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?

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While ensuring safe drinking water is important during a disaster, it may not be the most important content for a community health nurse to include in a disaster management class in a Gulf Coast town that caters to tourists.

Choice B rationale

Knowing available evacuation routes from the town is crucial during a disaster. However, in a Gulf Coast town that caters to tourists, the most significant threat is likely to be hurricanes.

Choice C rationale

Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.

Choice D rationale

While it’s important to know what actions to take during a tornado, tornadoes are not as common as hurricanes in Gulf Coast towns. Therefore, hurricane preparedness would be more relevant to include in the class.

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client’s home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care. Therefore, suggesting that social services be contacted to find a respite care facility for the client would be the best information for the nurse to provide.

Choice B rationale

Hiring a private nurse, also known as concierge nursing, is another option for providing relief to caregivers. However, this option might not be feasible for all families due to the potential cost. Moreover, it might not provide the caregiver with the same level of relief as respite care, as the caregiver might still feel obligated to be involved in the client’s care.

Choice C rationale

A case management evaluation of the client’s home environment could be helpful in assessing the client’s needs and identifying potential resources or modifications that could make caregiving easier. However, this does not directly address the caregiver’s need for rest and relief from their duties.

Choice D rationale

Recommending that the client’s family return to the area to help provide assistance could potentially provide some relief to the caregiver. However, this might not be a feasible or immediate solution, as it depends on the family’s availability and willingness to relocate or travel.