The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

Legislative proposals that mandate influenza vaccinations for all.

Radio announcements about the availability of the influenza vaccine.

Reports describing influenza rates during times of greatest prevalence.

Designation of clinics conveniently located in target neighborhoods.

Answer and Explanation

The Correct Answer is D

A) Legislative proposals that mandate influenza vaccinations for all:
While legislative mandates can increase vaccination rates broadly, they may not address specific barriers faced by underserved populations. Mandates alone do not guarantee access or overcome logistical challenges that certain groups might face.

B) Radio announcements about the availability of the influenza vaccine:
Radio announcements can raise awareness but may not effectively reach or address the specific barriers faced by underserved populations. Simply informing people of vaccine availability does not necessarily solve issues related to access, transportation, or healthcare provider availability.

C) Reports describing influenza rates during times of greatest prevalence:
Reports and statistics are useful for understanding the epidemiology of influenza but do not directly impact vaccination rates. While they may inform the public, they do not address practical barriers to obtaining the vaccine.

D) Designation of clinics conveniently located in target neighborhoods:
Designating clinics in convenient locations directly addresses one of the main barriers to vaccination—access. By making clinics easily accessible within target neighborhoods, underserved populations are more likely to receive the influenza vaccine, thus improving immunization rates. This approach addresses both access and convenience, which are crucial for increasing vaccination coverage in these groups.

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Correct Answer is C

Explanation

A. Glaucoma:
Glaucoma is generally a concern for older adults rather than preschool-aged children. Screening for glaucoma typically starts later in life when the risk for this condition increases.

B. Red light reflex:
The red light reflex test is used primarily in infants and very young children to screen for conditions such as cataracts and retinoblastoma. While important, it is not usually the primary focus of annual screenings in preschool settings, which typically emphasize visual acuity.

C. Visual acuity:
Visual acuity screening is crucial for preschool-aged children to identify any issues with vision that could affect their development and learning. It helps detect problems like amblyopia (lazy eye) or refractive errors that need early intervention.

D. Conjunctivitis:
Conjunctivitis, or pink eye, is a common condition but is not typically part of routine annual eye health screenings. It is more relevant to address conjunctivitis as it arises rather than as part of an annual screening program.

A. The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity. B. The Community Health Improvement Process is used for issues in high risk populations. C. The Institute of Medicine includes "access" as one of its priority recommendations. D. The committee for "Healthy People 2030" has identified "access" as a national goal.

Correct Answer is D

Explanation

A) The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity:
While the CDC provides valuable data and insights on various health issues, it may not directly frame "access to health services" as a key reason for addressing the issue in the broader context of health improvement strategies. The focus here is on the broader, more comprehensive goals rather than specific CDC findings.

B) The Community Health Improvement Process is used for issues in high-risk populations:
The Community Health Improvement Process is a method used to address health issues, but this statement does not directly explain why improving access to health services is crucial. It focuses more on the process rather than the rationale behind improving access.

C) The Institute of Medicine includes "access" as one of its priority recommendations:
The Institute of Medicine (now the National Academy of Medicine) has indeed highlighted the importance of access to health services. However, the most compelling reason for emphasizing access is its inclusion in national health goals, which underscores its broad importance.

D) The committee for "Healthy People 2030" has identified "access" as a national goal:
This statement provides the best response because it highlights that improving access to health services is a national health goal outlined in "Healthy People 2030." This demonstrates the significant importance placed on access to health services at a national level and aligns with broader public health objectives, making it a strong justification for addressing the issue in the workshop.

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The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which annual screening should the nurse include when planning an eye health program at a preschool?

Correct Answer is C

Explanation

While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?

Correct Answer is D

Explanation

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