Public Health - Quiz and Kahoot for Exam 2
The specificity of an at-home urine preg test is 98% on the first day of missed period. What does this mean?
The test will provide an accurate negative result 98% of the time
Bumpy genital sores (cauliflower)
Topical treatment
Examples of agent factors in epidemiologic triad? SATA
Transmissibility, antigenic changes, virulence
Which epidemiologic model is how the biological, social, and physical environment interact with hosts genetic core?
Wheel of causation
What finding would be most consistent with a possible bioterrorism event?
The organism is unusual for the place and time in which it is detected
A client tells the nurse he is concerned about his new walking regimen because he heard there was a study which found a positive correlation between exercise and skin cancer rates. What is the best response by the nurse?
"Correlation just means that the two concepts are related, but not that one is causing the other.
How should a nurse respond to a parent who says "I never wore a bike helmet as a child and I did fine"?
A helmet will reduce the risk of serious injury from bike accident
Which different environments are reflected in the wheel of causation? SELECT ALL THAT APPLY
A. Biologic environment B. Social environment C. Physical environment
Which statements are true regarding waterborne illnesses? SELECT ALL THAT APPLY.
A. The portal of entry is the oral cavity B. Even brushing teeth can exposure a potential host
Which order is anticipated for client with painful sores around mouth caused by herpes simplex virus?
Acyclovir
Interventions when treating a client with E. Coli? SATA
Administer IV fluids
What PPE would the nurse choose prior to caring for a patient with Varicella (chicken pox)?
Airborne precautions
Purpose of adjusted rates
Allows for comparison of groups of different compositions
What intervention would the nurse prioritize when caring for victims of a chemical bioterrorist attack?
Anticipate the need for mechanical ventilators
The Spanish flu pandemic beginning in 1917 resulted in numerous deaths. What explains this?
Antigenic SHIFT
As the nurse instructor walks to campus, a train derailment occurs. After calling 911, what should the nurse do first?
Assess whether the scene is safe for the nurse to enter
Leading cause of death in high income countries? SATA
Cancers, heart disease and stroke
What do you need to know before deciding an in duration of 9mm is positive on a tb test? SATA
Clients HIV status, if organ transplant, or recent exposure to someone positive for tb
What contributes to the emergence of new diseases? SATA
Climate change, presence or absence of human immunity, antibiotic resistance
Steps of outbreak investigation
Confirm, describe, formulate, control
This type of rate measures the occurrence of a condition or event among the entire population of interest. They are simple to calculate, but not always the most helpful for determining specific risk
Crude rate
What would be the most likely, initial symptoms seen in an individual with food or waterborne illness
Diarrhea, abdominal cramping and fever
Which reflect principles of antibiotic sterwardship? SATA
Discuss a contingency plan with clients when antibiotics are not prescribed
What can be calculated knowing there are 7,000 diagnoses of Tb in a population of 330 million people?
Disease incidence
Malaria cases in Ghana affect approximately 20% of the population annually. Which terms best describes this?
Endemic
Which are health indicators used in global health? SATA
HALE, DALY, infant mortality, life expectancy at birth
The CDC has identified a new strain of influenza that has not previously been transmitted from human-to-human. An emergency department nurse can expect that those with this virus will:
Have high rates of morbidity and mortality
The population of McLean county is 171,517. In the last 14 days, there have been 325 COVID-19 cases diagnosed in McLean county. What rate can the nurse calculate with this information
Incidence
A person with no symptoms and spreads it to others, but then feels ill later?
Incubatory carrier
The Emergency Department is notified of Category A event. What should ED personnel expect?
Large numbers of people with large numbers of deaths and severe illness
Which stages of the natural history of disease/condition correlate to tertiary prevention? SATA
Late pathogenesis, pathogenesis
Sensitivity of a mammogram is about 87%. What does this mean?
Mammograms will correctly detect breast cancer 87% of the time
A client is told he has latent tb. What education do you provide?
Medication will be prescribed for several months
The home health nurse is visiting a patient diagnosed with active Tuberculosis (TB) disease. Which personal protective equipment (PPE) will best protect the nurse from exposure?
N-95 respirator that has been fit tested
Which are among the top ten leading causes of death in low-income countries? SATA
Neonatal conditions, heart disease and stroke, accidents, tuberculosis
What is the most important factor to consider during the preparedness stage in community preparedness for bioterrorism events?
Numbers of trained staff needed to respond to an incident
Priority to focus on for improving global health? SATA
Nutrition/physical exercise, maternal and child, reproductive health care
Steps of natural history of disease
Pre-pathogenesis Early Patho genesis Pathogenesis Late pathogenesis
According to the BRFSS database, 4.9% of the population in Illinois has COPD. What term best reflects this statistic?
Prevalence
Asthma is a common health disparity among black children. Which rate would be examined to reach this conclusion?
Prevalence
While the IPREPARE mnemonic is an assessment tool, what other actions will the nurse using it take? SATA
Provide safety and health information, refer to a source of regular and follow up care
Examples of host factors in epidemiologic triad? SATA
Religious practices, genetics
Which term means the probability that a disease will occur?
Risk
The BinaxNow COVID-19 rapid test will correctly read positive 35.8% of the time for asymptomatic persons. This describes the test:
Sensitivity
The probability that a test will correctly read positive when a person does have the condition.
Sensitivity
The probability that a test will correctly read negative when a person does not have the condition.
Specificity
A client has been prescribed rifampin for Tb. What education should you provide? SATA
Stop taking med if you have dark brown urine, take medication with food if it causes upset stomach
A nurse is giving medication instructions to a newly diagnosed patient with latent Tuberculosis (TB). What should the nurse include?
Stop taking the pills if you have dark brown urine and call us.
Examples of environmental factors in epidemiologic triad? SATA
Use of anti microbial wipes, use non-porous cutting boards, presence of water reservoir, ticks, mosquitos, and fleas
Exploring all possible factors contributing to a disease as links in MULTIPLE CHAINS:
Web of causation
A client is told he has latent Tuberculosis (TB). He appears frightened and asks what does that mean. What is the best response from the nurse?
You have been exposed to TB but you are not contagious
