Community Quiz 2

the patient who is the least vulnerable to Violent at the family and Community level are: A. 35 year old male B. 5 year old boy C. 26 year old female D. 75 year old female

A. 35 year old male

Each fall, a public heath RN working with older adults checks the CDC and Preventions flu report that tracks trends across the country knowing that influenza usually peaks in --- and again in ----. A. December, February B. October, March C. December, April D. September, February

A. December, February

Infection control nurses in 2 hospitals located in the same country notice an increase in positive labs for E-coli infections in their pts. They then join the investigative team at the public health department to assist in an investigation to determine if there is a possible outbreak. Which list below reflects the order of steps taken in an outbreak investigation? A. Define a case, collect data on each case, plot an epidemic curve, generate a hypothesis B. Generate a hypothesis, define a case, collect data on each case, plot on epidemic curve C. Plot an epidemic curve, generate a hypothesis, define a case, collect data on each case D. collect data on each case, define a case, plot an epidemic curve, generate a hypothesis

A. Define a case, collect data on each case, plot an epidemic curve, generate a hypothesis

In gonorrhea, the symptoms can be in a parent or subclinical, when this occurs in the female population, a complication with serious sequele is: A. PID B. Cancer of the uterus C. Swelling of the ovaries D. There are no serious consequeces in an inapparent infection

A. PID

The systemic infection caused by the salmonella typhi is characterized by sustained fever, headache relative, bradycardia, rose spots on trunk, may have the complication of A. encephalitis or encephalomyelitis B. Erysipelas and abscesses C. intestinal Hemorrhage and perforation D. nerve paralysis and double vision

A. encephalitis or encephalomyelitis

When assessing a client's skin for varicella ( chicken pox) expect to see: A. macules papules and vesicles on the skin B. a dark red fine rash that blanche's on pressure C. a bright yellow blotchy rash D. a fine erythema in the skin creases of the body

A. macules papules and vesicles on the skin

it is mid-winter, in a young child arrives to school wearing no coat or hat. The school nurse realizes this is a sign of: A. physical neglect B. psychological neglect C. psychological abuse D. emotional neglect

A. physical neglect

During an infection control seminar, the speaker specified that prevention of the spread of HIV include the following measures EXCEPT: A. pt with AIDS should be isolated B. blood and other specimens should be labeled AIDS precaution C. Needles should be disposed into a puncture resistant container D. Blood spills should be cleaned with chlorox

A. pt with AIDS should be isolated

Cholera is a disease which is endemic in many parts of the world, especially in developing countries. General treatment for this disease is: A. rehydration and antimicrobials B. use of specific antitoxin C. High carbohydrate, High caloric diet D. IV fungizone

A. rehydration and antimicrobial

Giardiasis is a protozoan contamination of surface water supplies that causes intestinal infection in humans period from a public health perspective, control of this contamination includes: A. surveillance and protection of Public Water Supplies B. both active and passive immunization of client exhibited symptoms of the disease C. public education about importance of Thoroughly cooking pork and pork products D. Vigilance concerning bioterrorism attempts

A. surveillance and protection of Public Water Supplies

A client is suspected to have contracted hepatitis B. the information that is most significant about a probable source of this disease is: A. the client recently got a tattoo at the local tattoo parlor B. the clients Water Supply is from a private water well C. the clients grandchildren are just recovering from the chickenpox D. the client takes insulin daily for diabetes

A. the client recently got a tattoo at the local tattoo parlor

In the city of Baltimore a team including a PHN noticed that the prevalence of syphilis in the city had increased by 40%. As part of the investigative team, the nurse and colleagues first determined if the number of cases were above the endemic rate associated with increased risk for disease. This is called: A. the epidemic threshold B. the epidemic curve C. attack rate D. point source

A. the epidemic threshold

Head louse infection is best controlled by: A. treat the client and assess all contacts B. spray all classrooms or home with insecticides C. application of anti-fungals to the scalp D. Wash hair with sterile normal saline until all nits are gone

A. treat the client and assess all contacts

A family is planning a camping trip, the mother calls the clinic to obtain information regarding Lyme disease. which advice is appropriate for the nurse to give the mother? select all that apply: A. wear long pants and long sleeve shirts when hiking B. inspect the skin and hair frequently for ticks C. use a tick repellent D. look for a fine petechial rash on the skin

A. wear long pants and long sleeve shirts when hiking B. inspect the skin and hair frequently for ticks C. use a tick repellent

Histoplasmosis is endemic to the Ohio River Valley, the organism is transmitted via: A. of an infected of an infected person B. Inhaling fungus spores C. person to person through intimate contact D. the bite of an infected River mosquito

B. Inhaling fungus spores

A nurse is collecting data from a prenatal client. The nurse determines that which of the following places the client into the high risk category for contracting HIV? A. living is an area where HIV infection are minimal B. a history of IV drug use in the past year C. A hx of one sexual partner within the past 10 yrs D. A spouse who is heterosexual and had only one sexual partner in the past 10 years

B. a history of IV drug use in the past year

Acute glomerulonephritis may occur secondary to impetigo. The treatment most beneficial in the prevention of this sequela in a child with impetigo is A. use of an oil-based soap for bathing B. administration of systemic antibiotic C. application of antibiotic ointment to the lesions D. removal of the cross with an antimicrobial liquid and water

B. administration of systemic antibiotic

The mode of transmission of this disease is through the bite of an infected female mosquito called: A. aminophylline B. anopheles C. aedes peocillus D. aedes egypti

B. anopheles

A nurse treats a pt with Lyme disease and notes that ---- act as vectors and transmits the agent from its reservoir to its host. A. hookworms B. anthropods C. protozoa D. viruses

B. anthropods

Trichinosis is a disease caused by the migration of the larvae of the trichinella spiralis. These larvae become encapsulated in the muscles and cause problems ranging from inapparent infection to fatal disease. The best method of prevention for this disease is: A. immunizations of the general public and of all contacts of a client with Trichinosis vaccine B. educate the public on the need to thoroughly cook pork C. Educate the public on the need to properly prepare vegetables that have been grown on contaminated soil D. properly dispose of human feces and properly chlorinate public water supplies

B. educate the public on the need to thoroughly cook pork

The nurse on duty, based on her assessment findings suspects the presence of diphtheria. Which of the following will confirm her suspicion? A. Pharyngotonsilar congestion B. grayish membrane at hard palate C. Whitish plaque at buccal mucosa D. increased lacrimation

B. grayish membrane at hard palate

Endemic malaria occurs in the tropic and subtropic areas where socioeconomic condition is very poor. During your assessment, which among the following signs and symptoms need referral to a secondary or tertiary facility? A. sweating and headache B. icterus and shock C. fever and chills D. renal or live failure

B. icterus and shock

Is it necessary to institute which of the following measures to birds suspected of being exposed to the virus? A. vaccination of poultry B. killing of all infected or exposed birds C. mixing antiviral to feeds and water supplied to poultry suspected of being exposed to avian flue D. all of the above

B. killing of all infected or exposed birds

The nurse is caring for a pt with herpes zoster or shingles. What should the RN expect to find during A. Rhinorrhea, small red lesions that are papules, macules, and vesicles spread over the body B. painful vesicular eruptions that follow a nerve pathway C. blisters on the lips and in the corners of the mouth D. painful fluid filled vesicles in the genital area

B. painful vesicular eruptions that follow a nerve pathway

A patient comes to the clinic with a linear epidermal rash between the webs of the fingers, which is diagnosed as scabies. Which teaching point should the nurse review with the client? select all that apply: A. the disease Is only communicable when the lesions are open B. scabies is transmitted by close personal contact or with contact with infected Linens and clothing C. scabies can transmit a chicken pox to a susceptible person D. the most commonly affected areas are mouth and nose E. severe itching especially at night is common F. scabies is communicable only in the lower-income population

B. scabies is transmitted by close personal contact or with contact with infected Linens and clothing E. severe itching especially at night is common

Leprosy dates back to biblical times and is endemic in parts of the world today. The nurse caring for a client with leprosy knows: A. the client must be in protective isolation B. the leprosy bacillus is a slow growing pathogen C. the client will be treated with anti-helminths D. The client will be sent for hospitalization at Carville Tennessee

B. the leprosy bacillus is a slow growing pathogen

Ringworm is communicable as long as the lesions are present. This disease is generally treated: A. depending on the causative agent B. with a topical fungicide C. antibiotics such as penicillin and erythromycin D. dehydration and electrolyte replacement

B. with a topical fungicide

A nurse is preparing the plan of care for a pt with herpes genitalis. What would be the priority nursing dx for the pt? A. Disturbed sleep pattern B. Imbalance in Nutrition: Less than body requirements C. Alteration in Comfort: Pain D. Ineffective Breathing Pattern

C. Alteration in Comfort: Pain

Which of the following is not an anti-malarial drug? A. sulfadoxine B. tetracycline C. Amoxicillin D. Quinidine

C. Amoxicillin

A RN working in a community clinic noticed an unusually large number of pt's with a specific type of influenza. The RN knew that this was occurring in other states as well, making it: A. pandemic B. Endemic C. Epidemic D. Both A and B

C. Epidemic

The following are preventions of gonorrhea transmission EXCEPT: A. SEX EDUCATION B. CASE FINDING C. INCIDENCE REPORTING STATISTICS D. ADMINISTRATION OF OPHTHALMIC PROPHYLAXIS, AS ORDERED

C. INCIDENCE REPORTING STATISTICS

A RN starting a new job in a peds clinic is reviewing a list of commonly seen infectious diseases associated with respiratory illnesses that are related to an increased risk of mortality in children. Which one of these is included on the list? A. chickenpox B. TB C. Influenza D. Mumps

C. Influenza

Communicable diseases that a nurse might expect to commonly encounter in pt include: A. chickenpox B. TB C. Influenza D. both a and c

C. Influenza

The disease tetanus, characterized by painful muscular contractions and generalized spasms, has a high case fatality rate. When teaching the public about this disease, the RN explains that the bacillus: A. is introduced into humans puncture wounds contaminated by rust on nails B. Is transmitted by the saliva of infected animals C. Is introduced into humans via soil or fomites contaminated by human or animal feces D. is transmitted by direct person to person contact via the GI System

C. Is introduced into humans via soil or fomites contaminated by human or animal feces

A nurse provides instructions to the mother of a child with mumps regarding respiratory precautions. The mother asks the nurse the length of time required for the respiratory precautions. The nurse most appropriately responds that: A. Respiratory precautions are necessary fit the entire time of illness B. Respiratory precautions are necessary until swelling is gone C. Respiratory precautions are indicated during the period of communicability D. Respiratory precautions are indicated for 18 days after the onset of parotid swelling

C. Respiratory precautions are indicated during the period of communicability

During the primary stage of syphilis, the most infectious stage the nurse would expect to see: A. A macular eruption that may stimulate practically every known skin disease B. degeneration of the descending fibers of sensory neurons in the posterior column of the spinal cord C. a sore or chancre at the site where treponema, enter the body D. enlarged lymph nodes and painful joints

C. a sore or chancre at the site where treponema, enter the body

AS A Preventative measure for malaria, you educate people living in malaria-endemic areas to do which of the following? select all that apply: A. avoid done outside between 12 to 3 a.m. B. take chloroquine tablets once a day C. apply insect repellent on house walls D. use long sleeve shirts when going out at night E. plant neem tree in their backyards F. clear hanging branches near rivers

C. apply insect repellent on house walls D. use long sleeve shirts when going out at night E. plant neem tree in their backyards F. clear hanging branches near rivers

A primary prevention strategy for the bacterial disease salmonella includes A. use of mosquito netting during evening hours B. administration of preventive vaccine C. avoidance of ingesting raw egg products D. quarantine of those infected with the bacteria

C. avoidance of ingesting raw egg products

Untreated syphilis may lead to: A. pelvic inflammatory disease B. chronic diarrhea C. brain damage and death D. no further complications, the disease symptoms subside

C. brain damage and deat

A teenager is admitted for treatment of a badly infected wound of the leg. The mother is uncertain If the child has had a tetanus immunization. A dose of tetanus immunoglobulin is administered because. A. confers life-long passive immunity B. induces longer-lasting active protection C. confers immediate protection of short duration D. immediately stimulates production of antibodies

C. confers immediate protection of short duration

Diphtheria is he serious childhood disease with many upper respiratory symptoms. When teaching the public about this disease it is important the nurse includes which information? A. untreated diphtheria may lead to glomerulonephritis B. there is no treatment for this disease once contracted C. diphtheria is it preventable childhood disease D. reverse isolation is necessary for this disease

C. diphtheria is it preventable childhood disease

Laboratory confirmation of malaria is done on a blood film. What do you expect to see in the film? A. antibodies B. malarial purinates C. malarial parasites D. Antigen

C. malarial parasites

Suicide is an example of which type of violence A. Interpersonal B. Collective C. Self inflicted D. Domestic

C. self inflicted

The pt has been dx to have malaria. When taking the patients hx, the most significant piece of information is: A. the pt had a visit from his grandchildren about a month ago B. the pt has a religious objection to malaria immunizations C. the pt recently returned from an African hunting trip D. The pt recently visited an old army buddy who has malaria

C. the pt recently returned from an African hunting trip

when caring for a patient with Ebola ( hemorrhagic fever), The nurse knows that those most at risk for developing this condition are: A. those who have inhaled the virus B. those who have not been immunized against te virus C. those who are not using appropriate protective equipment D. those who do not protect themselves against mosquito bites

C. those who are not using appropriate protective equipment

A nurse who treated a pt with a severe respiratory infection incorporates which of the following preventive measures to ensure the disease will not spread to others? A. Use personal protective equipment B. washes hands frequently C. Properly cleans pt areas D. All of the above

D. All of the above

A nurse working in the ER is aware that necrotizing fasciitis ( the flesh-eating bug) can be caused by: A. staphylococcus aureus B. Clostridium perfringens C. Bacteroides fragilis D. All of the above

D. All of the above

When teaching pts that may have an active communicable disease, nurses are required to institute appropriate isolation procedures based on the known or suspected agent. These procedures are public health interventions aimed at preventing the spread of disease in: A. Employees B. Community Members C. other pts D. All of the above

D. All of the above

Several factors influence the decisions of public health agencies to make vaccines mandatory. These include: A. effectiveness of the vaccine B. where the highest risk exists C. where the lowest risk exists D. Both A and B

D. Both A and B

Although many communicable diseases have been eradicated, new ones are appearing or old ones are morphing into new forms. Which of the following fall into the category of those not yet eradicated? A. Multiple drug resistant TB B. small pox C. West Nile Virus D. Both A and C

D. Both A and C

While studying communicable diseases, a PHN learns that the main objective is to control the spread of disease by: A. changing the environment B. activating the agent C. increasing host resistance D. Both A and C

D. Both A and C

Nurses give vaccinations to help increase host resistance to other diseases. Among the vaccines commonly administered are: A. pneumonia B. influenza C. small pox D. Both a and B

D. Both a and B

the nurse knows that the client who is just recovering from mononucleosis needs more instruction when the client says: A. need to rest when I am feeling tired B. I will take Tylenol to lower my fever C. I can use saline gargle to relieve my sore throat D. I will rest today so I can play with the household football team tomorrow

D. I will rest today so I can play with the household football team tomorrow

A child dx with scarlet fever. The nurse assesses the child knowing that which of the following is not a clinical manifestation associated with this disease? A. Pastia's sign B. White Strawberry tongue C. Edematous and beefy, red colored pharynx D. Koplik Spots

D. Koplik Spots

Public health efforts to control Rubella are prompted primarily by: A. significant cases of secondary encephalitis B. desire to prevent neonatal opthalmia C. presence of known carriers who are food handlers D. The possibility of congenital defects in the offspring of pregnant women.

D. The possibility of congenital defects in the offspring of pregnant women.

A nurse is providing instructions to a pregnant client with genital herpes about measures that need to be implemented to protect the fetus. The nurse tells the pt that: A. daily administration of acyclovir is necessary during the entire pregnancy B. total abstinence from sexual intercourse is necessary during the entire pregnancy C. sitz baths need to be taken every 4 hours while awake if vaginal lesions are present D. a c section will be necessary if vaginal lesions are present at the time of labor.

D. a c section will be necessary if vaginal lesions are present at the time of labor.

A pt showing signs of pneumonia is admitted to a hospital where tests indicate he has highly infectious M. tuberculosis. He has had contact with many patients, employees, and family members despite placing him in isolation. An investigation team should take which of the following steps in find out what went wrong? A. identify the index case, the first case identified in a particular outbreak B. Identify secondary cases, those pt's who where dx with active Tb and who had contact with the index pt C. Identify all contacts D. all of the above

D. all of the above

When a pt shows s/s of pneumonia, the nurse knows to first understand three key factors about the disease including: A. the infectious agent causing the pneumonia B. the environment relevant to the transmission of disease from one person to another C. who is at risk for becoming infected D. all of the above

D. all of the above

PHN's are involved in protecting the population at large form the spread of infectious agents. They must be able to identify elements of the cycle of communicable disease transmission in their pts, including all of the following except: A. Reservoir B. Portal of entry C. susceptible host D. antibiotics effective against the agent

D. antibiotics effective against the agent

Scabies, A communicable skin disease, caused by the itch mite. The community health nurse can usually suspect scabies on the basis of: A. positive blood test for the itch mite B. macules, papules, and vesicles all present on the body C. resins of nits on hairy parts the body D. classic history from the patient concerning the rash

D. classic history from the patient concerning the rash

The major causes of death in avian flu are the following except: A. severe viral pneumonia B. respiratory distress C. multiple organ failure D. dehydration for severe vomiting and diarrhea

D. dehydration for severe vomiting and diarrhea

To prevent the spread of Hep A, the nurse is especially careful when: A. changing the IV tubing B. changing the bed linens C. setting up the meal tray D. emptying the bedpan

D. emptying the bedpan

infectious agents classified as mycoses are what type of agent? A. unicellular microogranims B. single celled animals such as flagellates and amoeboids C. parasitic worm like organisms D. fungi

D. fungi

Syphilis and gonorrhea are STDs which are still present in large numbers in the US. Which statement about these diseases is true? A. once a person has had these diseases, they are rendered immune to diseases B. there is no cure for these diseases C. there are no serious sequel to either of these diseases D. these diseases are treated successfully by antibiotics

D. these diseases are treated successfully by antibioti

The nursing student has been diagnosed with bacterial conjunctivitis. The clinical instructor tells the student that: A. the student must report to clinical experience that day B. the student must get a physician's order for kwell eye drops C. the student must claim both eyes with normal saline before coming to clinical D. this student can return to clinical experience after 24 hours on ophthalmic antibiotic

D. this student can return to clinical experience after 24 hours on ophthalmic antibiotic

A RN volunteering in a clinic in West Africa country notices many pt's have diarrheal disease. To help set up prevention efforts which mode of transmission would she not consider? A. waterborne B. foodborne C. person to person contact D. vectorborne

D. vectorborne

true or false: The safety of acyclovir had not been established during pregnancy and should only be used when life threatening infection is present

False

In gonorrhea, the fetus is contaminated at the time of delivery. It places the neonate at risk for ophthalmia neonatorum, pneumonia and sepsis, but these can be avoided via c section.

True

True or False Syphilis may cross the placenta, causing congenital syphilis

True

True or False: Avian influenza is an infectious disease of birds that can cause serious illness in humans. The importation of chicken from countries with outbreak of avian flu is banned

True

You are assessing a young woman who displays obvious physical and emotional signs of abuse. You suspect that she's being physically and emotionally abused by her husband. As a RN you: a. must gather undeniable proof of abuse before you record it b. have a legal obligation to report any suspected abuse c. only report the abuse that the patient feels that it will help her situation d. should tell the patient to come back to the hospital if the situation does not improve

b. have a legal obligation to report any suspected abus

A mother brings her eight-year-old boy in to the ER for an evaluation following a fall at home. The mother insist that she remain with her son during the examination period as a RN , you recognize that a sign of physical abuse of the child would be: a. the boy gives one or two Word answers to your questions b. the boy appears nervous and scared during the examination c. the boy does not maintain eye contact while speaking with you d. the boy is hyperactive during the exam

b. the boy appears nervous and scared during the examination

26 million ED visits annually for unintentional injuries. The unintentional injuries that cause the highest number of deaths annually are: a. Falls b. Drowning c. motor vehicle crashes d. Fires

c. motor vehicle crashes

A deliberate act that causes self to harm or others a. Violence b. intentional injury c. unintentional injury d. Both a and b

d. Both a and b

Injuries kill millions of people each year and have a global impact on a. Disability b. Mortality c. Health Care rates d. all of the above

d. all of the above

Violence is often associated with a. mental health disorders b. substance abuse c. Poverty d. all of the above

d. all of the above

In the public health spectrum, violets is viewed as: a. not a real concern for public health, but is more a concern for law enforcement b. Playing a minor role in the health of the community c. is a low priority Since it is not specifically addressed in healthy people 2020 d. strongly connected with mental health disorders and substance abuse

d. strongly connected with mental health disorders and substance abuse

The community health nurse knows that the priority relative to the control of communicable diseases is: institution of blood precautions starting a rat control program stop the transmission mediate active immunization of the public with immune serum globulin

stop the transmission