Community Nursing Chapter 22

A PHN uses the state health department's reportable disease system to complete a community assessment of a rural county with issues of access to primary care services. This can best be described as what type of surveillance system? a. Active b. Passive c. Sentinel d. Special

B

During an investigation, the problem has been identified and the initial magnitude of this issue has been delineated. What action will the nurse take next? a. Check the state reportable disease list. b. Develop a tentative hypothesis. c. Initiate appropriate control measures. d. Seek additional cases.

B

The first step in initiating a surveillance strategy is to confirm the: a. existence of the event. b. magnitude of the problem. c. source of the outbreak. d. tentative hypothesis.

A

The nurse epidemiologist in a local health district receives a report from a local pediatrician that a case of chickenpox has been diagnosed in a second grader at one of the local elementary schools. The nurse proceeds to contact the school to determine whether or not any other children are absent for illness or were recently seen by the school nurse. Other area pediatricians are also contacted to determine whether or not any other cases have been identified. The nurse works with the school to notify parents about what signs and symptoms they should look for and how to manage a child with such symptoms. This is an example of which type of surveillance? a. Active b. Passive c. Sentinel d. Special

A

Morbidity data can most easily be located in which of the following sources? (Select all that apply.) a. Environmental surveys b. Hospital discharge reports c. Medical examiners' reports d. Specialized disease registries e. Vital statistics sources

A,B,D

One of the unique advantage of using data reporting such as a spatial map to analyze and present data is that such a tool provides a graphical way of determining which of the following? a. Characteristics of the population b. Potential hypothesis c. Priority prevention target areas d. Trends for the spread of the disease

C

The nurse would consult the National Program of Cancer Registries for morbidity data for the types of cancer found in a state as well as what other information? a. Key centers for the specialized treatment of certain cancers b. Links to current National Institutes of Health cancer research projects c. Locations of cancer risks and health problems within the state d. Major genetic determinants of cancer by age and sex

C

The nurse's knowledge and understanding of the disease surveillance systems is critical to perform which activity? a. Detecting epidemics and pandemics b. Facilitating planning and policy changes c. Improving the quality and usefulness of the data collected d. Understanding the relationship between epidemiologic principles

C

Which is the public health practice domain that best describes the ability to collaborate effectively? a. Communication b. Analytical assessment skills c. Community dimensions of practice d. Policy and program development

C

A PHN utilizes the data in available surveillance systems to make a presentation to a community planning committee that is interested in the problem of childhood obesity. This use of the data for facilitating community planning is a good example of helping the community to do which of the following? a. Avert a health care epidemic. b. Evaluate prevention and control measures. c. Identify cases for fact finding. d. Manage endemic health problems.

D