Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?
Answering parents’ questions about the safety and importance of vaccines today
Offering all immunizations to all children for a small fee
Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen
"No shots, no school" legislation, which legally requires children be immunized before school
The Correct Answer is D
A. Answering parents' questions about the safety and importance of vaccines today: While educating parents is essential, it relies on voluntary compliance and does not have the same large-scale impact as mandatory immunization laws.
B. Offering all immunizations to all children for a small fee: Improving vaccine access is important but does not guarantee that parents will vaccinate their children.
C. Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen: While provider education is valuable, it does not enforce vaccinations on a broad population level like school-entry laws do.
D. "No shots, no school" legislation, which legally requires children be immunized before school: School immunization mandates have played a significant role in increasing vaccination rates and reducing outbreaks of preventable diseases such as measles, mumps, and pertussis. These laws ensure high vaccine compliance before children enter school, making them one of the most effective public health measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.
B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.
C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.
D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.
Correct Answer is D
Explanation
A. Imposition: Cultural imposition refers to forcing one’s own beliefs on another person, which is not the case here.
B. Brokering: Cultural brokering involves mediating between the patient and the healthcare system, which is not applicable in this scenario.
C. Awareness: Awareness means recognizing cultural differences but does not involve taking action, as demonstrated in this case.
D. Accommodation: Cultural accommodation involves making adjustments to support a patient's cultural practices without causing harm to others. By repositioning the bed, the nurse respects the patient’s religious beliefs and enhances comfort.
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