Community Health Nursing Practice Exam

A community health nurse would recommend pneumococcal vaccine for which group?

1. 1-year-old children

2. 30-year-old adults who have simple respiratory tract infections

3. Adults over age 65 who have COPD

4. Healthy adults in their 50s

The correct answer is: Adults over age 65 who have COPD

The pneumococcal vaccine is particularly important for adults over age 65, especially those who have chronic conditions such as Chronic Obstructive Pulmonary Disease (COPD). This population is at a higher risk for severe pneumococcal disease, including pneumonia, which can lead to significant morbidity and mortality. The immune response to vaccines can decline with age, making vaccination even more critical for older adults. Additionally, adults with underlying health conditions like COPD have compromised respiratory function, increasing their susceptibility to respiratory infections. Vaccination in this group helps to reduce the incidence of pneumonia and other serious complications associated with pneumococcal bacteria. In contrast, while the vaccine is recommended for 1-year-old children and may be relevant for healthy adults in their 50s, the specific priority for vaccination is highest for older adults with pre-existing health issues. Adults in their 30s with simple respiratory infections do not typically fall into high-risk categories warranting the pneumococcal vaccine, thereby making them a lower priority for immunization compared to those aged 65 and above with COPD.