The nurse conducts a community assessment in a town once supported by multiple paper factories. The factories closed 2 years ago and most of the population is now out of work
The school nurse notes that 68% of the students are behind schedule in their physicals and immunizations. On the basis of this community assessment, the nurse should recommend:
A) Initiation of neighborhood clinics at low or no cost to the community
B) Creation of a task force to assess the impact of low income on immunization compliance
C) A formal petition to the local government to mandate immunizations by imposing monetary fines on parents whose children are not immunized
D) A tax relief program for new companies wishing to settle in the community
Ans: A
Feedback:
Whenever nurses conduct an assessment of a community, they examine biological, psychological, and sociocultural influences of the environment of a group of people who share specific characteristics. Knowledge gained from this endeavor provides valuable insight into the ways that people's health behaviors directly and indirectly influence the overall health and well-being in their community. The neighborhood clinics meet the immediate need for childhood immunizations. The assessment has already determined that immunization compliance is low, so there is no need to create a task force to assess this. A mandate from the local government to either immunize one's children or pay a fine would only place a further financial burden on the parents and would likely not improve immunization rates, as the parents would be no more able to afford it than before. Although it would be beneficial in the long term to attract companies to the community to provide jobs, there is no indication that a tax relief program would provide adequate incentive to achieve this goal, as taxes are likely not the primary barrier to new employers' coming. Moreover, even if it did succeed, it might be several years before such an effort produced the jobs and income needed to address the barrier to immunization, and in the meantime many children would go without being immunized.
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