N 340 - Exam 3 Exam 3 Questions and Answers
Ch. 18
1. The following people enter the health clinic together: unmarried man with his 1yo son,
... [Show More] unmarried woman with 1yo daughter, and man’s married brother who is separated from his wife. During assessment it is determined that both men work and contribute to household, where all of them live. Who is considered to be the “family” in this group?
- the family includes whoever the adults state are family members
2. nurse in community health needs to conduct family assessment within a commune but uncertain how to proceed cuz fam lines appear blurred. The best way to determine fam of mother and her child is to ask woman which quest?
- who are members of you and your child’s fam?
3. In taking fam Hx nurse in community health finds that this is the second marriage for previously divorced parents and that the male partner is the step-parent to the oldest child. This info would be documented in which aspect of the fam assessment?
- structure
4. Why do fam fx and structure create unique challenges in fam nursing?
- fx and structure change over time
5. Which approach is most helpful when dealing with fam who is confronting major challenges to their health?
- building on fam strengths and resilience
6. Nurse is told that healthy, fx fam consisting of 25yo man and 24yo woman who are expecting their first child, would appreciate nurse coming to their apartment for anticipatory guidance in preparing themselves and apartment for the baby. Based on that statement what assumptions can nurse safely make about fam?
- affection and attachment exist bw man and woman and their basic survival needs are being met
7. historically nurses have focused on care of individual while viewing fam as background resource or possible stressor. What conceptualization does this view represent?
- context
8. New mom is full-time college student who lives with her parents, since baby’s father has been imprisoned related to theft and drug abuse. Infant’s grandma although also employed cares for the child while young mother attends classes. What theoretical framework would be most helpful to nurse when assessing this fam needs?
- developmental
9. nurse researcher wants to know and better understand how chronic illness of child affects fam communication patterns, relationships, role expectations, and role behaviors. Which fam theory framework would researcher proly use?
- interactional
10. for nurse using the Outcome Present-State Testing (OPT) Model to guide nursing process to address fam violence, what would be crucial issue?
- ongoing Sx of fam violence
11. during whoch stage of nursing proves is cue logic implemented?
- assessment
12. what method is being used when nurse helps fam to understand situation by asking broad open-ended quest that allow both nurse and to engage in critical thinking in determining fam primary problem and possible outcome?
- framing
13. what are government actions that have a direct or indirect effect on families called?
- family policy
14. when engaging in a fam assessment nurse would recognize which behavior as suggestive of fam with problem?
- most of conversation was bw father and eldest daughter
15. hospital-based nurse has worked with pt at some length regarding appropriate diet. Based on systems theory what will proly happen when pt returns home?
- fam member who preps food will proly try to modify meals wo obvious change for fam as whole
16. why is it crucial that problem that needs to be resolved in current situation and desired outcome be clearly stated before finalizing documentation of fam plan of care?
- to be sure fam understands nurse’s perception of problem and what should be achieved
17. while doing fam assessment before engaging in self-disclosure nurse must be sure to do?
- take time to build trust
18. in a predominantly poor community where eating clay (pica) is common practice nurse in community health can intervene at the 3 prevention level by which?
- assisting those who eat large amounts of clay to obtain food stamps after explaining that clay although filling does not provide necessary nutrients
Ch. 19
1. using Neuman Systems Model what might nurse as pt to assess physiological health?
- tell me about any illnesses your other fam members have
2. which recommendation by nurse would be aimed towards reducing fam members health risk?
- be sure to take 30min walk every day before you leave for work or when you get home
3. which question reflects nurse appraising health risks?
- does you 1yo have a booster seat in the car?
4. which quest reflects nurse concern regarding risk reduction?
- where do you shoot with your handguns?
5. which represents normative life event that can increase risk for illness?
- woman is preggo with her first child
6. which comment should cause nurse to probe further to determine whether fam was in crisis?
- woman says, I don’t know what to do now that my husband is dead. There is no way I can go back to work and also take care of our 3 kids
7. for what is nurse assessing when conducting health risk appraisal?
- unhealthy activities
8. which fam would cause nurse most concern?
- older couple have just retired and sold their house. During their routine annual physical they talk about their new condo in a retirement community
9. when drawing a genogram how does nurse demonstrate a marriage relationship bw 2 individuals?
- solid line
10. which fam is at high risk for health problems?
- man is currently unemployed and despairs about finding a position
11. home health nurse who is visiting fam for the first time asks, could we review your extended fam and other persons with whom you interact each week?
- assess fam environment and social resources and risks
12. which pt would cause nurse the most concern?
- pt who is employed and often works 12hr days wo moving from computer desk
13. if occupational nurse’s goal is to address the most common preventable cause of death, what health program should nurse emphasize?
- stop smoking campaign with free veggie nibbles for those on break
14. what should nurse and fam do together before beginning to implement fam health care plan?
- establish purpose of the visit
15. nurse arrives at home at the appointment time established with pt over the phone. However, no one answers the door. Finally a child comes out and says, my mom said she couldn’t see you and you should go away. What should nurse do?
- leave a card with info on how to get in touch if mother changes her mind or if nurse can be helpful in any way
16. home health nurse is about to visit fam at their home. However, nurse is feeling uncomfy about getting out of her car cuz a group of young adults across the street are drinking and fighting among themselves. What should nurse do?
- if personal safety is a concern, drive away and notify fam from safer location
17. which action should nurse focus on first during initial home visit?
- establishing rapport bw nurse and fam
18. home health nurse is preparing to terminate first home visit with teenage parents and their new baby. What will nurse do before leaving?
- review fam learning and other accomplishments of the visit
19. during which phase of home visit does nurse document what was accomplished?
- postvisit phase
20. nurse has just witnessed signing of agreement bw 2 parents in which parents pledge not to yell at each other in the presence of their kids. What would nurse call this intervention?
- contracting
21. what action would be helpful if nurse wanted to empower fam of mother with newly Dx breast cancer?
- teaching fam how to navigate health care system
22. which nurse will proly be the most successful at creating improvement in fam health?
- nurse who is skilled at recognizing and strengthening fam competencies
23. nurse notes that community has unusually high prevalence of STIs among teens. Which secondary prevention action could nurse take?
- conducting a sexual behavior survey with adolescents
Ch 20
1. nurse who wishes to establish program to decrease death rate in kids will have the greatest likelihood of success by targeting which health problem?
- accidents & injuries
2. nurse who wishes to establish a program to decrease death rate in adolescents will be most successful if she creates:
- anti-smoking program
3. what behaviors would be of most concern for nurse who works with high school students?
- risk taking
4. which child is most at risk for being abused?
- 1yo
5. it has been suggested that rather than only list the cause of death on autopsy report, the underlying causes should also be listed. If this were enacted, what would be the most common cause of unnecessary death in the US?
- tobacco
6. for school nurse who wishes to decrease obesity in kids, the most effective action:
- involve entire fam in the planning and managing of nutrition, esp when child in the fam is obese
7. what is the best way to ensure good nutrition in infants?
- breastfeeding
8. which group of homeless ppl in America is the fastest-growing group?
- single mothers with 2-3 kids
9. young girl been homeless for at least 3y. what might school nurse want to discuss with teachers in relation to her?
- possible developmental delays
10. nurse who wants to promote improved health for obese kids might engage in what tertiary prevention measure?
- establish lifestyle improvement programs thru local youth organizations
11. which description of women’s health care is most accurate?
- health promotion, maintenance, and restoration across woman’s life span
12. what organization has served to advocate for women’s health for over 30y thru monitoring and developing national health policy, as well as serving as clearinghouse?
- national women’s health network
13. why might it be surprising that men as a group are less healthy than women?
- most medical research has used males as subjects
14. what behavior results in men being less healthy than women?
- reluctance to visit MD
15. to improve breast cancer cure rates, where should our health care $ be focused?
- early detection programs with referral to ongoing access to a care provider
16. particular city is under political pressure after series of newspaper articles points out incredible disparity in care and outcomes bw women of color and white women. What one step might be most helpful in reducing these disparities?
- establishing health care center in minority neighborhoods with health care providers dedicated to preventive screenings along with ongoing primary health care
17. nurse is new to community but wants to begin planning immediately for health promotion programs. Even though nurse doesn’t yet know community, which program good to plan first?
- cardiac health edu program
18. both my father and older brother died from heart attack, pt explains. What do suggest I do to avoid it?
- keep your cholesterol and BP low thru exercise and proper food choices
19. new building needs more office space than originally planned, as well as dining area. Architects ask nurse for suggestions, since there will no longer be room for exercise center.
- move parking further away so everyone will have to walk several minutes each day
20. which comment by female friend would cause you to be concerned as a nurse?
- I cant believe how little I care about anything anymore since that Dx
21. nurse invites group of young college students to be screened for HIV. One student says, why should I be screened? Im not homosexual, I don’t use drugs, and I don’t sleep around. Im not at risk for HIV.
- unless you always use a condom during sex you should be screened
22. what is most common form of cancer, regardless of genger?
- lung
23. mother says, my son wants me to let him buy a car. I must admit, I certainly det tired of driving him around to all his sports and activities. Do you think I should let him have a car?
- it depends on whether you trust your son to drive safely
24. what is specialty of nursing with focus on holistic care of older pt?
- gerontological nursing
25. which will provide the highest benefit to older adult’s well-being:
- social networks that give support and meaning to life
26. toward whom is TLC model targeted?
- caregivers of older persons with health problems
27. pt explains to nurse that it is just impossible for her and her husband to continue to have his mother in the home alone during the day while they work cuz she becomes confused and has fallen twice.
- adult day health
28. which program would represent tertiary prevention to promote improved health for middle-aged women with diabetes?
- monitoring blood glucose levels closely and modifying diet accordingly
Ch 21
1. What is the primary cause of vulnerability to health problems?
- poverty
2. aggregates at high risk for having poor health outcomes cuz of limited resources are called:
- vulnerable populations
3. what factor predisposes many migrant farmworkers to disenfranchisement?
- short length of time in community
4. large financial grant was being offered to whichever health facility wanted to accept responsibility for giving care to local vulnerable pops. What would expect local med center to do?
- strongly consider not applying since vulnerable pops have multiple cumulative risks and will be expensive to Tx
5. some faculty at College of Nursing decide to establish an innovative new program to help fam with technology-dependent kids. Program will include home care and respite care, among other services. When group is applying for funding what would such a service be called?
- specialty “carve out”
6. homeless fam brought their father to public health clinic after he reported bleeding when he went to the bathroom. Which nursing action is most appropriate?
- begin tests to determine the cause of bleeding while asking about other fam concerns from nutrition to shelter for night
7. nursing students have been assigned to set up a health fair for homeless pop in large urban setting. Wo any funds to pay for space where should health fair be located, assuming all of the following sites are available at no cost?
- at the city’s homeless shelter which is by policy vacant during the day
8. which bill would nurse lobbyist who believes strongly in social justice encourage legislators to support?
- bill that promotes universal health insurance coverage
9. what is the most helpful intervention nurse in community health can initiate to improve lasting resilience among new innigrants?
- direct pt to ESL courses
10. staff member is orienting a new nurse to health clinic that serves primarily vulnerable pops. Which statement indicates need for additional staff edu?
- you will like working with Hispanic immigrants cuz they have close-knit fam structures
11. nurse who is providing diabetes screening at community clinic discovers that new pt has type 2 DM. nurse provides counseling, refers pt to endocrinologist for initial assessment and Tx, arranges for pt to see someone regarding financial assistance, contacts mobile van to arrange transportation, and sets up a follow-up. Which type of service do these actions represent?
- case management
12. which level pr prevention is represented by nurse who offers homeless pt yearly TB screening and free Tx for those who test positive for TB?
- secondary & tertiary prevention
13. which is example of tertiary prevention by nurse?
- directly observing pts with active TB as they take their antiTB meds
Ch 22
1. what are health professional shortage areas?
- regions with insufficient numbers of health care providers
2. what is the most accurate description of migrant farmworker?
- person who moves from place to place to earn money performing seasonal agricultural work
3. in addition to those barriers faced by many residents in rural areas, what additional barriers to health care is Hispanic migrant farmworker likely to encounter?
- absence of culturally competent care
4. from whom is rural resident with asthma most likely to receive health care services?
- advances nurse practitioner
5. migrant farmworker brings his daughter into clinic with severe heat stroke from being out in the sun. nurse explains the danger signs and stresses staying cool and drinking lots of water. Man seems to know this already, so what is the most likely reason this happened?
- children may work on small farms cuz fam may need additional income
6. what behavior would most likely lead to positive interaction for nurse working with Mexican immigrants?
- calling pt by name, socializing before addressing the problem, and being very respectful
7. Mexican immigrant mother tells nurse she is concerned that people in community will give her daughter mal de ojo. To what folk illness is mother referring to?
- evil eye
8. what assistance might be available to migrant farm fam if father becomes injured?
- ER for immediate care
9. migrant farmworker presents to clinic reporting acute onset of severe abdominal pain, nausea, vomiting, diarrhea, and headache with diff concentrating. What condition might cause such Sx?
- pesticide poisoning
10. what condition of rural environment provides increased opportunities for teaching?
- involvement in rural community activities provides more contact with community residents than in urban areas
11. how could nurse engage in tertiary prevention related to pesticide exposure?
- Tx pt who has pesticide exposure to prevent complications
12. what are 2 primary causes of death in kids who live in rural areas?
- machinery-related accidents and drowning
13. migrant farmworker fam seemed to be very stressed although their employer had given them the day off to visit clinic and told them to take all the time they needed. In addition to health issue, what might be fam fear?
- they weren’t getting paid for that day and continued employment is never certain
Ch 23
1. student nurse was seriously shocked when late one night she saw a former high school friend going thru trash bin outside a fast-food restaurant pulling out half-eaten food. What is a likely explanation for healthy young adult in such behavior?
- he had full-time employment but with such a low salary it was inadequate to meet basic expenses
2. school nurse was caring for 8yo kid who had been hurt on school playground. During assessment kid admitted that her mother was working but didn’t make much money so girl and her mother were living in their car. Based on this info what might nurse suspect?
- child may be a member of 5H club
3. school nurse was talking to teacher of 8yo child who was living with her mother in the car. What might lead nurse to talk to teacher about the kid?
- concern over developmental delays
4. whats most rapidly growing group of homeless?
- families with kids
5. which finding in young single preggo would cause you the most concern?
- persistent homelessness
6. why is health care of homeless so expensive to community?
- most care to homeless people takes place in hospital ER
7. what action by nurse can best ensure long-term positive health outcomes of poor preggo teens and their kids?
- developing programs that allow teen mothers to complete their edu
8. school health nurse presents a program on preventing teen pregnancy to group of parents. Following the presentation, what comment by parent would cause concern?
- my daughter is too intelligent to get involved with boys even if her friends do sleep around
9. what is the most important principle to keep in mind when caring for preggo teen?
- all teen pregnancies are considered high-risk
10. nurse was making postpartum visit to teenage mother and her month-old kid. What assessment would be most important?
- assessing for mother’s knowledge about normal infant growth and development
11. mother and her son are in ER. Mother is extremely upset. Earlier son had become so angry that he put his hand thru a glass window and had to have stitches. Physician suggested psych consult. Now mom asks, do you think my son is crazy? Which is the most appropriate response?
- your son is having problems with behavior which is distressing all of you. Psych may be able to help your son cope with life in a more acceptable way.
12. excluding war, what is the leading cause of disability for Americans 15-44y?
- major depressive disorder
13. which group is most at risk for suicide?
- men over 85y
14. what can nurse do to decrease risk for depression in older adults?
- organize an exercise and health promotion program at local senior citizen center
15. nurse who works at homeless clinic wants to improve healing of chronic pt living on the streets. What would be the best action to take to improve outcomes?
- offering daily access to room with soap, water, and bandages
16. what action can nurse take that will potentially increase accessibility to health care services for mentally ill homeless pts?
- applying for a grant to fund mobile clinic to take health care to pts
17. nurse is concerned about stress related to the heavy caregiving burden assumed by adult kids of older pts. What action by nurse would use secondary prevention to limit caregiver stress?
- asking caregivers how they are doing and suggesting coping strategies
18. according to Federal Register, what is the minimum income needed by fam of 4 to meet basic needs for healthy living?
- $21,200
19. which intervention by community mental health nurses is most likely to help prevent youth violence?
- partnering with associations to provide alternative activities that improve social skills
Ch 24
1. students at first-day orientation at the local community college are discussing alcohol and drug abuse with their freshmen advisor. During a break some students go outside for soft drinks and snacks. Soon after the advisor walks by and notices several of these students smoking cigs. Based on this what topic of drug and alcohol orientation would be most important for advisor to reemphasize after the break?
- the fact that tobacco smoking causes more deaths than any other behavior in the US
2. societies have several choices on how to approach drug addiction. Which approach has research suggested is the most effective?
- harm reduction with pragmatic interventions
3. woman has just delivered a baby and is lamenting that babys father is not with her. She shares with you that he became involved with drugs and is now in prison for theft. New mother says, its so sad. Hes clearly no good. What might be your response?
- is there anyone to help you with the baby until babys father can be released and encouraged to get Tx for his addiction?
4. man who takes prescribed narcotic for pain on a regular basis reports that he does not like the way the med makes him feel. He has tried to change to alternative analgesic but experienced withdrawal Sx when he stopped taking the narcotic. What problem is man experiencing?
- drug dependence
5. school health nurse is asked by parent group to explain risk factors for alcoholism. What should nurse include?
- alcoholism is determined partly by genetic factors
6. movie shows a woman and a man having a contest to see who can drink more shots of whiskey. Who is more likely to win drinking contest when the other passes out and cannot continue?
- man will win
7. home health pt has been taking 50mg of meperidine, narcotic analgesic, every 4h for pain. Which statement made by nurse to pt MD indicates a need for further edu on narcotic?
- you need to D/C that order before my pt becomes addicted
8. nurse sees the father of newborn baby push his wife in a wheelchair out onto the patio. Man and woman each smoke a cig while baby sleeps in moms arms. What info should nurse share with parents?
- sidestream smoke that baby is exposed to is more dangerous than the mainstream smoke that parents are inhaling themselves
9. pt requests help to stop smoking. What is the best suggestion?
- combination of interventions beginning with changing the environment
10. school nurse stops student in the hall and asks whether student has been having trouble with her eyes which look rather red and dry. Female student yawns and says that she hasn’t noticed any eye problems. However, she does confess to school nurse that she has gained 15lb since she began smoking “special cigs.” What is student most likely smoking?
- marijuana
11. teacher sends student to school nurse cuz student does not seems to be thinking clearly. Nurse notes that student is having palpitations as well as elevated pulse, BP, T. what might cause such Sx?
- ecstasy (MDMA)
12. at county board meeting nurse reports statistics on drug use in the school. Nurse then requests funding for after-school recreation program that promotes age-appropriate fun activities and sports. Nurse is attempting to:
- promote healthy lifestyle with physical activity
13. school health nurse is conducting drug screening to detect drug use by students before problems develop. What level of prevention does this action represent?
- secondary prevention
14. nurse in community health believes a new pt may be a drug addict. Assuming nurses suspicion is correct what is the most likely cause of pt denying use of drugs when questioned by nurse?
- use of addictive drugs
15. 3 women were brought to ER by ambulance after 2 car accident at busy intersection. Besides the immediate assessment of their injuries done by ER nurse, what test should automatically be done under such circumstances?
- alcohol blood level
16. man is addicted to alcohol. In which of the following scenarios is fam member enabling man to continue drinking?
- wife tells her husband’s boss that he is sick when he is actually inebriated
17. nurse is reviewing with pt the importance of diabetic diet to maintaining control of blood glucose levels. Pt states, I went to classes and learned how to count carbs. I have even started to write down what I eat for each meal. How should nurse respond?
- that is great. You have started to take action and make changes.
18. some have suggested that drug use can be cultural. What addictive drug is both culturally acceptable throughout almost all of the US?
- caffeine
Ch 25
1. what is explanation as to why some countries are more violent than others?
- violence is a learned behavior controlled or allowed by social norms
2. what has research concluded is the primary reason violence is so high among young African American men?
- unemployment is higher in this pop
3. what is the top risk factor for intimate partner homicide?
- wife has previously called 911 cuz husband is beating her
4. which person is most likely to be assaulted?
- young man
5. what is the most likely reason for man to rape woman?
- for power and control
6. when woman is raped, she most often feels:
- violation, helplessness, and vulnerability
7. what characteristics would cause nurse concern regarding possibility of suicide in a teenage boy?
- he is depressed and has Hx of being sexually abused
8. what is common factor typically found in those who abuse others?
- raised in fam where violence was used to manage conflict
9. which parent is most at risk for abusing his/her kid?
- depressed father who was laid off from work and is missing his work colleagues
10. which action of nurse is most likely to have positive effect on reducing home violence?
- soliciting ideas from fam regarding what they feel will improve their situation
11. which statement by parent indicates need for increased learning regarding appropriate (nonabusive) discipline of a child?
- I never spank or hit, I yell at them to stop being stupid, and if they don’t, I tell them no one is ever going to love them if they act like that
12. teacher asks school health nurse to assess a kid for neglect. Which assessment finding could indicate neglect?
- lack of weight gain and wearing dirty clothes
13. wife of abusive husband reports to nurse that her husband has been increasingly more abusive over the past year. What should be the first intervention by nurse?
- develop a plan for wife’s escape if violence starts again
14. during group counseling session for perpetrators of intimate partner violence, which statement made by pt indicates lack of insight into his violent behavior?
- I love my gf and didn’t want to hurt her, it was an accident
15. which statement made by caregiver of older pt should alert nurse to assess for evidence of elder abuse?
- mom is always into something and cant seem to stay still, so I have been giving her half a valium to get her to relax so I can get some rest
16. which nursing action is an example of primary prevention for abuse?
- lobbying for passage of legislation to outlaw physical punishment in schools
17. whats a principle of care that nurse should abide by when working with abusive fam?
- demonstrate respect for all fam members including the abuser
18. mother confides to nurse that her live-in bf knowcked down her 2yo kid cuz he was crying too much. She begs nurse not to tell anyone cuz her bf has agreed to take anger management classes. What should nurse do?
- report the incident to child protective services or other legal authority
19. mother cant understand why her daughter ran away from home. When police locate her she complains of severe headache, so police take both of them to ER for assessment. For what problem should nurse carefully assess?
- sexual abuse by father
Ch 26
1. worldwide what is the #1 cause of death?
- infectious diseases
2. VRSA and MRSA were formerly found primarily in hospitals but where are outbreaks currently on the rise?
- areas where ppl share dressing or bathing facilities
3. which component of epi triangle contributes most to female pt developing vaginal infection caused by fungi after successful Tx of her strep throat with ABx?
- environment
4. during outbreak of HepA nurses are giving injections of HepA IGg to selected susceptible persons. What sort of immunity will follow?
- passive immunity
5. man loudly protests his increased property tax bill right after public health department has made a plea for more funds. Why, he asks, should my tax $ be used to pay for their kids to be immunized? What is your response?
- only by making sure most kids are immunized can we stop epidemics that might hurt all of us
6. which represents example of infectious disease spreading via vector?
- being bitten by infected mosquito
7. what conclusion should nurse draw when her Mantoux test is positive for exposure to TB?
- nurse has been exposed to TB
8. student engages in unprotected sex under influence of alcohol. Having HIV test immediately afterwards seems like the rational thing to do. Based on known statistics, what will student’s HIV test proly show?
- test results won’t be reliable so soon after the exposure
9. where should nurse look to determine whether other communities are also have epidemic of measles?
- morbidity and mortality weekly report
10. there is a great concern in nurse’s community over 3 local cases of West Nile virus. How can nurse best use this concern to help community to become involved?
- have edu campaign to remove any containers of standing water
11. what is the most probable cause of increase in new emerging infectious diseases?
- activities or behavior of humans, including changes in the environment
12. what is the current goal in relation to communicable diseases?
- to exterminate specific infectious agents one by one
13. which biological warfare agent would pose the greatest bioterrorism threat to community?
- anthrax
14. what public health action has been particularly instrumental in reducing childhood infectious diseases in the US?
- “no shots, no school” legislation which legally requires kids to be immunized before school
15. student comes to college health clinic with typical cold Sx of fever, sneezing, and coughing, but nurse also notes small white spots on the inside of student’s cheeks. What should she do?
- inform all students, staff, and faculty of a possible measles epidemic
16. instructor is reviewing Salmonella infections with her class. Which comment indicates that student needs further edu on how Salmonella is spread?
- it may be spread by spores that form once contaminated blood is exposed to air
17. what is the most common vector-borne disease in the US?
- Lyme disease
18. what is the most common vector-borne disease worldwide?
- malaria
19. student complains to nurse that her academic work has been going downhill cuz of lack of sleep. My 3yo proly misses her babysitter since she has started goin to the big day care center. She hasn’t been sleeping well and keeps scratching her bottom. Hopefully she’ll adapt to day care soon. What advice should nurse give?
- your daughter may have pinworms; let me teach you how to check for this
20. at a town meeting with public health officials to discuss communicable disease outbreak, nurse is asked to explain what is meant by phrase a virulent organism. Nurse explains that this means organism causing disease is able to:
- produce very severe physical reactions
21. which infectious disease intervention represents primary prevention?
- client receives tetanus booster every 10y
22. which infectious disease intervention represents secondary prevention?
- health care workers are required to have TB skin test or chest x-ray
23. which approach to helping prevent foodborne disease would most likely be controversial?
- irradiation or meat and poultry
Ch 27
1. which STD can be prevented thru immunization?
- HepB
2. what is the most common reason that ppl do not immediately seek med Tx when they first become ill with HIV?
- they don’t recognize their Sx as possibly being due to HIV
3. student asks college nurse how AIDS is Dx. Nurse’s response is, Dx of AIDS is made when:
- CD4 T lymphocytes drop to less than 200/mL
4. correctional health nurse is doing a quick assessment on a newly admitted inmate who is HIV+. Besides follow-up tests to confirm or correct Dx, what other tests should nurse do immediately?
- TB Mantoux
5. school nurse asks a class about the ways HIC can be transmitted. Which student needs edu?
- I wouldn’t sit next to someone with HIV
6. why is Chlamydia a major focus of public health efforts?
- cuz it can cause problems in infants born to infected mothers
7. in what way is HSV-2 infection more challenging for pt than gonorrhea infection?
- HSV-2 is a viral infection that is both chronic and incurable
8. when nurse discovers that woman been Tx for cervical cancer nurse asks her whether she has ever been tested for HIV or STDs. Woman is offended and asks why nurse would as her such a thing. How do you respond?
- cervical cancer is usually caused by HPV and often the presence of one STD is accompanied by other STDs
9. what is characteristic appearance of lesions of human papillomavirus (HPV)?
- elevated growths with cauliflower appearance
10. why are many health care providers more afraid of getting HepB than HIV?
- there is no Tx for HepB which can be a very serious illness
11. nurse explained to new mom that since she had tested positive for HepB her newborn son would need HepB vaccine immediately and then also IGg injection. Wait, said new mom, why is he getting 2 shots?
- one injection protects your son while the other encourages his body to build up immunity
12. what is the most frequent reason that liver transplants are needed?
- HepC
13. pt with TB asks why nurse is required to watch pt swallow med each day.
- this Tx is recommended to make sure that you receive Tx you need and infection doesn’t become resistant to drugs
14. pt was clearly very relieved when HIV came back negative. Thank goodness, Ive had sex several times wo a condom and when one of my friends said he was sick, I think I panicked. What is important to emphasize immediately before pt draws too many conclusions?
- test would not cover any recent infection, so if ot has had recent unprotected sex test should be repeated in 3 mo
15. in the US, which demographic group has the highest risk for HIV infection?
- African American homosexual men
16. nurse was reading PPD tests 24hr after another nurse had administered them. Which finding on arm would cause nurse to interpret test as positive?
- 10mm of swelling and increased firmness in pt recently released from correctional facility
17. high school student is planning to volunteer at the hospital after school, so she needs to have Mantoux test before beginning. What should nurse tell new volunteer?
- you will need to return in 2-3 days to have any reaction interpreted
18. for nurse concerned about prevalence of TB among migrant farmworkers, what tertiary prevention would be used?
- initiate directly observed therapy (DOT) for TB Tx
19. mother felt very guilty that her baby was born HIV+. When nurse suggested the usual PDT & MMR immunizations mother was extremely upset. Don’t you know HIV kids are immunosuppressed? She exclaimed. What is the best response?
- being HIV+ your child is more likely to catch infection and be very sick if not immunized
20. pt who is very upset says to nurse, but we always used a condom! How could I have genital warts? How could nurse best respond?
- skin to skin contact to a wart may have occurred outside the area that condom covers
21. which individuals should routinely be assessed for their risk for STD?
- all sexually active adults [Show Less]