A PHN would like to increase the immunization coverage of infants ...

[dmcintosh]

A PHN would like to increase the immunization coverage of infants and toddlers. Which of the following strategies would be appropriate for the nurse to use?
 
  a. Read the Mortality and Morbidity Weekly Report to learn about vaccinations
  b. Require that children have all their im-munizations before going to public school
  c. Track children known to be at risk for un-derimmunization
  d. Lead teams of health care workers to en-force laws related to immunizations

Question 2

A community health nurse has recently become involved in surveillance. Which of the following describes the situation that the nurse is in?
 
  a. Educating clients about influenza immun-izations
  b. Collecting information about occurrence of measles
  c. Evaluating the effectiveness of an HIV/AIDS prevention program
  d. Advocating for changes in the national disease reporting requirements

[frejo]

Answer to Question 1

ANS: C
Tracking children known to be at risk for underimmunization is a function of PHNs who work in health departments where immunizations are given and tracked. Reading the Mortality and Mor-bidity Weekly Report, requiring that children have all of their immunizations before attending school, and leading teams of health care workers would not be as effective in increasing immun-ization coverage for this population.

Answer to Question 2

ANS: B
Surveillance gathers the who, when, where, and what; these elements are then used to answer why. Nurses are frequently involved in surveillance by collecting data, making diagnoses, in-vestigating and reporting cases, and providing information to the general public. Client educa-tion, program evaluation, and advocating for changes are not part of the surveillance process.