The community health nurse suspects that immunization rates in a lower-socioeconomic section of the city are likely below the state health department’s target.
What should be the nurse’s initial action to address this health problem?
Call a meeting of citizens to inform them of the importance of having their children immunized.
Partner with a local children’s hospital to set up free immunization clinics in the neighborhood.
Join a political action group that focuses attention on the issue in the local news media.
Review current epidemiological population data that might document a low immunization rate.
The Correct Answer is D
Answer and explanation The correct answer is D. Choice A rationale
While informing citizens about the importance of immunization is a good step, it may not be the most effective initial action. It’s important to first understand the extent of the problem and the specific areas where immunization rates are low.
Choice B rationale
Partnering with a local hospital to set up free immunization clinics is a great initiative. However, without first understanding the specific areas of low immunization and the reasons behind it, this effort might not be targeted effectively.
Choice C rationale
Joining a political action group could help bring attention to the issue, but it might not directly address the problem. The nurse first needs to understand the current situation and the areas of the city where the immunization rates are particularly low.
Choice D rationale
Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
Surveying parents 3 weeks after the pamphlets are sent home would provide information about their understanding of the condition, but it would not directly measure the effectiveness of the program in eradicating pediculosis capitis in the school.
Choice B rationale
Evaluating the teacher’s ability to identify pediculosis capitis 2 months after the initiation of the program would provide information about the teacher’s knowledge and awareness, but it would not directly measure the effectiveness of the program in eradicating the condition in the school.
Choice C rationale
Measuring the prevalence of pediculosis capitis among the children after four months would directly assess the effectiveness of the program. A decrease in the prevalence of the condition would indicate that the program was effective.
Choice D rationale
Conducting an initial examination of each child in the school to obtain baseline data would be a useful step in the beginning of the program to understand the extent of the problem, but it would not evaluate the effectiveness of the program.
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
A hurricane that destroys 50,000 homes and kills 5,000 victims is a high-intensity disaster, but it is not small-scope. The impact is widespread, affecting a large number of homes and people.
Choice B rationale
A forest fire that destroys 25,000 acres and causes significant damage to livestock is also a high-intensity disaster. However, the scope is not small as it affects a large area and has a significant impact on the local economy.
Choice C rationale
A tornado that destroys 25 houses and uproots an interstate for 0.5 miles is an example of a high-intensity, small-scope disaster. The disaster is high-intensity due to the destructive nature of a tornado, but the scope is relatively small, affecting only a limited number of houses and a small section of an interstate.
Choice D rationale
An explosion at a water treatment plant that affects the community water supply is a high- intensity disaster due to the potential for widespread impact on the community’s water supply. However, the scope is not necessarily small as it could affect a large population.
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