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. Rescreen the entire prison population in 6 weeks:
While rescreening may be necessary at some point, it is not the immediate priority. The focus should be on diagnosing and managing the individuals who have already tested positive.

B. Start the two inmates on antitubercular medications:
Starting antitubercular medications is important, but it should only be done after confirming that the individuals have active TB. The positive skin test indicates exposure but does not confirm active TB disease.

C. Refer the two inmates for chest x-rays:
A chest x-ray is crucial to determine whether the positive skin test indicates active TB disease or latent TB infection. This step is essential for accurate diagnosis and appropriate management. It helps distinguish between active TB, which requires treatment, and latent TB, which may require different management strategies.

D. Screen the prison guards for TB:
While screening the prison guards could be a part of a broader infection control plan, it is not the most immediate priority. The focus should be on further evaluating and managing the inmates who have tested positive.

A. Review the previous school nurse's anecdotal documents. B. Obtain morbidity and mortality data for the geographic area. C. Talk with teachers about their concerns for the students. D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events.

Correct Answer is B

Explanation

A. Review the previous school nurse's anecdotal documents:
While reviewing past documents may provide some context or historical insights, anecdotal evidence is subjective and may not offer a comprehensive or objective validation of current findings.

B. Obtain morbidity and mortality data for the geographic area:
Morbidity and mortality data offer objective, quantifiable information about health conditions and outcomes in the community. This data helps validate and supplement the observations from a windshield survey by providing concrete evidence on health trends, disease prevalence, and outcomes in the area.

C. Talk with teachers about their concerns for the students:
Teachers’ perspectives can provide valuable insights into student health and well-being, but this method is subjective and may not provide the objective validation needed to corroborate findings from a windshield survey.

D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events:
The PTA board’s perceptions can offer useful information about community and school events, but their feedback is subjective and may not provide the objective data needed to validate the findings of a windshield survey.

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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

Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?

Correct Answer is C

Explanation

A newly hired school nurse conducts a "windshield" survey of the geographic area served by the school, Which method is best for the nurse to use to objectively validate the findings obtained?

Correct Answer is B

Explanation

The epidemiological triad can be used to frame strategies for the prevention of farm machinery injuries. Which action should the nurse take to focus on the agent?

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Community health nurses are particularly concerned with the spread of communicable diseases such as hepatitis A. Which group of Individuals should the nurse identify as being at greatest risk for contracting this type of hepatitis?

A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?

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