A 16-year-old female client returns to the clinic because she is pregnant for the first time.Which vaccine should the nurse plan to administer?

Correct Answer: A

Rationale: The correct answer is A: HPV vaccine. This vaccine is recommended for females up to age 26 to prevent cervical cancer and other HPV-related diseases. Given the client's age and gender, HPV vaccine is the most appropriate choice. Measles-mumps-rubella (MMR) vaccine (B) is not indicated in this scenario as the client is pregnant and not due for MMR vaccination. Option D, Hepatitis vaccine, is also not appropriate in this case as the client's pregnancy status should be evaluated before administering the vaccine. Option C is blank, so it is not a valid choice.

Correct Answer: C

Rationale: The correct answer is C: Review current epidemiological population data that might document a low immunization rate. This is the first action the RN should take because it provides objective evidence to confirm the suspicion of low immunization rates in the community. By reviewing the data, the RN can accurately assess the situation and determine the extent of the problem before implementing any interventions. Choice A (Take a health history on the members of the community) is incorrect because individual health histories may not provide a comprehensive view of the community's immunization rates. Choice B (Initiate an immunization program for the community) is incorrect because it is essential to first confirm the need for such a program through epidemiological data. Choice D (Refer all clients to the local health department) is incorrect as it does not address the root cause of the issue and may not be necessary if the RN can intervene effectively based on the epidemiological data.

Correct Answer: A

Rationale: The correct answer is A because an increase in the number of students wearing helmets is a direct indicator that the bicycle safety program was effective. Wearing helmets reduces the risk of head injuries, which is crucial in preventing bicycle-related injuries. This change shows that the program successfully influenced the behavior of students to prioritize safety. Choice B is incorrect because a decrease in bruises from falls does not necessarily indicate that the safety program was effective as bruises are just one type of injury and not the most severe. Choice C is irrelevant as it pertains to a different safety measure (seatbelts in cars) and not related to the bicycle safety program. Choice D is also incorrect since knowing how to cross the street on a bicycle is important but does not directly measure the effectiveness of the overall safety program.

Correct Answer: B

Rationale: Not only is community a context or place where a community health nurse gives care, but the community as a whole is the focus of the nurse's efforts. Being employed outside a medical center, providing care within the community, and working for a public health department all describe settings where a community health nurse may be employed, but do not demonstrate the emphasis on providing population-focused care.

Correct Answer: A

Rationale: Although individuals might well respond in terms of any of the possible responses, the most common response is in terms of geographic location of one's home or place of residence. Traditionally, a community is an entity delineated by geopolitical boundaries; this view best exemplifies the dimension of location.