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 Choice D.
Choice A rationale
While a local shopping mall might attract a large number of people, it may not be the most effective location for a dental caries prevention program. The program would likely be more successful in a setting where children and their parents regularly go and feel comfortable discussing health-related topics.
Choice B rationale
Hospital emergency departments primarily deal with acute health issues. They may not be the most suitable setting for a preventive program focused on dental health, which is a long-term and ongoing concern.
Choice C rationale
The Women, Infants, and Children (WIC) office provides support to low-income women and young children, including nutrition education and healthy food. While this setting might reach a population that could benefit from a dental caries prevention program, it may not reach all children in the community.
Choice D rationale
A community youth center could be an effective location for a dental caries prevention program. These centers often provide a variety of programs for children and have the
infrastructure to support health education programs. They are also places where children and their parents are likely to feel comfortable and receptive to learning.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While suggesting that the patient get a walker might help with mobility, it does not directly address the safety concerns in the home environment.
Choice B rationale
A medical alert device could be beneficial in case of emergencies, but it does not prevent the risk of falls or accidents in the home.
Choice C rationale
Ensuring the patient’s privacy is important, but it does not address the immediate safety concerns observed by the nurse.
Choice D rationale
Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.
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