Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

A) Instruct on technique of "stop, drop & roll" at assembly:
This is a primary prevention intervention aimed at educating students on how to prevent burns in the event of a fire. It does not address a specific identified problem but rather provides general safety education.

B) Involve the parent teacher association (PTA) in a fund raising event for the new gym:
This action focuses on raising funds for a new gym, which is related to school improvement and development rather than addressing an immediate health issue. It does not fall under secondary intervention for an identified problem.

C) Invite 1st grade parents to a "Meet the Teachers" event:
This intervention focuses on fostering relationships between parents and teachers and improving school engagement. While valuable, it does not address a specific health problem that requires secondary intervention.

D) Send letters to parents regarding a recent lice infestation:
This is a secondary prevention intervention aimed at addressing an already identified problem—in this case, a lice infestation. By informing parents, the nurse is helping to manage and control the spread of lice among students, which is a direct response to an identified health issue.

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.