A nurse at a local health department is caring for several clients. Which of the
following infections should the nurse report to the state health
department?

The correct answer is Choice A because, "Organize an influenza immunization clinic with the American Red Cross." The parish nurse group should plan to provide influenza immunization clinics to help prevent the spread of influenza in the congregation. Influenza is a contagious respiratory illness that can be spread by coughing, sneezing, and touching contaminated surfaces. This answer is correct because immunization clinics will help prevent influenza, which is a primary and secondary health care need for the congregation.

Choice B is wrong because is incorrect because providing end-of-life care is not a primary or secondary health care need for the congregation, and the parish nurse group is not qualified to provide this level of care.

Choice C is wrong because is incorrect because performing wound care in the home of members is not a primary or secondary health care need for the congregation.

Choice D is wrong because is incorrect because facilitating discharge from the facility to the home is not a primary or secondary health care need for the congregation.

The correct answer is Choice A because, "I am obese because it's in my genes." The client is using rationalization as a coping mechanism by justifying their obesity as being predetermined by their genes, rather than acknowledging their personal responsibility in managing their weight. Rationalization is a defense mechanism in which a person gives a false or socially acceptable explanation for an unacceptable behavior or situation.

Choice B is wrong because, "I have difficulty resisting the items in vending machines," is not the correct answer because it is an excuse rather than a rationalization.

Choice C is wrong because, "I know you don't like me because I am obese," is not the correct answer because it is an example of projection, in which the client attributes their own feelings of dislike to others.

Choice D is wrong because, "I have lots of health problems from being obese," is not the correct answer because it is a justification, not a rationalization