A client comes to the clinic for an annual physical exam.
When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don’t get the flu.”. Which aspect of the Health Belief Model is the client demonstrating?
Perceived barriers.
Perceived susceptibility.
Perceived severity.
Perceived benefits.
The Correct Answer is A
Answer and explanation The correct answer is A. Choice A rationale
The client’s decision not to get the flu vaccine because they don’t get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.
Choice B rationale
Perceived susceptibility refers to an individual’s assessment of their risk of getting the condition. In this case, the client does not believe they are susceptible to the flu.
Choice C rationale
Perceived severity refers to an individual’s assessment of the seriousness of the condition and its potential consequences. The client has not expressed any beliefs about the severity of the flu.
Choice D rationale
Perceived benefits refer to an individual’s belief in the efficacy of the advised action to reduce risk or impact of the condition. The client has not expressed any beliefs about the benefits of the flu vaccine.
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Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Applying oxygen via a nasal cannula might help alleviate the client’s shortness of breath, but it does not address the potential cause of the client’s symptoms.
Choice B rationale
Given the client’s symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client’s condition and respond appropriately.
Choice C rationale
Infusing IV fluid boluses might be necessary if the client is dehydrated, but there is no indication of this in the scenario.
Choice D rationale
Administering antiviral medication would be appropriate if the client were confirmed to have a viral infection. However, the client’s symptoms and history suggest a potential exposure to an unknown substance, which requires further evaluation.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.
Choice B rationale
An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.
Choice C rationale
A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the
virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.
Choice D rationale
An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.
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