Which of the following is correct about the administration of the pneumococcal vaccine?
The CDC recommends routine administration of pneumococcal vaccination for all adults age 18 and older.
The CDC recommends routine administration of pneumococcal conjugate vaccine (PCV13) for all children older than 2 years.
The CDC recommends routine administration of pneumococcal vaccination for all children younger than 2 years and all adults older than 65 years.
The CDC recommends routine administration of pneumococcal vaccination for all adults age 75 and older.
The Correct Answer is C
Choice A reason: This is incorrect because routine pneumococcal vaccination is not recommended for all adults starting at age 18. Adults with certain chronic conditions may be vaccinated earlier, but universal vaccination begins at older ages.
Choice B reason: This is inaccurate; the pneumococcal conjugate vaccine (PCV13) is recommended primarily for children younger than 5 years, not those older than 2 years universally, although catch-up dosing may occur.
Choice C reason: This is correct. Standard guidelines recommend routine pneumococcal vaccination for all children younger than 2 years and all adults 65 years and older, as these age groups are at higher risk for invasive pneumococcal disease.
Choice D reason: This is incorrect. Age 75 alone does not trigger routine vaccination; the recommendation is generally for all adults 65 and older, with earlier vaccination for those at higher risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Social learning involves modeling behavior and reinforcement, not eliciting self-reflection on behavior.
Choice B reason: This is correct. Motivational interviewing uses open-ended questions, reflective listening, and strategic prompts to help clients recognize discrepancies between their current behavior and long-term goals, promoting intrinsic motivation to change.
Choice C reason: Person-centered therapy emphasizes empathy, unconditional positive regard, and client self-exploration, not direct elicitation of ambivalence.
Choice D reason: Transactional analysis focuses on interpersonal communication and ego states, not targeted behavioral change through motivational questioning.
Correct Answer is D
Explanation
Choice A reason: Obsessive-compulsive disorder involves intrusive thoughts and repetitive behaviors performed to reduce anxiety. While hoarding can be associated with OCD, in OCD the behavior is driven by anxiety reduction, not by difficulty discarding items or accumulation without functional use.
Choice B reason: Delusional disorder involves fixed false beliefs that are not aligned with reality. Collecting VHS tapes due to perceived value does not meet criteria for delusions; the patient recognizes their condition but has difficulty discarding items, making delusional disorder inappropriate.
Choice C reason: Normal collecting behavior involves purposeful accumulation of items for enjoyment or hobby. The patient’s inability to discard, neglect of living space, and potential risk to health or function surpass normal collecting.
Choice D reason: Hoarding disorder is characterized by persistent difficulty discarding possessions, regardless of actual value, leading to clutter that interferes with living spaces or functioning. This patient’s behaviors, including accumulation of unused, potentially ruined VHS tapes and inability to organize or discard them, fit the diagnostic criteria for hoarding disorder.
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