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 B

Explanation

A) 3/1,000:
To calculate the rate per 1,000, you divide the number of new positive tests by the total number of students tested, then multiply by 1,000. For 15 new positive tests among 500 students, the rate is (15/500) * 1,000 = 30/1,000. Thus, 3/1,000 is incorrect.

B) 30/1,000:
The correct calculation for the rate per 1,000 is determined by dividing the number of new positive tests (15) by the total number of students tested (500) and then multiplying by 1,000. Therefore, (15/500) * 1,000 = 30/1,000. This rate accurately reflects the proportion of students with positive tests per 1,000.

C) 1.7/1,000:
The rate of 1.7/1,000 would result from incorrect calculations. Using the correct formula, the rate per 1,000 should be 30/1,000.

D) 15/1,000:
The rate of 15/1,000 suggests that there are 15 positive tests per 1,000 students, which does not reflect the actual number of new positive tests (15) among 500 students. The correct rate calculation yields 30/1,000, not 15/1,000.

A. The parent's judgment is likely too impaired to provide care for the child. B. Since the parent is increasing his alcohol intake, it is likely that he will soon begin using other addicting drugs. C. The parent is exhibiting tolerance to alcohol and must increase the amount to achieve the desired effect. D. The child is denying that there is a problem of alcohol abuse in the family.

Correct Answer is C

Explanation

A) The parent's judgment is likely too impaired to provide care for the child:
While a significant increase in alcohol consumption may affect a parent's ability to provide appropriate care for their child, this conclusion is not directly supported by the information provided. The child’s statement about the increase in alcohol consumption indicates a change in drinking behavior but does not explicitly detail the impact on parental judgment or caregiving abilities.
B) Since the parent is increasing his alcohol intake, it is likely that he will soon begin using other addicting drugs:
An increase in alcohol consumption does not necessarily imply that the individual will start using other addictive substances. While alcohol use can be part of a broader pattern of substance abuse, there is no direct evidence from the statement to support this prediction. The focus should remain on the observed change in alcohol use rather than speculating about future drug use.
C) The parent is exhibiting tolerance to alcohol and must increase the amount to achieve the desired effect:
The child's observation that the father has increased his alcohol intake from one beer a day to a six-pack a day suggests the development of tolerance. Tolerance occurs when an individual needs to consume more of a substance to achieve the same effect. This increase in alcohol consumption indicates that the father’s body has adapted to the lower amounts of alcohol, necessitating larger quantities to achieve the desired effects.
D) The child is denying that there is a problem of alcohol abuse in the family:
The child’s statement does not demonstrate denial but rather reports a change in the father’s drinking behavior. Denial would involve minimizing or refusing to acknowledge the problem, whereas the child is providing a straightforward account of the increase in alcohol consumption. The statement reflects an observation rather than an avoidance of recognizing the issue.

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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?

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Naxlex Comprehensive Predictor Exams

A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students fested. Which is the rate per 1,000 with new positive tests?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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