The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?
Review current epidemiological population data that might document a low immunization rate.
Call a meeting of citizens to inform them of the importance of having their children immunized.
Join a political action group that focuses attention on the issue in the local news media.
Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood.
The Correct Answer is A
A) Review current epidemiological population data that might document a low immunization rate:
The first step in addressing low immunization rates is to gather and review current epidemiological data to confirm the extent of the problem. This data will provide a clear picture of the immunization rates in the area and help identify the specific gaps that need to be addressed. Accurate data is essential for designing targeted interventions and measuring their effectiveness.
B) Call a meeting of citizens to inform them of the importance of having their children immunized:
Informing the community about the importance of immunizations is a crucial step, but it should follow an assessment of the current immunization rates. Without data, it is difficult to know the exact need or how to effectively tailor the education to the community’s specific situation.
C) Join a political action group that focuses attention on the issue in the local news media:
While raising awareness through media and political action can be effective, it is more important to first understand the specific problem through data. The approach to media and political action can be informed and refined based on the findings from the epidemiological data review.
D) Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood:
Setting up free clinics can be a valuable intervention, but before implementing such a program, it is essential to understand the scope of the problem through data review. This ensures that resources are allocated effectively and that the clinics are set up in the areas with the greatest need.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Low income families living in cramped quarters: Hepatitis A is primarily spread through the fecal-oral route, often through contaminated food or water. Individuals living in overcrowded or unsanitary conditions are at a higher risk due to the increased likelihood of exposure to contaminated sources and poor hygiene practices. Thus, low-income families living in cramped quarters are particularly vulnerable to hepatitis A.
B. Sexually active persons with multiple partners: While hepatitis B and C are more commonly associated with sexual transmission, hepatitis A is less commonly spread through sexual activity. Hepatitis A transmission is more directly related to poor sanitation and hygiene rather than sexual behavior alone.
C. IV drug users who share needles: Intravenous drug users who share needles are at high risk for hepatitis B and C, not hepatitis A. Hepatitis A is not typically transmitted through blood but rather through contaminated food and water.
D. Those who have recently received a blood transfusion: Hepatitis A is not transmitted through blood transfusions. Hepatitis B and C are the types of hepatitis associated with blood transfusions. Hepatitis A is spread through ingestion of contaminated food or water.
Correct Answer is A
Explanation
A) Review morbidity data for the city's population compiled by the Bureau of Vital Statistics:
This is the most comprehensive and reliable method for identifying the greatest health concern facing the city. Morbidity data provides statistical information on the incidence and prevalence of diseases and health conditions within the population, helping to identify major health issues based on objective data.
B) Conduct a random telephone survey to determine the public's perception about health problems:
While public perception is valuable, it may not accurately reflect the actual health concerns based on prevalence or incidence data. Public surveys can provide insights into perceived issues but are not as reliable for identifying the most pressing health concerns as concrete morbidity data.
C) Call American Medical Association members to determine the most frequently treated diagnoses:
This method might provide insights from a medical perspective but does not offer a complete picture of the health concerns across the entire population. It may also miss out on data from other healthcare providers and public health reports.
D) Survey major hospitals in the area to determine the most common reasons for admissions:
Although hospital admission data is useful, it represents only part of the health picture and may not capture all relevant health concerns in the community. It also does not include outpatient or preventive care data, which are important for a comprehensive health assessment.
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