Question 1

Why would a hospital use surveillance?

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 2

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 attach 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 attach occurring in the community C

Question 3

A public health nurse 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 A

Question 4

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

Accepted Answer

A)  Keeps its own records for surveillance purposes 
B)  Reports the information to the local branch of the World Health Organization 
C)  Transmits the data electronically, weekly, to the CDC 
D)  Does nothing with the information 
A)  Keeps its own records for surveillance purposes 
B)  Reports the information to the local branch of the World Health Organization 
C)  Transmits the data electronically, weekly, to the CDC 
D)  Does nothing with the information

Question 5

A large amount of data related to hypertension rates is collected in a community.The data is analyzed.What is the next step in the surveillance process?

Accepted Answer

A)  Collecting data from multiple valid sources 
B)  Evaluating the impact on the surveillance system 
C)  Interpreting the data and disseminating it to decision makers 
D)  Asking political officials to finance a hypertension clinic 
A)  Collecting data from multiple valid sources 
B)  Evaluating the impact on the surveillance system 
C)  Interpreting the data and disseminating it to decision makers 
D)  Asking political officials to finance a hypertension clinic

Question 6

A nurse is investigating a potential bioterrorism attack.What evidence would a nurse most likely find if a bioterrorism attack occurred?

Accepted Answer

A)  A large number of cases of influenza 
B)  A case of cholera in a local politician following a trip to India 
C)  Dengue fever in a group of students who just returned from a mission trip 
D)  An unusual illness in a population 
A)  A large number of cases of influenza 
B)  A case of cholera in a local politician following a trip to India 
C)  Dengue fever in a group of students who just returned from a mission trip 
D)  An unusual illness in a population

Question 7

The SARS (severe acute respiratory syndrome)outbreak was an epidemic that spread over several countries.By definition,this is considered a:

Accepted Answer

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

Question 8

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 9

A college student goes to the Student Health Center with an extremely swollen neck.The advanced practice nurse determines that he has mumps.His roommate also is experiencing malaise and a sore throat.These two students by definition are considered a:

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 10

What occurs during 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 their 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 their toxins

Question 11

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

Accepted Answer

A)  To enhance the knowledge of the nurse working in public health 
B)  To control and prevent disease and death 
C)  To identify factors that contribute to the disease outbreak/even occurrence 
D)  To implement measures to prevent occurrences 
A)  To enhance the knowledge of the nurse working in public health 
B)  To control and prevent disease and death 
C)  To identify factors that contribute to the disease outbreak/even occurrence 
D)  To implement measures to prevent occurrences

Question 12

If a person returns from overseas and it is determined that he has cholera,what must occur?

Accepted Answer

A)  This is not a disease that is on the notifiable list: nothing need be reported. 
B)  The case must be reported to the state and local health departments. 
C)  The patient must be isolated immediately. 
D)  The patient will probably die, so it is not reportable. 
A)  This is not a disease that is on the notifiable list: nothing need be reported. 
B)  The case must be reported to the state and local health departments. 
C)  The patient must be isolated immediately. 
D)  The patient will probably die, so it is not reportable.

Question 13

Which source would a nurse use to collect morbidity data?

Accepted Answer

A)  Vital statistics reports 
B)  Birth records 
C)  Death certificates 
D)  Specialized disease registries 
A)  Vital statistics reports 
B)  Birth records 
C)  Death certificates 
D)  Specialized disease registries

Question 14

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 15

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

Question 16

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 17

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 18

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 19

What was the purpose of the CDC creating the first list of standard case definitions for notifiable diseases?

Accepted Answer

A)  Some diseases were under-reported and others were over-reported. 
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 under-reported and others were over-reported. 
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 20

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.What type of case 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

Exam 24: Public Health Surveillance and Outbreak Investigation

Why would a hospital use surveillance?

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

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

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

A large amount of data related to hypertension rates is collected in a community.The data is analyzed.What is the next step in the surveillance process?

A nurse is investigating a potential bioterrorism attack.What evidence would a nurse most likely find if a bioterrorism attack occurred?

The SARS (severe acute respiratory syndrome)outbreak was an epidemic that spread over several countries.By definition,this is considered a:

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

A college student goes to the Student Health Center with an extremely swollen neck.The advanced practice nurse determines that he has mumps.His roommate also is experiencing malaise and a sore throat.These two students by definition are considered a:

What occurs during biological terrorism?

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

If a person returns from overseas and it is determined that he has cholera,what must occur?

Which source would a nurse use to collect morbidity data?

What information is included in a case definition?

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

Which is a feature of public health surveillance?

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

What was the purpose of the 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.What type of case is the nurse investigating?

Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Community Health Nursing

Public Health and Primary Care Systems and Health Care Transformation

Perspectives in Global Health Care

Economics of Health Care Delivery

Application of Ethics in the Community

Cultural Diversity in the Community

Public Health Policy

Population-Based Public Health Nursing Practice: the Intervention Wheel

Environmental Health

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Evidence-Based Practice

Using Health Education and Groups to Promote Health

Promoting Healthy Communities Using Multilevel Participatory Strategies

Community As Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nursing Center: A Model for Nursing Practice in the Community

Case Management

Public Health Nursing and the Disaster Management Cycle

Program Management

Quality Management

Family Development and Family Nursing Assessment

Family Health Risks

Child and Adolescent Health

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

Special Needs Populations

Vulnerability and Vulnerable Populations: an Overview

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco, and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at the Local, State, and National Levels

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