Nokea
The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?
- A. Review current epidemiological population data that might document a low immunization rate.
- B. Call a meeting of citizens to inform them of the importance of having their children immunized.
- C. Join a political action group that focuses attention on the issue in the local news media.
- D. Partner with a local children's hospital in setting up free 'shot' clinics in the neighborhood.
Correct Answer: A
Rationale: Reviewing epidemiological data confirms the extent of low immunization rates, providing a foundation for targeted interventions.
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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?
- A. Contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year.
- B. Send notices home with the children on the first day of class advising that MMR vaccine series must be completed.
- C. Note in student records that the second dose of the MMR vaccine should be administered prior to entering first grade.
- D. Speak at the next parent-teacher association meeting to teach parents the benefits of immunizing their children.
Correct Answer: A
Rationale: Contacting parents before the school year ensures timely MMR second-dose administration, meeting school entry requirements.
While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?
- A. Obtain a restraining order against the father.
- B. Encourage the mother to file a police report.
- C. Ask the child if his father ever spanks him.
- D. Refer the family to protective service agencies.
Correct Answer: D
Rationale: Referring to protective service agencies ensures a specialized investigation and intervention, prioritizing the child's safety and well-being.
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?
- A. Contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year.
- B. Send notices home with the children on the first day of class advising that MMR vaccine series must be completed.
- C. Note in student records that the second dose of the MMR vaccine should be administered prior to entering first grade.
- D. Speak at the next parent-teacher association meeting to teach parents the benefits of immunizing their children.
Correct Answer: A
Rationale: Contacting parents before the school year ensures timely MMR second-dose administration, meeting school entry requirements.
According to the Centers for Disease Control and Prevention, which diseases are reportable infectious diseases? Select all that apply.
- A. Pediculosis.
- B. Bacterial conjunctivitis.
- C. Anthrax.
- D. Diphtheria.
- E. Tuberculosis.
Correct Answer: C,D,E
Rationale: Anthrax, Diphtheria, and Tuberculosis are reportable due to their severe public health implications, potential for outbreaks, and, in the case of anthrax, bioterrorism concerns. Pediculosis and bacterial conjunctivitis, while public health concerns, are not typically mandated for reporting to the CDC.
A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?
- A. Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods.
- B. Show a movie about cooking with foods that are low in fat but delicious.
- C. Determine foods most often eaten by this group and discuss the nutritional panel of each product.
- D. Display posters with foods and tell the seniors about the fat content
Correct Answer: C
Rationale: Discussing nutritional panels of commonly eaten foods provides practical, personalized education on fat content, enabling informed dietary choices.