A family agreed to bring all the children in to the clinic at one time to begin to catch up on the children's immunizations, but they didn't keep their appointment. Which of the following conclusions by the nurse would be most accurate?
a. Obtaining immunizations might have been the nurse's goal, not the family's.
b. Some barrier or restraint interfered with the family's ability to come.
c. The family had other, more important priorities.
d. The nurse didn't adequately emphasize the importance of obtaining immunizations.
ANS: B
Families most frequently served by the community health nurse are disadvantaged in that they are unable to buy health care from the private sector. However, constraints to obtaining needed health and social services are well documented and may come from characteristics of health and social services rather than individual family limitations. The nurse should note those constraints that prevent full use of the resource such as hours of service, distance and transportation, availability of interpreters, and criteria for receiving services.
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