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
Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.
Choice B rationale
Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.
Choice C rationale
Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.
Choice D rationale
Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.
Correct Answer is ["B","C","D","E"]
Explanation
Answer and explanation
The correct answer is Choices B, C, D, and E.
Choice A rationale
Areas with negative-pressure airflow are typically used in healthcare settings to prevent the spread of airborne pathogens, not bloodborne pathogens.
Choice B rationale
Puncture-resistant sharps containers are a crucial part of an exposure control plan for bloodborne pathogens. They provide a safe way to dispose of sharps, reducing the risk of needlestick injuries.
Choice C rationale
Needleless medication delivery systems can significantly reduce the risk of needlestick injuries, thereby reducing the risk of exposure to bloodborne pathogens.
Choice D rationale
A vaccination schedule for Hepatitis B is an important part of an exposure control plan. Hepatitis B is a bloodborne pathogen, and vaccination is an effective way to prevent infection.
Choice E rationale
Personal protective equipment (PPE) is a key component of an exposure control plan. PPE such as gloves, gowns, and face shields can provide a barrier between the healthcare worker and potentially infectious material.
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