Question 1

Which problem does a health department usually have the legal authority to investigate?

Accepted Answer

A)  Pandemics 
B)  Unusual clusters of illness 
C)  World trends of disease 
D)  Cases of the common cold and pneumonia 
A)  Pandemics 
B)  Unusual clusters of illness 
C)  World trends of disease 
D)  Cases of the common cold and pneumonia B

Question 2

What does each state do with the information that it receives about notifiable diseases?

Accepted Answer

A)  Utilizes the information for surveillance purposes. 
B)  Reports the information to the local branch of the World Health Organization (WHO). 
C)  Transmits the data electronically, weekly, to the Centers for Disease Control and Prevention (CD
C) . 
D)  Stores the information for state use only. 
A)  Utilizes the information for surveillance purposes. 
B)  Reports the information to the local branch of the World Health Organization (WHO). 
C)  Transmits the data electronically, weekly, to the Centers for Disease Control and Prevention (CD
C) . 
D)  Stores the information for state use only. C

Question 3

A hospital is using surveillance. Which of the following describes the rationale for this action?

Accepted Answer

A)  To protect the public against isolated patients 
B)  To eliminate pathogens from the environment 
C)  To improve quality of care and outcomes 
D)  To decrease the incidence of ventilator-acquired pneumonia 
A)  To protect the public against isolated patients 
B)  To eliminate pathogens from the environment 
C)  To improve quality of care and outcomes 
D)  To decrease the incidence of ventilator-acquired pneumonia C

Question 4

Which is a feature of public health surveillance?

Accepted Answer

A)  Sharing of the results with others 
B)  Defining public health policy 
C)  Evaluating interventions 
D)  Planning national programs 
A)  Sharing of the results with others 
B)  Defining public health policy 
C)  Evaluating interventions 
D)  Planning national programs

Question 5

A public health nurse (PHN) is investigating an outbreak of salmonellosis in a community. Which type of surveillance system is being used?

Accepted Answer

A)  Active 
B)  Passive 
C)  Sentinel 
D)  Special 
A)  Active 
B)  Passive 
C)  Sentinel 
D)  Special

Question 6

A community coalition monitors the increasing obesity rate of children in their schools. Based on this data, they consider a variety of programming options which may possibly help decrease this trend. What was the purpose of conducting this surveillance?

Accepted Answer

A)  Protect the children from diseases that affect obese children. 
B)  Teach parents that obesity will not be tolerated in this community. 
C)  Educate children on surveillance techniques. 
D)  Demonstrate that new clinical and effective protocols need to be developed. 
A)  Protect the children from diseases that affect obese children. 
B)  Teach parents that obesity will not be tolerated in this community. 
C)  Educate children on surveillance techniques. 
D)  Demonstrate that new clinical and effective protocols need to be developed.

Question 7

A nurse is using surveillance to collect outcome data. What information would most likely be collected?

Accepted Answer

A)  Number of clinic services which use evidence-based protocols 
B)  Proportion of the population vaccinated against influenza 
C)  Incidence of breast cancer in the population 
D)  Probability of a bioterrorism attack occurring in the community 
A)  Number of clinic services which use evidence-based protocols 
B)  Proportion of the population vaccinated against influenza 
C)  Incidence of breast cancer in the population 
D)  Probability of a bioterrorism attack occurring in the community

Question 8

Which are the objectives of a disease investigation? (Select all that apply.)

Accepted Answer

A)  Enhancing the knowledge of the nurse working in public health 
B)  Controlling and preventing disease or death 
C)  Identifying factors that contribute to the disease outbreak/event occurrence 
D)  Implementing measures to prevent occurrences 
E)  Participating in the core functions of public health 
A)  Enhancing the knowledge of the nurse working in public health 
B)  Controlling and preventing disease or death 
C)  Identifying factors that contribute to the disease outbreak/event occurrence 
D)  Implementing measures to prevent occurrences 
E)  Participating in the core functions of public health

Question 9

What information is included in a case definition?

Accepted Answer

A)  The precise point of contact 
B)  Laboratory confirmation 
C)  Source of contamination 
D)  Clinical symptoms 
A)  The precise point of contact 
B)  Laboratory confirmation 
C)  Source of contamination 
D)  Clinical symptoms

Question 10

What information is shared among agencies when they collaborate to implement a quality surveillance system?

Accepted Answer

A)  How to use algorithms to identify which events should be investigated? 
B)  Who is to blame for a disease outbreak? 
C)  What shelters will be used and by whom? 
D)  How political action will be necessary to ensure public health? 
A)  How to use algorithms to identify which events should be investigated? 
B)  Who is to blame for a disease outbreak? 
C)  What shelters will be used and by whom? 
D)  How political action will be necessary to ensure public health?

Question 11

What was the purpose of the Centers for Disease Control and Prevention (CDC) creating the first list of standard case definitions for notifiable diseases?

Accepted Answer

A)  Some diseases were underreported, and others were overreported. 
B)  There was no central office to collect data. 
C)  Some people refused to notify officials when diseases were seen. 
D)  No one knew where to report the information that was collected. 
A)  Some diseases were underreported, and others were overreported. 
B)  There was no central office to collect data. 
C)  Some people refused to notify officials when diseases were seen. 
D)  No one knew where to report the information that was collected.

Question 12

A nurse is completing a disease investigation. Based on the clinical symptoms presented, it is assumed that the individual has measles. However, there has been no laboratory evidence documenting that this individual has the disease. Which of the following types of cases is the nurse investigating?

Accepted Answer

A)  A suspected case 
B)  A confirmed case 
C)  A prolonged case 
D)  An identified case 
A)  A suspected case 
B)  A confirmed case 
C)  A prolonged case 
D)  An identified case

Question 13

What occurs during an act of biological terrorism?

Accepted Answer

A)  The intentional release of hazardous chemicals into the environment 
B)  Environmental and occupational exposure to biological toxins 
C)  Immunity to toxins related to repeated exposures 
D)  An intentional release of viruses, bacteria, or other toxins 
A)  The intentional release of hazardous chemicals into the environment 
B)  Environmental and occupational exposure to biological toxins 
C)  Immunity to toxins related to repeated exposures 
D)  An intentional release of viruses, bacteria, or other toxins

Question 14

A college student goes to the Student Health Center with an extremely swollen neck where the advanced practice nurse diagnoses the mumps. The student reports that a roommate also is experiencing malaise and a sore throat. Which of the following defines these two students?

Accepted Answer

A)  Mixed outbreak 
B)  Common source 
C)  Point source 
D)  Propagated outbreak 
A)  Mixed outbreak 
B)  Common source 
C)  Point source 
D)  Propagated outbreak

Question 15

The SARS (severe acute respiratory syndrome) outbreak was an epidemic that spread over several countries. Which of the following terms describes what happened?

Accepted Answer

A)  Hyperendemic 
B)  Pandemic 
C)  Mixed outbreak 
D)  Holoendemic 
A)  Hyperendemic 
B)  Pandemic 
C)  Mixed outbreak 
D)  Holoendemic

Question 16

A person recently returning from overseas is diagnosed with Q fever. Which of the following must occur?

Accepted Answer

A)  Reporting must occur on the federal level. 
B)  The case must be reported to the state and local health departments. 
C)  The patient must be isolated immediately. 
D)  The patient's immunization record must be reviewed. 
A)  Reporting must occur on the federal level. 
B)  The case must be reported to the state and local health departments. 
C)  The patient must be isolated immediately. 
D)  The patient's immunization record must be reviewed.

Question 17

A nurse is applying the steps of surveillance from the Minnesota Model of Public Health Interventions book. Which of the following describes the initial action that the nurse would take?

Accepted Answer

A)  Analyze data. 
B)  Consider whether surveillance is appropriate to the situation. 
C)  Evaluate the impact of the surveillance. 
D)  Collect data. 
A)  Analyze data. 
B)  Consider whether surveillance is appropriate to the situation. 
C)  Evaluate the impact of the surveillance. 
D)  Collect data.

Question 18

A nurse is using public surveillance. Which of the following describes the actions involved? (Select all that apply.)

Accepted Answer

A)  Estimating the magnitude of an influenza outbreak 
B)  Determining the geographical distribution of gonorrhea cases 
C)  Detecting an epidemic of whooping cough 
D)  Reducing the prevalence of obesity 
E)  Determining the incidence of cardiovascular disease 
A)  Estimating the magnitude of an influenza outbreak 
B)  Determining the geographical distribution of gonorrhea cases 
C)  Detecting an epidemic of whooping cough 
D)  Reducing the prevalence of obesity 
E)  Determining the incidence of cardiovascular disease

Question 19

A nurse practitioner reports a case of gonorrhea to the local health department. Which type of surveillance system is being used?

Accepted Answer

A)  Active 
B)  Passive 
C)  Sentinel 
D)  Special 
A)  Active 
B)  Passive 
C)  Sentinel 
D)  Special

Question 20

A staff nurse has demonstrated the ability to be competent as a participant in surveillance and investigation activities. Which abilities would you expect that nurse to possess? (Select all that apply.)

Accepted Answer

A)  Identifying appropriate data sources 
B)  Communicating effectively using written reports 
C)  Collaborating with community agencies 
D)  Creating an appropriate budget 
E)  Correctly interpreting laboratory findings 
A)  Identifying appropriate data sources 
B)  Communicating effectively using written reports 
C)  Collaborating with community agencies 
D)  Creating an appropriate budget 
E)  Correctly interpreting laboratory findings

Exam 22: Public Health Surveillance and Outbreak Investigation

Which problem does a health department usually have the legal authority to investigate?

What does each state do with the information that it receives about notifiable diseases?

A hospital is using surveillance. Which of the following describes the rationale for this action?

Which is a feature of public health surveillance?

A public health nurse (PHN) is investigating an outbreak of salmonellosis in a community. Which type of surveillance system is being used?

A community coalition monitors the increasing obesity rate of children in their schools. Based on this data, they consider a variety of programming options which may possibly help decrease this trend. What was the purpose of conducting this surveillance?

A nurse is using surveillance to collect outcome data. What information would most likely be collected?

Which are the objectives of a disease investigation? (Select all that apply.)

What information is included in a case definition?

What information is shared among agencies when they collaborate to implement a quality surveillance system?

What was the purpose of the Centers for Disease Control and Prevention (CDC) creating the first list of standard case definitions for notifiable diseases?

A nurse is completing a disease investigation. Based on the clinical symptoms presented, it is assumed that the individual has measles. However, there has been no laboratory evidence documenting that this individual has the disease. Which of the following types of cases is the nurse investigating?

What occurs during an act of biological terrorism?

A college student goes to the Student Health Center with an extremely swollen neck where the advanced practice nurse diagnoses the mumps. The student reports that a roommate also is experiencing malaise and a sore throat. Which of the following defines these two students?

The SARS (severe acute respiratory syndrome) outbreak was an epidemic that spread over several countries. Which of the following terms describes what happened?

A person recently returning from overseas is diagnosed with Q fever. Which of the following must occur?

A nurse is applying the steps of surveillance from the Minnesota Model of Public Health Interventions book. Which of the following describes the initial action that the nurse would take?

A nurse is using public surveillance. Which of the following describes the actions involved? (Select all that apply.)

A nurse practitioner reports a case of gonorrhea to the local health department. Which type of surveillance system is being used?

A staff nurse has demonstrated the ability to be competent as a participant in surveillance and investigation activities. Which abilities would you expect that nurse to possess? (Select all that apply.)

Public Health Foundations and Population Health

History of Public Health and Public and Community Health Nursing

Public Health, Primary Care, and Primary Health

Perspectives in Global Health Care

Economics of Health Care Delivery

Environmental Health

Application of Ethics in the Community

Achieving Cultural Competence in Community Health Nursing

Public Health Policy

Evidence-Based Practice

Population-Based Public Health Nursing Practice: the Intervention Wheel

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Promoting Healthy Communities

Community As Client: Assessment and Analysis

Building a Culture of Health to Influence Health Equity Within Communities

Health Education Principles Applied in Communities, Groups, Families, and Individuals for Healthy Change

The Nurse Managed Health Center: a Model for Public Health Nursing Practice

Public Health Nursing Practice and the Disaster Management Cycle

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Working With Families in the Community for Healthy Outcomes

Family Health Risks

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Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Disability Health Care Across the Lifespan

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Teen Pregnancy

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Alcohol, Tobacco and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

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Public Health Nursing at Local, State, and National Levels

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