Grant funding has been decreased for community disease-prevention programs. Which programs are the nurse's priority to implement, without modification, for the community of older-adult clients? Select all that apply.

Question

1. Smoking cessation program for lung cancer prevention for an assisted living group.
2. Seasonal influenza vaccine clinic for the groups at the senior citizen's center.
3. Biannual pneumonia vaccine clinic at the local grocery store on senior discount day.
4. Antituberculosis vaccine and tuberculosis prevention education at the refugee center.
5. Weekly gathering of an older adult group for walking at the park together.

Answer 1

2. Seasonal influenza vaccine clinic for the groups at the senior citizen's center.
5. Weekly gathering of an older adult group for walking at the park together.

Explanation: 1. Smoking cessation is always good. However, lung cancer risks only decline after about 10-15 years of smoking abstinence. This program is not essential.
2. Flu vaccines in the early fall season for the elderly are extremely important, particularly when the clients are still active in the community, increasing exposures.
3. The pneumonia vaccine is only needed every few years after the age of 65. Offering the pneumonia vaccine in the same location every 6 months is unlikely to have the desired impact on the community.
4. The BCG (Bacillus Calmette-Guerin) is an anti tuberculosis vaccine that is not used in the United States. This group has a high potential for already being exposed to tuberculosis. It would be much more important to ensure testing was done and education regarding the prevention of its spread was complete.
5. This is a low cost intervention. Exercise and encouraging activity helps the client stay healthy and increases deep breathing, reducing the risk of lower airway conditions.