The parents of a 7-month-old infant, being seen at the clinic for ...

[CharlieWard]

The parents of a 7-month-old infant, being seen at the clinic for the administration of a hepatitis B vaccine, ask if their baby can also be given a vaccine to prevent the chickenpox during this visit.
 
  Which response by the nurse is the most appropriate?
  1. It will be less stressful to administer both shots during this visit.
  2. The additional injection will make your child run a fever.
  3. You really should wait and come back next month for this immunization.
  4. This immunization is not offered until after the age of 12 months.

Question 2

A group of clients attend an educational program at which prevention and screening activities for breast cancer is discussed. Using the Health Belief Model, which participant is most likely to engage in the available health screenings?
 
  1. The client whose mother and grandmother have a history of breast cancer.
  2. The client who is attending the program as a course requirement.
  3. The client attending in support of the presenter.
  4. The client who agreed to attend in support of another participant.

[Sammyo]

Answer to Question 1

Correct Answer: 4

The first dose of varicella vaccine is given at 12 to 15 months of age. Providing the vaccine prior to that time is contraindicated.

Answer to Question 2

Correct Answer: 1

According to the Health Belief Model, mediating variables determine the likelihood of an individual to actively participate in prevention of illness. The client whose family members have a history of breast cancer is most vulnerable to the disease and is thus most likely to engage in the available health screenings. The remaining participants do not have the same high level of mediating factors to influence their participation. The client who is attending the program as a course requirement will be less influenced to participate in the health screenings than the client who has the positive family history of breast cancer. Similarly, the client who is attending the program in support of the presenter and the client who agreed to attend the program in support of another participant will be less influenced to participate in the health screenings than the client who has the positive family history of breast cancer.