The community health center has observed a significant increase in influenza cases compared to previous years.
The nursing staff is tasked with reviewing outcome data to identify any trends in vaccination rates and reasons for any decline.
What actions should the nursing team take to gather data for analysis?

Delineate the geographic distribution of the area to survey and review for patterns.

Ask a set number of clients if they have had the flu.

Generate influenza immunization and case reports from the electronic record.

Determine the change in immunization rates from the previous year to the current year.

Answer and Explanation

The Correct Answer is C

Answer and explanation The correct answer is C. Choice A rationale

Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.

Choice B rationale

Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.

Choice C rationale

Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.

Choice D rationale

Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.

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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.

A. The number of requests for pregnancy tests has increased compared to the previous year. B. Fewer firearms were found on school premises this year compared to last year. C. There has been a decrease in the number of students enrolled in the school this year. D. The rate of absenteeism has significantly risen over the past two years.

Correct Answer is B

Explanation

Answer and explanation The correct answer is B. Choice A rationale

An increase in requests for pregnancy tests does not necessarily indicate that the objectives of Healthy People 2030 are being met. It could reflect a variety of factors, including changes in sexual behavior, access to contraception, or education about reproductive health.

Choice B rationale

A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 20304.

Choice C rationale

A decrease in student enrollment does not necessarily indicate progress towards Healthy People 2030 objectives. It could be influenced by many factors unrelated to health, such as demographic shifts or changes in school policies.

Choice D rationale

An increase in absenteeism could suggest worsening health outcomes, which would be contrary to the goals of Healthy People 20304.

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Naxlex Comprehensive Predictor Exams

Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?

Correct Answer is C

Explanation

The school nurse is reviewing adolescent students’ incident reports.Which observation would best indicate that the objectives of Healthy People 2030 are being met?

Correct Answer is B

Explanation

The community health nurse collaborated with the American Heart Association to launch a comprehensive educational program about strokes and acute coronary syndrome.Which result indicates that the program was successful?

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