pressure screenings during craft club hours for elderly women at the senior center. C. Lobby the local school board to increase physical education classes at all schools in the district. D. Collaborate with a local scout troop to determine families that need wheelchair ramps installed.

Correct Answer is C

Explanation

A) Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit:
While ensuring meals include fruit can contribute to overall nutrition, it does not specifically address the prevention of osteoporosis. Osteoporosis prevention strategies typically focus on calcium and vitamin D intake and weight-bearing exercises rather than just including fruit in meals.

B) Schedule blood pressure screenings during craft club hours for elderly women at the senior center:
Blood pressure screenings are important for managing cardiovascular health but do not directly impact the prevention of osteoporosis. Osteoporosis prevention strategies are more focused on factors such as bone density, calcium intake, and physical activity.

C) Lobby the local school board to increase physical education classes at all schools in the district:
Increasing physical education classes in schools is a key strategy for osteoporosis prevention. Weight-bearing exercises and physical activity are essential for building and maintaining bone density, especially in youth. Lobbying for increased physical education supports long-term bone health by promoting regular exercise from an early age.

D) Collaborate with a local scout troop to determine families that need wheelchair ramps installed:
While installing wheelchair ramps is important for accessibility and mobility, it does not directly contribute to osteoporosis prevention. Osteoporosis prevention focuses on improving bone health through dietary changes and physical activity rather than addressing mobility issues.

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Naxlex Comprehensive Predictor Exams

The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?

Correct Answer is A

Explanation

A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?

Correct Answer is C

Explanation

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

A school nurse is developing a health risk screening protocol for use at an elementary school. Which information is most important for the nurse to include in this protocol?

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?

A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?

During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

According to the Centers for Disease Control and Prevention, which diseases are reportable infectious diseases? Select all that apply.

The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement?