Community and Public Health Nursing 9th Edition Test Bank
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1. When reading a report on current trends in communicable disease control, the community health nurse notes a dramatic decrease in one disease in particular since 1990. However, the Healthy People 2010 goal of 19 cases per 100,000 has yet to be achieved. The nurse is most likely reading about which condition?
A) Gonorrhea
B) Syphilis
C) Chlamydia
D) Viral warts
2. When preparing a community education plan of care for a population to address HIV/AIDS prevention, which of the following would be most important for the nurse to include?
A) The highly vulnerable and risky position of caregivers
B) The negative attitude that HIV/AIDS clients have toward caregivers
C) Which of the curative treatments are best to use with clients
D) The need for education about risk-reduction behaviors
3. A family member has developed tuberculosis (TB) and the rest of the family members are undergoing TB skin testing to determine their status. The nurse assesses the indurations and determines that a family member with which size induration shows a positive reaction for TB?
A) 2 mm
B) 3 mm
C) 4 mm
D) 5 mm
4. A community health nurse is presenting a program about hepatitis prevention and risk reduction to a local community group. The nurse determines that the group has understood the program when they identify which method as the major mode of transmission for hepatitis B?
A) Oral-fecal route
B) Exposure to contaminated blood
C) Air-borne droplet nuclei
D) Infected rodents, such as mice and rats
5. Community health nurses practice within the three levels of prevention. Which of the following would the community health nurse engage in at the primary level of prevention for communicable disease control? Select all that apply.
A) Providing TB skin tests to children entering kindergarten
B) Administering immunizations to senior citizens at a flu clinic
C) Teaching kindergarten children to wash their hands
D) Encouraging families to complete their young children's “baby shots”
E) Providing chest x-rays to people with positive TB skin tests
F) Encouraging clients to receive prompt treatment for the symptoms of gonorrhea
6. When reviewing the trends in communicable diseases for a county, the community health nurse notes an increased incidence of Lyme disease. The nurse develops a plan for prevention and control, understanding that this disease is most likely transmitted by which mode?
A) Vector
B) Air-borne
C) Vehicle-borne
D) Direct
7. Which of the following would the nurse most likely use in an educational program about prevention of communicable disease?
A) Magazine ads
B) Television
C) Radio commercials
D) Poster presentations
8. The community health nurse administers immune globulin to a group of clients for communicable disease prevention. In doing so, the nurse is providing clients with which of the following?
A) Naturally acquired passive immunity
B) Artificially acquired passive immunity
C) Naturally acquired active immunity
D) Artificially acquired active immunity
9. A mother brings her children to the local health department agency. The children are due for various immunizations. After reviewing the histories of the children, which of the following would cause the nurse to withhold an immunization?
A) Cold and runny nose without fever
B) Current use of antimicrobial therapy
C) Episode of anaphylaxis with previous vaccine
D) History of an allergy to penicillin
10. The community health nurse determines that the local adult population in the community has an increased incidence of vaccine-preventable disease. When developing a teaching plan for this population, which factor would be most important for the nurse to address?
A) Widespread availability of comprehensive vaccine delivery systems
B) Statutory requirements for vaccination of adults
C) Complicated, varying vaccine recommendations for adults
D) Frequent support for vaccinating adults during clinical contacts
11. A community health nurse has identified the index case. The nurse is involved in which of the following?
A) Contact investigation
B) Screening
C) Isolation
D) Quarantine
12. A community health nurse would recommend testing for hepatitis C at which time for a child born to a women positive for HCV at delivery?
A) 3 months
B) 6 months
C) 9 months
D) 12 months
13. The community health nurse is implementing a program in preparation for the upcoming flu season. Which group would be most important for the nurse to include?
A) School-age children
B) Adolescents
C) 30- to 50-year-olds
D) Adults over age 65
14. A community health nurse is a member of a group working to respond globally to communicable disease. Which activity would the group be involved with first?
A) Surveillance
B) Case finding
C) Control
D) Elimination
15. When reporting the identification of a communicable disease and need for investigation, which of the following should be notified first?
A) Centers for Disease Control and Prevention (CDC)
B) State health department
C) Local health department
D) National Reported Disease list
16. After teaching a class on global trends associated with infectious diseases, which of the following statements would demonstrate to the instructor that the class needs additional teaching?
A) “Smallpox has been eradicated.”
B) “Polio has been eliminated.”
C) “Malaria is currently endemic.”
D) “There is worldwide spread of cholera.”
17. After a community health nurse implements an educational program for a local community group about food safety, which statement indicates that the teaching was successful?
A) “We need to wash all surfaces with a diluted bleach solution.”
B) “After cooking the meat, we'll put it on a new platter.”
C) “Our cooked foods should be cooled slowly.”
D) “If we peel the carrots, we don't need to wash them before eating.”
18. The community health nurse observes an increase in the development of tuberculosis strains resistant to drug therapy. On an individual level, a major reason for this would most likely be:
A) Thinking that TB is no longer a problem
B) A reduction in funding for surveillance and research
C) Noncompliance with the full course of prescribed therapy
D) Decline in rates of TB over the last few decades
19. Which of the following agents would the community health nurse most likely expect to be used as treatment for a client with chlamydia who has difficulty with compliance?
A) Doxycycline
B) Tetracycline
C) Acyclovir
D) Azithromycin
20. A community health nurse would recommend pneumococcal vaccine for which group?
A) 1-year-old children
B) 30-year-olds with colds
C) Adults over age 65 with COPD
D) Healthy adults in their 50s