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Content Review
Which disease is not airborne?
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Content Review
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Content Review
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1
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Aggregate care prevention
Primary prevention
Tertiary prevention
Secondary prevention
2
Which disease is not airborne?
Measles
Smallpox
Viral conjuctivitis
Acute poliomyelitis
3
What is one way for PHN to support pts in the current economic environment of health practice?
Gain 3rd party reimbursement for advanced practice nurses
Follow a market justice approach & limit gov't controls
Help pts become informed as consumers in cosumer-driven hc
Promote gov't initiative to provide universal healthcare
4
Question via image
Risk and causality
Morbidity and disease
Host & agent
Host, agent and environment
5
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An opinion survey
A demographic assessment
An observation of participants
A community forum
6
The instructor knows that a student understands the basics of immunity with what statement:
Active immunity can be attained via the use of vaccines
Herd immunity only pertains to cows
Passive immunity can be attained via the use of vaccines
None of the above
7
Question via image
Ambulatory clients
ICU clients
Infant clients
Bedridden clients
8
Question via image
Give her pamphlets re: abstinence
Find out who her boyfriend is
Call her mom immediately
Find out if condoms are used consistently
9
Which activity is an example of secondary services?
Conducting a cardiac risk assmt for adults
Conducting a nutrition course
Encouraging annual exams
Teaching about low fat diet
10
A PHN would recommend pneumococcal vaccine for which age group?
Healthy adults in their 50s
Adults over age 65 who have COPD
1-year-old-children
30-year-old adults with simple respiratory tract infections
11
What was established by the 1960s' amendments to the Social Security Act of 1935?
Medicare and Medicaid
Blue Cross insurance
Health insurance for federal employees
Indemnity insurance
12
Which is most important when performing an initial pt & home assmt?
Is the home environment safe?
Can the pt participate in the plan of care?
Does pt have the potential for self-care?
Is the family willing to participate in pt recovery?
13
Which 2 statements are true about incidence and prevalence? (Select all that apply)
Incidence is the # of new cases of a disease or condition
Prevalance is the same as incidence essentially
Prevalence is the # of new cases of a disease or condition
Prevalence is the # of existing conditions in a popn
14
Which of the following is an epidemiologic function of the nurse during an epidemic?
Participate in investig to determine source of epidemics
Teach the community about preventive measures agst dx
Monitoring the condition of cases affected by comm dx
Assmts of suspected cases to detect comm diseases
15
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Request from a family member
Patient satisfaction with the care being provided
Nursing documentation of the need for care
Retrospective audits of quality management
16
What are some common vectors that play a role in transmitting diseases? (Select all)
Roaches
Mosquitoes
Salmonella
Chemicals
17
A child is diagnosed with Lyme dx. The opening in the child's skin by the tick bite is:
Reservoir
Mode of transmission
Portal of entry
Host
18
You are providing education to new moms re: having their baby immunized for MMR. This is:
Herd immunity
General immunity
Passive immunity
Active immunity
19
You must initiate nsg services in the home. Which is most important for reimbursement?
The family has money to pay for the care
Addt'l family members need to be available for support
Intervention must be ordered by a healthcare provider
The pt must be able to perform self-care
20
To determine the possible source of STIs, which is the BEST method done by the nurse?
Mass screening test
Contact tracing
Treatment of suspects
Community survey
21
Which is most important when collecting info about a community to identify health needs?
Environmental data as they relate to public safety
What the community thinks is important
Demographics of community
How many support services are available
22
The nurse knows that multiple factors are involved in the dvpt of cerbral palsy which describes
Chain of causation
Strength of association
Web of causation
Temporality
23
Which is unique to the home care setting versus acute care?
Nurse coordinates the efforts on the team
Pt isn't dc'd until teaching re: self-care is done
Nurse is the advocate for the patient
Patient is the center of the team
24
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Research
Assurance
Policy Development
Assessment
25
A nurse is performing disaster triage. Assmt reveals pt is unconscious with internal bleeding:
Yellow
Black
Green
Red
26
An instuctor is discussing the worldwide AIDS issue. The instructor should categorize this as:
Epidemic
Endemic
Pandemic
Pathogenicity
27
Lyme disease is most likely transmitted by which mode?
Vehicle-borne
Vector
Direct
Airborne
28
A pt at home is recovering from an illness with functional deficits. Which is most important?
Home health agency
Hospice services
Church outreach program
Meals on Wheels
29
The PHN is involved in surveillance. Which situation best describes this?
Evaluating the effectiveness of a stroke prevention program
Advocating for chang in the state dx reporting requirements
Educating clients about pneumonia immunizations
Obtaining info about occurrence of mumps
30
Which stmt reflects hospice care? Select all that apply
Pts must have < half a year to live to receive services
It assists families to care for the dying at home
It provides mainly physical care to the dying
Care is more expensive than in the home vs acute setting
31
Question via image
Shingles (herpes zoster)
Pertussis
Diptheria
Meningitis
32
Which is a need that falls within the category of tertiary services?
Long-term care
Diagnostic care
Preventive care
Critical care
33
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Alcohol Treatment Center
Hospice
Meals on Wheels
Ambulatory care center
34
Which of the follow is a tertiary activity?
Developing a nutritional plan for clients with eating DO
Educating children on swimming safety
Participating in bone density screenings at a health fair
Participating in HTN screenings at a health fair
35
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Yellow tag
White tag
Red tag
Green tag
36
What method is the major mode of transmission for hepatitis B?
Infected rodents such as mice and rats
Exposure to contaminated blood
Oral-fecal route
Airborne droplet nuclei
37
A reason for an increase in multidrug-resistant TB would be explained most likely by:
A premature sense that TB has been defeated
political/social response to declining TB rates
A reduction in funding for surveillance & research
noncompliance w/ therapy for the full, recommended period
38
When reporting identification of a communicable dx & investigation, who should you notify 1st?
Local health department
State health department
Centers for Disease Control & Prevention (CDC)
Nat'l Reported Disease list
39
After teaching older women about preventing osteoporosis, which stmt needs more teaching?
We need to make sure to maintain a healthy weight
We should avoid activities that involve weight bearing.
We need to get bone density screenings regularly.
Eat foods that are high in calcium and vitamin D
40
Which of the following is a strategy to contain the cost of health care?
Practicing defensive medicine
Providing drugs marketed by pharm companies
Focusing on prevention of illness rather than treatment
Investing in advanced technology
41
Which nsg interventions reflect tertiary services?
Encourage regular dental checkups
Teach pt how to use wheelchair after a stroke
Conduct a smoking cessation class
Administer a flu vaccine
42
The nurse assesses the induration of TB skin tests and knows a positive TB test is what size?
3mm
2mm
4mm
5mm
43
Question via image
Secondary prevention
Tertiary prevention
Aggregate care prevention
Primary prevention
44
When do nursing activities r/t public health nursing begin?
At the time referrals made to comm resources
When PCP writes dc orders
After pt is admitted to hospital
On first contact with pt
45
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Low serum lipids
High glucose levels
Active lifestyle
Race
46
A HH RN is assessing a pt & fam mbrs from a cultural persp. Which is most important?
Recall experiences of caring for pts with same background
Use the pt as the main source of data
Recognize beliefs common to the pt's ethnic group
Interview the mbrs of the pt's family mbrs
47
Which are examples of a PHN engaging at the primary level of communicable disease control? (SA)
Administering prompt treatment for gonorrhea
Providing chest x-rays to ppl with positive TB skin tests
Administering immunizations to the elderly
Encouraging parents to complete their child's immunizations
48
When applying the epi triad, which would the PHN address?
Incidence, prevalence and case fatality
Incidence, prevalence and case fatality
Health, illness and injury
Host, agent and environment
