Question 1

The most common vector-borne disease in the United States is:

Accepted Answer

A)  malaria. 
B)  yellow fever. 
C)  Lyme disease. 
D)  Rocky Mountain spotted fever. 
A)  malaria. 
B)  yellow fever. 
C)  Lyme disease. 
D)  Rocky Mountain spotted fever. C

Question 2

A nurse is presenting information to the county health department about potential bioterrorism threats.Which of the following agents would the nurse discuss in this presentation?

Accepted Answer

A)  Smallpox 
B)  West Nile Virus 
C)  Severe acute respiratory syndrome (SARS) 
D)  Novel influenza A (H1N1) 
A)  Smallpox 
B)  West Nile Virus 
C)  Severe acute respiratory syndrome (SARS) 
D)  Novel influenza A (H1N1) A

Question 3

A PHN would like to increase the immunization coverage of infants and toddlers.Which of the following strategies would be appropriate for the nurse to use?

Accepted Answer

A)  Read the Mortality and Morbidity Weekly Report to learn about vaccinations 
B)  Require that children have all their immunizations before going to public school 
C)  Track children known to be at risk for underimmunization 
D)  Lead teams of health care workers to enforce laws related to immunizations 
A)  Read the Mortality and Morbidity Weekly Report to learn about vaccinations 
B)  Require that children have all their immunizations before going to public school 
C)  Track children known to be at risk for underimmunization 
D)  Lead teams of health care workers to enforce laws related to immunizations C

Question 4

Immunity is a characteristic of the:

Accepted Answer

A)  agent factor. 
B)  host factor. 
C)  environmental factor. 
D)  epidemiologic triad. 
A)  agent factor. 
B)  host factor. 
C)  environmental factor. 
D)  epidemiologic triad.

Question 5

Food intoxication is caused by:

Accepted Answer

A)  toxins produced by bacterial growth and chemical contaminants. 
B)  bacterial, viral, or parasitic invasion of food. 
C)  overcooking of meat and produce. 
D)  adding too many spices or ingredients to food. 
A)  toxins produced by bacterial growth and chemical contaminants. 
B)  bacterial, viral, or parasitic invasion of food. 
C)  overcooking of meat and produce. 
D)  adding too many spices or ingredients to food.

Question 6

One case of smallpox occurs in a population in which it was considered to be previously eliminated.Which of the following best describes what has occurred?

Accepted Answer

A)  Endemic 
B)  Epidemic 
C)  Pandemic 
D)  Infectivity 
A)  Endemic 
B)  Epidemic 
C)  Pandemic 
D)  Infectivity

Question 7

A nurse is providing information to a local newspaper about the presence of infectious diseases in the United States.Which of the following statements by the nurse is accurate?

Accepted Answer

A)  "It is the goal of the WHO to prevent the transmission of the plague by avoiding direct contact with inflicted individuals." 
B)  "Rabies is easily spread by contact with animals." 
C)  "The United States is a certified polio free country." 
D)  "The onset of tularemia is characterized by a distinct skin lesion often called a bull's-eye lesion." 
A)  "It is the goal of the WHO to prevent the transmission of the plague by avoiding direct contact with inflicted individuals." 
B)  "Rabies is easily spread by contact with animals." 
C)  "The United States is a certified polio free country." 
D)  "The onset of tularemia is characterized by a distinct skin lesion often called a bull's-eye lesion."

Question 8

The ability of an agent to produce a severe pathologic reaction is known as:

Accepted Answer

A)  antigenicity. 
B)  invasiveness. 
C)  toxicity. 
D)  virulence. 
A)  antigenicity. 
B)  invasiveness. 
C)  toxicity. 
D)  virulence.

Question 9

A community health nurse investigates an outbreak of pinworm at a local day care center.In order to minimize the spread of infection,which of the following suggestions would the nurse provide to the day care workers?

Accepted Answer

A)  Close the day care until all surfaces are cleaned. 
B)  No action is necessary because it is easily treated with oral vermicides. 
C)  Using good hand washing is important to prevent the transmission. 
D)  Every child in the day care should be treated because they all are probably infected. 
A)  Close the day care until all surfaces are cleaned. 
B)  No action is necessary because it is easily treated with oral vermicides. 
C)  Using good hand washing is important to prevent the transmission. 
D)  Every child in the day care should be treated because they all are probably infected.

Question 10

A nurse is caring for a client who has been diagnosed with West Nile Virus.Which of the following types of illness does the client have?

Accepted Answer

A)  Food-borne 
B)  Vector-borne 
C)  Water-borne 
D)  Zoonoses 
A)  Food-borne 
B)  Vector-borne 
C)  Water-borne 
D)  Zoonoses

Question 11

A nurse is teaching members of the community about vertical transmission of a disease.Which of the following would the nurse most likely discuss?

Accepted Answer

A)  Transmission through breast milk 
B)  Transmission through sexual contact 
C)  Transmission from mosquito bites 
D)  Transmission through contaminated food 
A)  Transmission through breast milk 
B)  Transmission through sexual contact 
C)  Transmission from mosquito bites 
D)  Transmission through contaminated food

Question 12

A nurse is discussing the role of a vector in the spread of disease.Which of the following is the nurse most likely referring to?

Accepted Answer

A)  Contaminated water 
B)  A tick 
C)  A dirty needle 
D)  An infected person 
A)  Contaminated water 
B)  A tick 
C)  A dirty needle 
D)  An infected person

Question 13

The nurse provides footwear and gloves to leprosy clients to prevent trauma to their insensitive and deformed hands and feet.Which of the following best describes the intervention used by the nurse?

Accepted Answer

A)  Primary level of prevention 
B)  Secondary level of prevention 
C)  Tertiary level of prevention 
D)  Primary health care 
A)  Primary level of prevention 
B)  Secondary level of prevention 
C)  Tertiary level of prevention 
D)  Primary health care

Question 14

A public health nurse (PHN)understands that the emergence of new infectious diseases is influenced by the:

Accepted Answer

A)  increased availability of immunizations. 
B)  globalization of food supplies. 
C)  decreased use of child care facilities. 
D)  creation of sanitation systems in third world countries. 
A)  increased availability of immunizations. 
B)  globalization of food supplies. 
C)  decreased use of child care facilities. 
D)  creation of sanitation systems in third world countries.

Question 15

A nurse promotes the use of universal precautions by all health care workers.Which of the following best describes the action that was taken by the nurse?

Accepted Answer

A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Health care-associated infection 
A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Health care-associated infection

Question 16

A nurse administers a rabies immunization post-exposure to an animal bite.Considering the interventions used with infectious disease,which of the following levels of prevention is being used?

Accepted Answer

A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Assessment 
A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Assessment

Question 17

Which elements of surveillance does a nurse use? (Select all that apply.)

Accepted Answer

A)  Mortality registration 
B)  Epidemic field investigation 
C)  Laboratory reporting 
D)  Individual case investigation 
E)  Application of research 
A)  Mortality registration 
B)  Epidemic field investigation 
C)  Laboratory reporting 
D)  Individual case investigation 
E)  Application of research

Question 18

Requirements for disease reporting in the United States are mandated by:

Accepted Answer

A)  the Centers for Disease Control and Prevention (CD
C) . 
B)  federal laws. 
C)  state laws and regulations. 
D)  the World Health Organization (WHO). 
A)  the Centers for Disease Control and Prevention (CD
C) . 
B)  federal laws. 
C)  state laws and regulations. 
D)  the World Health Organization (WHO).

Question 19

A nurse is investigating the role of the agent in the cause of an illness.Which of the following best describes what the nurse is examining?

Accepted Answer

A)  Host resilience 
B)  Virus 
C)  Infectiousness 
D)  Bug bite 
A)  Host resilience 
B)  Virus 
C)  Infectiousness 
D)  Bug bite

Question 20

A nurse is caring for a client who has been diagnosed with a parasitic infection.Which of the following information should the nurse know when caring for this client?

Accepted Answer

A)  The medication to prescribe to treat these infections 
B)  The nature and symptoms of all parasitic illnesses 
C)  What specimens to collect and how and when to collect them 
D)  Public policy about parasitic infections 
A)  The medication to prescribe to treat these infections 
B)  The nature and symptoms of all parasitic illnesses 
C)  What specimens to collect and how and when to collect them 
D)  Public policy about parasitic infections

Exam 13: Infectious Disease Prevention and Control

The most common vector-borne disease in the United States is:

A nurse is presenting information to the county health department about potential bioterrorism threats.Which of the following agents would the nurse discuss in this presentation?

A PHN would like to increase the immunization coverage of infants and toddlers.Which of the following strategies would be appropriate for the nurse to use?

Immunity is a characteristic of the:

Food intoxication is caused by:

One case of smallpox occurs in a population in which it was considered to be previously eliminated.Which of the following best describes what has occurred?

A nurse is providing information to a local newspaper about the presence of infectious diseases in the United States.Which of the following statements by the nurse is accurate?

The ability of an agent to produce a severe pathologic reaction is known as:

A community health nurse investigates an outbreak of pinworm at a local day care center.In order to minimize the spread of infection,which of the following suggestions would the nurse provide to the day care workers?

A nurse is caring for a client who has been diagnosed with West Nile Virus.Which of the following types of illness does the client have?

A nurse is teaching members of the community about vertical transmission of a disease.Which of the following would the nurse most likely discuss?

A nurse is discussing the role of a vector in the spread of disease.Which of the following is the nurse most likely referring to?

The nurse provides footwear and gloves to leprosy clients to prevent trauma to their insensitive and deformed hands and feet.Which of the following best describes the intervention used by the nurse?

A public health nurse (PHN)understands that the emergence of new infectious diseases is influenced by the:

A nurse promotes the use of universal precautions by all health care workers.Which of the following best describes the action that was taken by the nurse?

A nurse administers a rabies immunization post-exposure to an animal bite.Considering the interventions used with infectious disease,which of the following levels of prevention is being used?

Which elements of surveillance does a nurse use? (Select all that apply.)

Requirements for disease reporting in the United States are mandated by:

A nurse is investigating the role of the agent in the cause of an illness.Which of the following best describes what the nurse is examining?

A nurse is caring for a client who has been diagnosed with a parasitic infection.Which of the following information should the nurse know when caring for this client?

Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Public and Community Health Nursing

The Changing U.S.Health and Public Health Care Systems

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

Communicable and Infectious Disease Risks

Evidence-Based Practice

Changing Health Behavior Using Health Education with Individuals, Families, and Groups

Building a Culture of Health through Community Health Promotion

Community as Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nurse-led Health Center: A Model for Community Nursing Practice

Case Management

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Working with Families in the Community for Healthy Outcomes

Family Health Risks

Child and Adolescent Health

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

Disability Health Care Across the Life Span

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, Palliative Care, 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 Local, State, and National Levels

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