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 B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
The Social Security Administration office primarily provides financial support to retirees, disabled individuals, and families of deceased workers. While it might provide some financial assistance to the client, it does not directly address the client’s nutritional needs or potential social isolation.
Choice B rationale
The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client’s weight loss and potential social isolation.
Choice C rationale
The Women, Infants, and Children office provides nutritional support to low-income pregnant women, new mothers, and young children. It is not typically a resource for older adults.
Choice D rationale
The Adult Day Care Center provides care and companionship for older adults who need assistance or supervision during the day. While it could provide social interaction for the client, it does not directly address the client’s weight loss.
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the dissemination of all educational pamphlets among the served counties indicates successful distribution of information, it does not necessarily reflect a change in health outcomes or behaviors.
Choice B rationale
Although a high rating from workshop attendees indicates that the program was well-received, it does not provide measurable health outcomes.
Choice C rationale
A decrease in cardiac-related fatalities by 109% six months after the program’s presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
Choice D rationale
While a commitment to adopting a healthier lifestyle from 65% of the program’s participants is a positive outcome, it is based on self-report and does not provide direct evidence of a decrease in strokes or acute coronary syndrome.
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