Author Question: Multiple family units in an underserved neighborhood have children who have not been vaccinated per ... (Read 62 times)

stock · **on:** Jul 8, 2018

Multiple family units in an underserved neighborhood have children who have not been vaccinated per health guidelines. The nurse researches the problem and establishes a well-child clinic within walking distance to the neighborhood.

The clinic is poorly attended. Which would be the nurse's best action to revise the program and improve attendance to the clinic?
A) Determine whether the location of the clinic is not conducive to attendance.
B) Discuss the problem of attendance at the next community council meeting.
C) Interview members of the neighborhood to determine why they do not use the clinic.
D) Discuss the problem with the local minister and request him to discuss the clinic at the next prayer service.

Question 2

Absenteeism due to illness has increased recently in the local middle school. The increase is noted to be related to exacerbation of asthma symptoms in the student population.

Which would be the most effective approach in decreasing absenteeism among this population?
A) Develop an asthma education and surveillance program that addresses students, families, and faculty members.
B) Develop a policy to exclude students with a diagnosis of asthma from admission to the school.
C) Create an asthma prevention plan within the school environment, based in the school nurse's office.
D) Create an education program for faculty related to the prevention of exacerbation of asthma systems.

af · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: C
Feedback:
Although the morbidity and mortality data reports are quantitative, it is important to understand that in most cases, perceptions of health or well-being on the part of individuals, families, and communities are subjective. The science of diagnosis and healthcare follow-up may be present, but it is the subjective perceptions of others that often determine a person's willingness to participate in health promotion initiatives. Interviewing members of the neighborhood to determine why they do not use the clinic is the only option that recognizes the need to perceive the subjective perceptions of the neighborhood.

Answer to Question 2

Ans: A
Feedback:
Community health nurses are focused specifically on modifiable risks of acquiring disease. This requires nurses to analyze trends in risk surveillance data and consider the physical, emotional, and psychosocial challenges people face when confronting disease, physical stressors, and the possibility of premature death. Public health science uses in-depth processes of data collection across the natural history of disease to define trends, and in this way assists nurses and other public health officials in prioritizing the steps needed to minimize risk and improve the quality of care in populations. Only the development of a program that addresses students, families, and faculty members and that takes into account surveillance data is in-depth enough to be effective. The other options do not reflect public health science or approach the problem in a holistic manner.