Test Generator Questions, Chapter 8, Communicable Disease

Format: Multiple Choice

Chapter: 8

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analyze

Difficulty: Easy

Integrated Process: Communication and Documentation

Objective: 1

Page and Header: 206, Community/Public Health Nurse's Role: Process of Investigating Reportable Communicable Diseases

1. When reporting the identification of a communicable disease and need for investigation, which organization would the community health nurse notify first?

A) Centers for Disease Control and Prevention (CDC)

B) State health department

C) Local health department

D) National Reported Disease list

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 204, Introduction

2. Nurses that work in community and public health are engaged in a variety of interventions that prevent communicable diseases. Which interventions are appropriate to be implemented by community health nurses? Select all that apply.

A) Immunization of children and adults

B) Disease investigation and case/contact finding

C) Diagnosing cases of communicable diseases

D) Prescribing treatment for communicable diseases

E) Environmental interventions

F) Community education

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 206, Community/Public Health Nurse's Role: Process of Investigating Reportable Communicable Diseases

3. Which statements accurately describe important steps that a community health nurse must take prior to contacting an individual for an interview regarding communicable disease? Select all that apply.

A) Review the information received from the news media reporter for completeness.

B) Review disease information including the reservoir, incubation period, infectious period, symptoms, and treatment.

C) Take all appropriate treatments to the interview site.

D) Investigate only laboratory-confirmed communicable diseases.

E) Eradicate the disease.

Difficulty: Easy

Integrated Process: Communication and Documentation

Objective: 1

Page and Header: 206, Community/Public Health Nurse's Role: Process of Investigating Reportable Communicable Diseases

4. Which entities would the community health nurse know are required to report known or suspected cases of reportable diseases in every state in the United States? Select all that apply.

A) Physicians, dentists, and nurses

B) Laboratory directors

C) Any individual who knows of or suspects the existence of a reportable disease

D) Medical examiners

E) Administrators of schools and child care centers

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 214, Hepatitis B

5. 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) Airborne droplet nuclei

D) Infected rodents, such as mice and rats

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 208, Vector Transmission

6. When reviewing the trends in communicable diseases for a county, the community health nurse notes that there was an increased incidence of Lyme disease. The nurse develops a plan for prevention and control integrating the understanding that this disease is most likely transmitted by which mode?

A) Vector

B) Airborne

C) Vehicle-borne

D) Direct

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 2

Page and Header: 211, Box 8-2 Correct Methods for Preserving the Safety and Cleanliness of Food

7. 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) “Hand washing is unnecessary if we use gloves.”

B) “After cooking the meat, we’ll put it on the same platter that we used for the raw meat.”

C) “Our cooked foods should be cooled quickly.”

D) “If we peel the carrots, we don’t need to wash them before eating.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 208, Vector Transmission

8. A community health nurse is teaching a group of clients about infection control and mentions the role of vectors in transmitting diseases. Which would be examples of some common vectors? Select all that apply.

A) Chemicals

B) Mosquitoes

C) Salmonella

D) Fleas

E) Roaches

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 208, Modes of Transmission

9. A community health nurse is teaching a group of clients about modes of transmission. Which statements made by the clients indicate correct interpretations about the modes of transmission? Select all that apply.

A) Direct transmission requires contact with a contaminated inanimate material.

B) Indirect transmission is also known as vehicle-borne illness.

C) Food- and water-related illnesses are considered to be spread by indirect transmission.

D) Vector transmission requires contact with a nonhuman carrier such as an animal or insect.

E) Airborne transmission commonly occurs from coughing and sneezing.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 224, Primary Prevention

10. Community health nurses practice within the three levels of prevention. In which actions would the community health nurse engage at the primary level of prevention for communicable disease control? Select all that apply.

A) Providing TB skin test to children entering kindergarten

B) Administering immunizations to senior citizens

C) Teaching kindergarten students to wash their hands

D) Encouraging parents to complete their children’s immunizations

E) Providing chest x-rays to people with positive TB skin tests

F) Administering prompt treatment for the symptoms of gonorrhea

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 4

Page and Header: 225, Targeting Meaningful Health Messages to Aggregates

11. The nurse educator has just discussed education of aggregates using mass media with targeting health messages. Which statement by the nursing student would demonstrate the student’s ability to analyze and apply the information?

A) Television would be the most important venue of mass media to educate the aggregate as everyone has a television.

B) The target audience must be assessed for educational level, salience of the issue, involvement in the issue, and access to the media channel used.

C) Pamphlets should be assessed to make sure that they are at a 12th grade reading level.

D) It is unnecessary to consider culture when planning the health message.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 235, Secondary Prevention

12. A community health nurse has identified the index case. In which is the nurse involved?

A) Contact investigation

B) Screening

C) Isolation

D) Quarantine

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 4

Page and Header: 235, Tertiary Prevention

13. Implementing any of the three main approaches to the tertiary prevention of communicable disease includes:

A) education, immunization, and screening.

B) screening, immunization, and isolation and quarantine.

C) case and contact investigation, notification, and treatment.

D) care and treatment, isolation and quarantine, and safe handling and control of infectious wastes.

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 4

Page and Header: 236, Safe Handling and Control of Infectious Wastes

14. If an agency discards used needles and syringes in plastic milk jugs, which of the four key elements of an infectious waste management program that are applicable to community practice would the agency be violating?

A) Health professionals must be able to correctly distinguish biohazardous waste from biomedical waste.

B) The waste management program must have administrative support and authority to institute practice guidelines.

C) Handling of the infectious wastes must be minimized. Containers should be rigid, leak resistant, and impervious to moisture.

D) An enforcement or evaluation mechanism must be in place to ensure that the potential for exposure to infectious waste is met.

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 5

Page and Header: 233, Adult Immunization

15. The community health nurse determines that the adult population in the community has an increased incidence of vaccine preventable disease. Which factors may contribute to low vaccination levels among adults? Select all that apply.

A) Lack of comprehensive vaccine delivery systems to the public and private sectors for adults (similar to the Vaccines for Children program for children).

B) Lack of statutory requirements for vaccination of adults.

C) Health care providers may lack current information about recommended adult immunizations and may miss opportunities to vaccinate adults during contacts in offices, outpatient clinics, and hospitals.

D) Adults fear injections for immunizations but do not worry about adverse effects after vaccination.

E) A multitude of comprehensive vaccination programs exist in settings where healthy adults congregate such as workplaces and other locations.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 213, Pneumonia

16. A community health nurse would recommend pneumococcal vaccine for which group?

A) 1-year-old children

B) 30-year-old adults who have simple respiratory tract infections

C) Adults over age 65 who have COPD

D) Healthy adults in their 50s

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 5

Page and Header: 225, Immunization

17. Which statement about immunization is most accurate?

A) Immunization is helpful in the spread of all communicable diseases.

B) Immunization cannot provide herd immunity.

C) Immunization is the process of introducing a form of a disease-causing organism into a person’s system to promote the development of antibodies that will resist the disease.

D) Immunization is the process of administering antibodies to a person.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 7

Page and Header: 217, Figure 8-5; 218, Table 8-3

18. A family member has developed tuberculosis (TB), and the remainder of the family members are undergoing tuberculosis skin testing to determine their status. The nurse assesses the indurations and determines that a family member with which size induration is positive for TB?

A) 2 mm

B) 3 mm

C) 4 mm

D) 5 mm

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 7

Page and Header: 219, Multidrug-Resistant TB

19. The community health nurse observes an increase in the development of multidrug-resistant tuberculosis. The nurse understands that a major reason for this occurrence for individual clients would most likely be:

A) political and social response to declining rates of TB over the past decade.

B) a reduction in funding for surveillance and research.

C) noncompliance with the therapy for the full, recommended period.

D) a premature sense that TB has been defeated.

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 3

Page and Header: 220, Sexually Transmitted Infections; 215, HIV/AIDS; 220, Chlamydia; 222, Genital Herpes

20. Which statements about the prevention of sexually transmitted diseases are true? Select all that apply.

A) Many persons who have HIV infection can stave off AIDS by the use of medications during the HIV stage of the spectrum.

B) Screening programs have actually reduced the incidence of Chlamydia as infected persons are identified and treated.

C) The proper use of condoms prevents transmission of all sexually transmitted infections.

D) Expedited partner treatment can prevent the spread of Chlamydia and gonorrhea.

E) It is not possible for a person who has a HSV-2 infection to transmit the infection to other sex partners if sexual contact is only practiced when the person does not have any visible sores.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 223, Anthrax

21. Which statement is true about the consequences of biologic terrorism with anthrax and smallpox?

A) Anthrax is not usually spread by person-to-person contact and so is not a good agent of biological terrorism.

B) Smallpox is globally eradicated and therefore does not present a problem.

C) Most adults are immune to smallpox due to routine immunization.

D) There is an 85% fatality rate with inhalational anthrax.

Difficulty: Moderate

Integrated Process: Caring

Objective: 8

Page and Header: 237, Confidentiality, Privacy, and Discrimination

22. Which statement about confidentiality, privacy, and discrimination is the most accurate?

A) It is permissible for a community health nurse to reveal the name and any other personal health information of a person who has a communicable disease to the public health authorities.

B) It is permissible for a community health nurse to tell the contacts of a person who is infected with a communicable disease which disease they have been exposed to and the name of the source.

C) It is permissible for any health care provider to report any cases of known or suspected communicable diseases to the news media.

D) Only the identity of the index case of a communicable disease needs to be protected.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 2

Page and Header: 204, Introduction

23. The community health nurse is investigating the role of an agent in the cause of an illness. What the nurse is examining?

A) Host

B) Portal of exit

C) Infectiousness

D) Virus

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 5

Page and Header: 229, Vaccine-Preventable Diseases

24. The community health nurse is providing education to a group of new mothers about the importance of having their infant immunized for measles, mumps, and rubella. Which type of immunity will be caused by the vaccine?

A) Acquired

B) Passive

C) Natural

D) Active

Difficulty: Easy

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 208, Vector Transmission

25. The community health nurse is hosting an informational session on the role of a vector in the spread of disease. To which is the nurse most likely referring?

A) A contaminated batch of meat

B) An infected person

C) A used syringe

D) A mosquito

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 206, Community/Public Health Nurse's Role: Process of Investigating Reportable Communicable Diseases

26. The community health nurse is involved in surveillance. Which situation best describes the situation the nurse is participating in?

A) Advocating for changes in the state disease reporting requirements

B) Educating clients about pneumonia immunizations

C) Evaluating the effectiveness of an stroke prevention program

D) Obtaining information about occurrence of mumps

Difficulty: Easy

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 223, Anthrax

27. A community health nurse is preparing to present information to the city commissioner and council about potential bioterrorism threats. Which agent would the nurse incorporate into this presentation?

A) Novel influenza A (H1N1)

B) Zika virus

C) Lyme disease

D) Anthrax

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 208, Food- and Water-Related Illness

28. A nurse is caring for a client who has a Salmonella infection from contaminated food. The client asks why it took a few days for them to feel sick. Which is included in the teaching the client about the infection?

A) “The incubation period is the time between exposure and onset of symptoms.”

B) “Some infections are difficult to isolate and identify due to immunizations.”

C) “Vectors account for the illness period and the severity of the illness.”

D) “The ability to fight an infection depends on the client’s metabolism.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 6

Page and Header: 231, Assessing Immunization Status of the Community (Figure 8-13)

29. The adherence to a vaccine schedule for a caregiver is based on which fundamental issue?

A) Trust in the process

B) Availability of resources

C) Health care recommendations

D) Cultural norms

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 231, Assessing Immunization Status of the Community (Figure 8-14)

30. Which best incorporates contextual influences of an individual who is contemplating vaccinations? Select all that apply.

A) Media environment

B) Politics

C) Health system

D) Historical influence

E) Geographic barriers

F) Cost