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

Provide dorm teaching sessions about the need to finish prescribed antibiotic doses.

Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living.

Require documentation from incoming freshmen that Haemphilus influenza type b (Hib) vaccinations are current.

Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors.

Answer and Explanation

The Correct Answer is B

A) Provide dorm teaching sessions about the need to finish prescribed antibiotic doses:
While educating about antibiotic adherence is important, it is not specifically targeted to meningococcal meningitis. This intervention is more relevant to managing infections rather than preventing meningococcal meningitis, which is primarily preventable through vaccination.

B) Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living:
Meningococcal meningitis is a significant risk in college environments due to close living conditions. The meningococcal polysaccharide vaccine is effective in preventing the disease. Encouraging incoming freshmen to receive this vaccine before starting dorm life directly addresses the prevention of meningococcal meningitis and is the most effective measure for reducing incidence in this high-risk population.

C) Require documentation from incoming freshmen that Haemophilus influenza type b (Hib) vaccinations are current:
While Hib vaccinations are important for preventing certain bacterial infections, they are not specifically related to meningococcal meningitis. The Hib vaccine is not a primary prevention method for meningococcal disease, making this measure less relevant for addressing meningococcal meningitis.

D) Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors:
Isoniazid is used for tuberculosis prophylaxis, not for preventing meningococcal meningitis. Developing a protocol for isoniazid would not impact the incidence of meningococcal meningitis and is therefore not relevant to this particular prevention goal.

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Correct Answer is D

Explanation

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.

A. Provide the information for research purposes only. B. Ask the student to sign a standard waiver form. C. Obtain written authorization from clients to release the information. D. Ask if permission has been obtained from the research committee.

Correct Answer is C

Explanation

A) Provide the information for research purposes only:
Providing client information without proper authorization, even for research purposes, violates confidentiality and privacy regulations. Client information should only be shared in accordance with legal and ethical guidelines to protect patient privacy.

B) Ask the student to sign a standard waiver form:
While obtaining a waiver might be necessary for some purposes, it is not sufficient on its own for releasing personal health information. The primary requirement is to obtain written authorization from the clients whose information is being requested.

C) Obtain written authorization from clients to release the information:
The most appropriate action is to obtain written authorization from the clients before releasing any personal health information. This ensures compliance with privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), which mandates that client information be protected and only disclosed with explicit consent.

D) Ask if permission has been obtained from the research committee:
Permission from a research committee does not substitute for individual client consent. While research committees oversee ethical aspects of research, the release of personal health information must also adhere to privacy laws and require individual client authorization.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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

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