ATI Community Final

A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? SATA A. Provide environmental health information. B. Refer the client for a tuberculosis screening. C. Provide skin cancer information. D. Recommend a dental health screening. E. Provide forms to apply for Medicare.

A, B, C, D

An OH nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? SATA A. Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner. B. Ask the interpreter to add information she feels might be necessary. C. Choose an interpreter who speaks the workers' language and dialect. D. Evaluate the interpreter's approach to clients prior to the educational session. E. Encourage the interpreter to paraphrase the workers' questions and responses.

A, C, D

A nurse is caring for a client who reports taking ginkgo biloba for several weeks after seeing a naturopathic healer. The nurse should intruct the client that ginkgo biloba can alter the effects of which of the following medications? A. Warfarin B. Metoprolol C. Digoxin D. Diltiazem

A. Warfarin Ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that ginkgo biloba can alter the effects of warfarin.

A HH nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take? A.Tell the client to take naltrexone daily. B. Instruct the client to take buprenorphine for the next 9 to 12 months. C. Teach the client to avoid foods that contain tyramine. D. Schedule transcranial magnetic stimulation (TMS) biweekly.

A.Tell the client to take naltrexone daily. The nurse should instruct the client to take naltrexone daily to decrease cravings for alcohol. Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse.

A nurse in a rural health clinic is caring for a client who has HF. The client state "I am not going to take any more heart medication." Which of the following responses should the nurse make? A."Why did you decide to stop your heart medicine?" B. "Can you tell me more about your decision to stop taking your medicine?" C. "I think you should speak with your provider before you stop taking your medication." D. "I understand your feelings, but you should trust your provider."

B. "Can you tell me more about your decision to stop taking your medicine?" The nurse is asking an open-ended question, which encourages continued communication and allows the nurse to investigate the reasons why the client has decided to stop taking the medicine.

A nurse is teaching a client who has a new diagnosis of Hep A about how to prevent the spread of the virus. Which of the following instructions should the nurse include? A. "Double-bag tissues used for coughing or blowing the nose." B. "Clean your bathroom fixtures with a chlorine bleach solution." C. "Use shared hand towels to dry your hands after washing." D. "Use barrier contraceptives during sexual contact for 2 weeks after beginning treatment."

B. "Clean your bathroom fixtures with a chlorine bleach solution." The client should clean bathroom fixtures with a 10:1 chlorine bleach solution. The hepatitis A virus spreads via feces and survives on human hands since it is resistant to soap and detergents.

A nurse is performing a home visit for a client who has TB. As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make? A. "You should ask the public health department." B. "Do you have questions about tuberculosis?" C. "Have you ever been tested for tuberculosis?" D. "You should take precautions against this infection."

B. "Do you have questions about tuberculosis?" This response addresses the neighbor's concerns while protecting the client's confidentiality.

A public health nurse is conducting an educational session about Lyme disease for a group of older adult clients at the senior center. Which of the following statements should the nurse identify as an indication that the clients understand the teaching? A. "I should get an annual immunization to prevent Lyme disease." B. "I can take penicillin for 10 to 14 days to manage Lyme disease." C. "I can get Lyme disease from a mosquito bite." D. "I will have abdominal pain and diarrhea if I get Lyme disease."

B. "I can take penicillin for 10 to 14 days to manage Lyme disease." A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to 14 days of penicillin or tetracycline therapy.

A school nurse is teaching a health promo to a group of staff members who sit at a desk and use a computer for 8 hr at a time. Which of the following information is the priority for the nurse to include? A. "Take a walk after work." B. "Point and flex your toes periodically." C. "Have your visual acuity assessed regularly." D. "Adjust your chair so that your elbows are at desk height."

B. "Point and flex your toes periodically." The greatest risk to staff members who are immobile for long periods of time is a venous thromboembolism. Therefore, the nurse should encourage the staff members to frequently change the position of their feet and legs.

A nurse is an emergency is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as priority? A. A client who has superficial burns to 10% of the abdomen B. A client who has tracheal deviation and shortness of breath C. A client who has agonal respirations and an open head injury D. A client who has a fracture of the humerus and a bleeding foot laceration

B. A client who has tracheal deviation and shortness of breath A client who has tracheal deviation and shortness of breath most likely has a pneumothorax and requires immediate intervention for survival. Therefore, when using the survival approach to client care, the nurse should give priority to this client.

A case manager is developing a DC plan for a client who has a spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first? A. Hold a care conference with the client to discuss treatment options. B. Contact service providers to determine the availability of services offered. C. Determine the client's ability to perform self-care. D. Evaluate the client's satisfaction with the case manager's services.

C. Determine the client's ability to perform self-care. The first action the nurse should take when using the nursing process is to assess the client's needs. Determining a client's needs is the first step of the case management process which allows the case manager to plan client-centered care.

A HH nurse is caring for a client who is immunocompromised due to chemotherapy. Which of the following statements should the nurse make regarding food safety? A. "Eat any leftovers within one week of preparation." B. "Keep the inside of your refrigerator at 47 degrees Fahrenheit or below." C. "Beef is the only meat that is acceptable to eat with a pink center." D. "Frozen food should be cooked immediately after it is thawed."

D. "Frozen food should be cooked immediately after it is thawed." The nurse should inform the client that frozen food should be thawed in a bowl in the refrigerator and should be cooked as soon as it is thawed.

A CH nurse is conducting a vision screening at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting the the changes? A. "I have a prescription bottle magnifier to help me read my pill bottle labels." B. "I canceled all of my magazine subscriptions since I can't read them." C. "I purchased green towels to use in my bathroom." D. "I have learned that I cannot to go outside when the sun is bright."

A. "I have a prescription bottle magnifier to help me read my pill bottle labels." The client can obtain a prescription bottle magnifier, or other low-vision optical devices, to assist with reading the labels on prescriptions, which helps the client to remain independent.

A nurse is caring for a client who has a terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process? A. "I'm looking forward to my daughter's wedding next year." B. "I don't deserve to die. This just isn't fair." C. "If I could just make it through this, I'd never smoke again." D. "I'm going to plan my memorial service next week."

A. "I'm looking forward to my daughter's wedding next year." During the denial stage of the grief process, the client rejects the reality of the impending loss.

A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include? A. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." B. "Rotavirus infections in children peak during the summer months." C. "Children who have fifth disease will exhibit bloody diarrhea." D. "Antiviral medications shorten the duration of a shigella infection."

A. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." The nurse should include this statement in the presentation because respiratory syncytial virus (RSV) is spread by direct contact with respiratory secretions while within 3 feet of a person who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and wheezing.

A CH nurse is assessing a group of clients for risk factors of a violent behavior. Which of the following findings should the nurse identify as a risk factor for developing violent behavior? A. A client says they were spanked as a child. B. A client reports getting a new job. C. A client has a history of participating in volunteer activities. D. A client lives in the rural community where they grew up.

A. A client says they were spanked as a child. Clients who have prior exposure to violence have a greater potential for continuing the violent and abusive behavior.

A CH nurse has been contacted regarding a client diagnosis of influenza type A in an adult day care. Which of the following actions should the nurse take to assist in the prevention of an outbreak? A. Administer antiviral medication to clients at the facility. B. Schedule immunizations for clients at the facility. C. Recommend that the day care center close for 2 weeks. D. Give immune globulin to clients at the facility who have early manifestations of influenza.

A. Administer antiviral medication to clients at the facility. Antiviral medications are administered to individuals who have been exposed to influenza type A to provide immediate protection and to help prevent an outbreak.

A nurse in the CH clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take? A. Ask the child to pretend to blow up a balloon during the injection. B. Reassure the child that the injection is not going to hurt. C. Ask the child's parent to leave the room during the injection. D. Request that the child count backwards from the number 10 during the injection.

A. Ask the child to pretend to blow up a balloon during the injection. The nurse should ask the child to pretend to blow up a balloon during the injection. This serves as a distraction for the child, which decreases pain perception.

A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this final? A. Biological B. Behavioral C. Social D. Economic

A. Biological A family genogram tracks the incidence of disease over multiple generations of a family and will identify biological risk factors.

A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? A. Food preferences B. Employment status C. History of illnesses D. Sexual orientation

A. Food preferences Food preferences are a part of cultural assessment.

A CH nurse is planning to establish a community garden to introduce new nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan? A. Identify community members who demonstrate an interest in the project. B. Hold a community information session to inform the residents of the plan. C. Select residents to take on leadership roles in the project. D. Monitor the progress of the project to keep the project on course.

A. Identify community members who demonstrate an interest in the project. The first action the nurse should take when using the nursing process is to assess the community. By identifying those community members who demonstrate an interest in the project, the nurse can establish a local support group who will assist in engaging other community residents with establishing the garden.

A nurse is caring for a client who has stave IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care? A. Make the hospice referral in accordance with the client's decision. B. Verify that the client's health insurance pays for hospice services. C. Recommend a second opinion from another provider. D. Assess whether or not the family agrees with the client's decision.

A. Make the hospice referral in accordance with the client's decision. The nurse should follow the ethical principle of respect for client autonomy and make the hospice referral for the client.

A nurse is collecting demographic data as part of the community assessment. Which of the following information should the nurse include? A. Racial distribution B. Family genograms C. Number of open water sources D. Presence of condemned buildings

A. Racial distribution Racial distribution is part of demographic data. Other types of demographic data include marital information, population density, and death and birth rates.

A HH nurse is planning care for the day. Which of the following clients should the nurse visit first? A. An older adult client who was treated in the emergency department last night for a stage 3 pressure injury B. A school-age child who was treated in the emergency department last night for status asthmaticus C. An older adult client who has a newly prescribed antihypertensive medication and needs a BP check D. A school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing

B. A school-age child who was treated in the emergency department last night for status asthmaticus When using the airway, breathing, circulation approach to client care, the nurse should determine that the client who recently experienced status asthmaticus is the priority. The client's status can change rapidly, and, at times, intensive care monitoring is required. Therefore, the nurse should visit this client first.

A CH nurse identifies an increase in the occurrence of osteoporosis- related fractures in female clients who are experiencing menopause. Which of the following is a primary prevention strategy that the nurse should implement? A. Advise the clients to avoid live-virus vaccines. B. Encourage the clients to participate in weight-bearing activities. C. Educate the clients about the importance of avoiding sun exposure. D. Instruct at-risk clients to increase their intake of foods high in vitamin E.

B. Encourage the clients to participate in weight-bearing activities. Weight-bearing exercises, such as weight lifting, walking, and running, have been found to be beneficial in preventing osteoporosis.

A CH nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure? A. Washing machines B. Gas ranges C. Air conditioners D. Electric space heaters

B. Gas ranges Carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas ranges, motor vehicles, and fire places are potential sources for carbon monoxide exposure.

A nurse in an emergency department is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take? A. Notify the local law enforcement agency of the client's situation. B. Initiate a referral to the facility's social worker. C. Ask the client why they did not seek shelter sooner. D. Tell the client everything will work out now that they are in the hospital.

B. Initiate a referral to the facility's social worker. The nurse should refer the client to the facility's social worker or to an agency that can assist the client with finding housing.

A HH nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? A. Exhibits anhedonia B. Makes eye contact C. Sleeps 14 hr each day D. Laughs inappropriately

B. Makes eye contact The nurse should recognize that making eye contact is an indication of effective coping.

A CH nurse is planning a health education program for adults. The nurse should plan to take which of the following actions during the program? A. Use medical terminology throughout the presentation. B. Provide take-home materials written at a 6th-grade level. C. Extend the presentation to include as much information as possible. D. Avoid the use of technology to display images and videos.

B. Provide take-home materials written at a 6th-grade level. The American Medical Association and the National Institutes of Health recommend that take-home documents are written at a 6th- to 8th-grade level or lower to promote client understanding of the provided material.

A CH nurse is creating a program to reduce violence in the community. Which of the following interventions should the nurse identify as secondary prevention? A. Creating a public service announcement about the warning signs of partner abuse B. Recognizing and reporting suspected abuse to the appropriate protective services C. Collaborating with support agencies to ensure the ongoing treatment for abuse D. Educating individuals and groups about preventing domestic and community abuse

B. Recognizing and reporting suspected abuse to the appropriate protective services Secondary prevention is an intervention that focuses on early detection of a health problem to facilitate early diagnosis and treatment. Recognizing and reporting suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse.

A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should identify that which of the following findings places the client at a greatest risk for partner violence? A.The client is at 13 weeks of gestation. B. The client states they are leaving their partner. C. The client recently started a new job. D. The client visits friends without the partner's knowledge.

B. The client states they are leaving their partner. A client's decision to leave their partner places them at greatest risk for partner violence because the perpetrator can view the client as a possession and fear loss of control. Whether the client actually leaves the relationship or just threatens to leave, the client is at greatest risk for violence during this time.

A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test? A. "After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears." B. "Use your finger to close one ear while I whisper some numbers into your other ear." C. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." D. "You'll wear headphones and press the button when you hear a sound."

C. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." This is the appropriate instruction for a Rinne test, a hearing evaluation that compares air conduction and bone conduction of sound.

A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hep C. Which of the following instructions should the nurse include in the teaching? A. Consume a low-carbohydrate diet until symptoms resolve. B. Schedule an appointment for an immunoglobulin injection. C. Abstain from sexual intercourse until antibody tests are negative. D. Wear a mask in public places while receiving treatment.

C. Abstain from sexual intercourse until antibody tests are negative. Hepatitis C is transmitted through sexual intercourse. Therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests are negative.

A CH nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals? A. Alcoholics Anonymous (AA) is a support group that requires disclosure of attendance to employers. B. Narcotics Anonymous (NA) is a one-on-one program that assists clients. C. Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program. D. Narcotics Anonymous (NA) will cure a client from their substance use disorder if they stays involved with the program.

C. Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program. AA is a support group that will assist a client who has an addiction to alcohol and other substances with developing a daily recovery program using a 12-step approach. AA's primary purpose is to help the client obtain and maintain sobriety.

A public nurse is developing a visual health program by using a community-oriented approach, Which of the following interventions should the nurse include? A. Teach a client who has vision loss about safety in the home environment. B. Provide genetic counseling to the family of a newborn who has congenital cataracts. C. Consult with the local school nurse to schedule yearly vision screenings for students. D. Develop a plan of care for a client who was newly diagnosed with glaucoma.

C. Consult with the local school nurse to schedule yearly vision screenings for students. Consulting with the local school nurse to schedule yearly vision screenings for students focuses on the health care of a population rather than illness care for individuals. Therefore, this intervention is using a community-oriented approach.

A CH nurse is teaching a client who is newly diagnosed with active pulmonary TB about the disease transmission. Which of the following information should the nurse include? A. Household members should be placed in respiratory isolation. B. Wear a mask in the home. C. Household members should take isoniazid for at least 6 months. D. Have a repeat Mantoux test in 3 months.

C. Household members should take isoniazid for at least 6 months. The household members of a client who has active pulmonary tuberculosis are at risk for developing the disease. Therefore, taking isoniazid prophylactically for at least 6 months is recommended.

A HH nurse is reviewing several client requests regarding complementary strategies. The nurse should identify that which of the following alternative therapies is contraindicated for a clinet? A. Hippotherapy for a school-age child who has cerebral palsy B. Acupressure therapy for a client who has back pain C. Kava for a client who has cirrhosis D. Valerian for a client who has anxiety and insomnia

C. Kava for a client who has cirrhosis Although kava has been used to promote sleep, it can cause severe liver damage, which can lead to the need for a liver transplant. Using kava could worsen the condition of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives with the client.

A case manager is planning an educational program for a client who has DM. Which of the following activities should the nurse include when using the psychomotor domain of learning? A. Review a color diagram of the food pyramid with the client. B. Show the client a video about how to monitor blood glucose levels. C. Observe the client's technique for drawing up insulin. D. Encourage the client to discuss their feelings of self-worth.

C. Observe the client's technique for drawing up insulin. The nurse should include this activity in order to use the psychomotor domain of learning because it requires coordination and the use of motor skills.

A HH nurse is visiting with an older adult client. Which of the following observations indicates the need for a home modification? A. The home has power strips that have breakers. B. The client uses an electric toaster oven for cooking. C. There are two rocking chairs in the living room. D. The bathtub has a seat and a hand-held shower head.

C. There are two rocking chairs in the living room. Rocking chairs and swivel chairs will require a modification. The nurse should block the motion of the chairs to keep them stable so that the client can easily get in and out.

A CH nurse is working for a group of clients in a rural community who are unable to afford health insurance. Which of the following actions is the best for the nurse to take to advocate for these clients? A. Encourage the clients to form various exercise groups based on community interest. B. Perform weekly blood pressure screenings at the community center. C. Work with local health care practitioners to establish a free clinic. D. Provide for guaiac stool testing for clients who have a family history of colon cancer.

C. Work with local health care practitioners to establish a free clinic. According to evidence-based practice, the nurse should work with local health care practitioners to establish a free clinic in the rural community. The nurse should advocate for comprehensive care for this client population to address the need for an affordable health care option, which will allow clients who do not have health insurance to access a variety of primary, secondary, and tertiary services in one location.

A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. "If I begin palliative care, I will have to stop my chemotherapy." B. "I can begin palliative care when I have less than 6 months to live." C."This type of care can help me with pain control." D."My family will not be involved with this type of care program."

C."This type of care can help me with pain control." Clients who have cancer might require complicated treatments that can cause pain, disfigurement, and emotional and psychological distress. Palliative care provides support and management of the disease process regardless of the prognosis, including pain management.

A public health nurse is providing info to a client who has alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understand the info? A. "I will not have to completely stop drinking alcohol if I go into an inpatient treatment program." B."Once I make it through detoxification, I will be free of my addiction." C. "I am not eligible for an outpatient program until I have completed an inpatient program first." D. "I can expect to get help with other aspects of my life while in treatment."

D. "I can expect to get help with other aspects of my life while in treatment." Successful treatment of alcohol use disorder is more likely if the client receives help in other areas of their life, such as their physical health, psychological well-being, and family interactions.

A HH nurse is evaluating a partner's understanding of post-op care of a client who had a a total hip arthroplasty. Which of the following statements by the partner indicates an understanding of the prescribed care? A. "I will let my partner skip exercises on days when the pain is increased." B. "I will inspect the incision site every other day." C. "I will place a heating pad at the incision site to help manage pain." D. "I will remind my partner to use a walker when moving around in the house."

D. "I will remind my partner to use a walker when moving around in the house." The client should use a walker when ambulating. The walker provides stability and support for the client, decreasing the risk for falls.

A public health nurse is planning care for 4 clients. Which of the following interventions should the nurse recognize as tertiary prevention? A. Providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested countries B. Performing a serological screening for HIV for a client who is pregnant C. Participating in partner notification for a client who has an STI D. Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jirovecii

D. Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jirovecii Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jirovecii is an example of tertiary prevention.

A CH nurse is planning to develop a community health program. Which of the following actions should the nurse take first? A. Review the literature. B. Develop a budget. C. Obtain resources. D. Determine the need.

D. Determine the need. When using the nursing process, the first step the nurse should take is to assess or determine the need for a community program.

An OH nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? A. Urinary retention B. Polycythemia C. Hypokalemia D. Gastric ulcerations

D. Gastric ulcerations Daily use of NSAIDs, such as ibuprofen, increases the risk for gastric ulceration, perforation, and hemorrhage.

A public health nurse is planning an educational program for a group of nurses at a CH department about pertussis infection. Which of the following information should the nurse include? A. Individuals should receive an annual influenza vaccine to minimize the risk for infection with pertussis. B. Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital. C. Individuals who have had pertussis do not require immunization. D. Individuals transmit the pertussis bacteria through airborne droplets.

D. Individuals transmit the pertussis bacteria through airborne droplets. Transmission occurs when an individual who has an infection with Bordetella pertussis coughs.

A school nurse is reviewing the records of 4 students who are returning to school after being diagnosed with MRSA. Which of the following actions should the nurse take? A. Coordinate an immunization clinic at the school. B. Recommend prophylactic treatment for classmates. C. Report the cases of MRSA to child protective services. D. Provide education about MRSA throughout the school system.

D. Provide education about MRSA throughout the school system. The nurse should provide education about hand hygiene and self-care to help prevent the spread of MRSA throughout the school and community.

A CH nurse is planning an educational program for farmers about occupational health risks? Which of the following risks should the nurse include? A. Hypertension B. Diabetes mellitus C. Cardiomyopathy D. Respiratory disorders

D. Respiratory disorders Farmers are at an increased risk for respiratory disorders due to exposure to agricultural chemicals, such as herbicides and pesticides. Other health risks for farmers include accidents with vehicles and machinery, dermatitis, dental problems, and stress and anxiety disorders.

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infectious Conditions list? A. Rotavirus B. Erythema infectiosum C. Scarlet fever D. Varicella

D. Varicella The nurse should recognize that varicella is included on the Nationally Notifiable Infectious Conditions list. States voluntarily conduct surveillance and report instances of certain diseases to the Centers for Disease Control and Prevention so the data can be compiled and released each year.