The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?
Contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year.
Send notices home with the children on the first day of class advising that MMR vaccine series must be completed.
Note in student records that the second dose of the MMR vaccine should be administered prior to entering first grade.
Speak at the next parent-teacher association meeting to teach parents the benefits of immunizing their children.
The Correct Answer is A
A) Contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year:
Directly contacting parents before the school year begins is the most effective intervention for ensuring that students receive the necessary immunizations. By reminding parents ahead of time, the school nurse can help ensure that the second dose of the MMR vaccine is administered before the start of kindergarten, which is crucial for meeting school entry requirements and protecting public health.
B) Send notices home with the children on the first day of class advising that MMR vaccine series must be completed:
Sending notices on the first day of class might be too late for many parents to act on promptly. Ensuring that children have received the second dose of the MMR vaccine before the school year starts is important for compliance and preventing potential outbreaks.
C) Note in student records that the second dose of the MMR vaccine should be administered prior to entering first grade:
While noting the requirement in student records is important for long-term tracking, it does not address the immediate need to ensure that students are up-to-date with their vaccinations before starting kindergarten. Immediate action is necessary to ensure compliance at the beginning of the school year.
D) Speak at the next parent-teacher association meeting to teach parents the benefits of immunizing their children:
While educating parents about the benefits of immunization is valuable, it does not directly address the immediate need for the second dose of the MMR vaccine. Direct reminders and actions to ensure vaccinations are up-to-date are more effective in achieving timely compliance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.
B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.
C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.
D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.
Correct Answer is B
Explanation
A) Evaluate previous project outcomes:
Evaluating previous project outcomes provides valuable insights into what has been effective or ineffective in past health promotions. However, this step should come after understanding the current needs of the community. Previous outcomes are more relevant once the nurse has a clear grasp of the community’s current health promotion needs.
B) Interview community members:
Interviewing community members is the most immediate and essential action for assessing the community’s health promotion needs. Direct input from community members helps identify their perceptions, needs, and priorities, which is critical for tailoring relevant and effective health promotion interventions. This step provides a foundational understanding of the community's specific health issues and concerns.
C) Project future health care requirements:
Projecting future health care requirements is important for long-term planning but should be informed by an understanding of current community needs. Before making projections, it is necessary to assess and understand the existing health promotion needs through direct community engagement.
D) Schedule a community-wide health fair:
Scheduling a health fair can be an effective health promotion activity, but it should be based on an understanding of the community's specific needs. Without assessing these needs first, the health fair may not address the most pressing issues or effectively engage the community.
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