Question 1

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 B

Question 2

A nurse is investigating a potential bioterrorism attack.Which of the following evidence would a nurse 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 D

Question 3

A nurse is conducting disease surveillance.Which of the following describes the rationale for this action?

Accepted Answer

A)  To eradicate a disease before it starts 
B)  To establish a baseline rate of disease occurrence and patterns of spread 
C)  To target populations for triage 
D)  To reduce the incidence of heart disease in a community 
A)  To eradicate a disease before it starts 
B)  To establish a baseline rate of disease occurrence and patterns of spread 
C)  To target populations for triage 
D)  To reduce the incidence of heart disease in a community B

Question 4

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 5

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

Accepted Answer

A)  The ability to identify appropriate data sources 
B)  The ability to communicate effectively using written reports 
C)  The ability to collaborate with community agencies 
D)  The ability to create a budget 
E)  The ability to interpret laboratory findings 
A)  The ability to identify appropriate data sources 
B)  The ability to communicate effectively using written reports 
C)  The ability to collaborate with community agencies 
D)  The ability to create a budget 
E)  The ability to interpret laboratory findings

Question 6

A person has returned from overseas and it is determined that he has Q fever.Which of the following 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 7

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

Question 8

A nurse is collecting morbidity data.Which of the following would be the source that the nurse would use?

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 9

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

Accepted Answer

A)  Enhance the knowledge of the nurse working in public health 
B)  Control and prevent disease or death 
C)  Identify factors that contribute to the disease outbreak/event occurrence 
D)  Implement measures to prevent occurrences 
E)  Participate in the core functions of public health 
A)  Enhance the knowledge of the nurse working in public health 
B)  Control and prevent disease or death 
C)  Identify factors that contribute to the disease outbreak/event occurrence 
D)  Implement measures to prevent occurrences 
E)  Participate in the core functions of public health

Question 10

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 11

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 12

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 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 13

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

Accepted Answer

A)  Uses 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)  Does nothing with the information 
A)  Uses 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)  Does nothing with the information

Question 14

A nurse is applying the Minnesota Model of Public Health Interventions: Applications for Public Health Nursing Practice steps of surveillance.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 15

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 16

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 17

A large amount of data related to hypertension rates is collected in a community.The data is analyzed.Which of the following describes 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 18

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 19

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 20

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.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

Exam 24: Public Health Surveillance and Outbreak Investigation

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

A nurse is investigating a potential bioterrorism attack.Which of the following evidence would a nurse find if a bioterrorism attack occurred?

A nurse is conducting disease surveillance.Which of the following describes the rationale for this action?

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?

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

A person has returned from overseas and it is determined that he has Q fever.Which of the following must occur?

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

A nurse is collecting morbidity data.Which of the following would be the source that the nurse would use?

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

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

What information is included in a case definition?

What occurs during biological terrorism?

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

A nurse is applying the Minnesota Model of Public Health Interventions: Applications for Public Health Nursing Practice steps of surveillance.Which of the following describes the initial action that the nurse would take?

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?

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

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

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

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.Which of the following defines these two students?

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

Infectious Disease Prevention and Control

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

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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