Question 1

What is the key to controlling the number of people that become infected with an organism?

Accepted Answer

A)   Preventing the transmission of communicable diseases
B)   Timely screening for communicable diseases
C)   Effectively treating communicable diseases
D)   Recognizing the signs and symptoms of communicable diseases A

Question 2

When must community health nurses complete notifiable disease reports?

Accepted Answer

A)   For a fixed list of communicable diseases determined by the WHO
B)   For all communicable diseases in their community
C)   For communicable diseases mandated by the federal level
D)   For specific communicable diseases that must be reported to local health officials D

Question 3

A Community Health Nurse is engaged in contact tracing. What three main points would he need to consider when identifying contacts?

Accepted Answer

-The mode of transmission
-The incubation period
-The infectious period of the particular disease

Question 4

Judy is a nurse responsible for managing an outbreak of hepatitis A in a day camp. Outline the steps she would take to manage the outbreak

Accepted Answer

The answer of Judy is a nurse responsible for managing...

Question 5

William is a Grade 9 student in British Coloumbia. The nurse has determined that William is up to date on his childhood. What vaccines will William receive today from the nurse?

Accepted Answer

A)   Varicella (Var) , haemophilus influenza type b, and hepatitis B (H
B)  
B)   Diptheria, tetanus, pertussis, and polio (DTaP-IPV) 
C)   Diptheria, tetanus, polio, and haemophilus influenza type b (Hib) 
D)   meningococcal Conjugate (Strains A, C, Y, W135)

Question 6

What does it mean if invasive meningococcal disease (IMD) is endemic?

Accepted Answer

A)   There is a steady presence of the disease in a defined geographic area or population group
B)   The new cases of the disease exceed the normal occurrence during a given period of time
C)   The occurrence of the disease is higher than what would be expected normally
D)   The disease spreads and affects a large number of populations worldwide

Question 7

Which term is used to describe the collection of data utilizing screening tools, interviews, and sentinel systems to identify disease occurrence in the community when individuals present with suggestive symptoms?

Accepted Answer

A)   Active surveillance
B)   Contact tracing
C)   Notifiable disease list
D)   Passive screening

Question 8

What was the most likely causes of death in the 1900s?

Accepted Answer

A)   Influenza
B)   Heart disease
C)   Bubonic plague
D)   Diarrhea

Question 9

What is an example of a nursing activity that will provide passive immunity to the client?

Accepted Answer

A)   Provide a seasonal influenza vaccine
B)   Administer hepatitis B immune globulin (HBIG) 
C)   Give the mumps, measles, and rubella (MMR)  immunization
D)   Facilitate the administration of a one-time chemoprophylaxis agent to a vulnerable host

Question 10

After 2003, SARS was added to the list of diseases that people can be quarantined for in Canada. What does it mean to be quarantined?

Accepted Answer

A)   Restriction of a well person who has been exposed to an infectious agent
B)   The time that a person is able to spread the disease over a two-week period
C)   Separation of an infectious person for a period of time to reduce the transmission of disease
D)   A specific time period that the communicable disease can be transmitted

Question 11

How long have communicable diseases been identified as a part of human life?

Accepted Answer

A)   From the early 13th century
B)   Since the mid-1800s
C)   As long as people have lived in cities
D)   As long as history has been recorded

Question 12

Which diseases would require a nurse in Canada to complete a notifiable disease report?

Accepted Answer

A)   Chickenpox, pediculosis, scarlet fever, smallpox
B)   AIDS, measles, pertussis, tuberculosis
C)   Chlamydia, hepatitis B, rhinovirus, smallpox
D)   Botulism, hantavirus, mumps, roseola

Question 13

At a public health travel clinic, Jasper states that he will be going to work in a developing country. Which waterborne communicable diseases does Jasper need to be vaccinated against?

Accepted Answer

A)   Yellow fever and malaria
B)   Rabies and rubella
C)   Hepatitis A and B
D)   Cholera and typhoid

Question 14

What is Direct Observed Therapy (DOT) and why is this method used in the community setting?

Accepted Answer

The answer of What is Direct Observed Therapy (DOT) and...

Question 15

Which population is at a higher risk for transmitting drug-resistant infections to others?

Accepted Answer

A)   Inmates
B)   Elderly admitted to hospital
C)   School-aged children
D)   People with prolonged illnesses

Question 16

A nurse is planning a primary prevention measure for the school-aged population against a communicable disease. What strategy best fits this goal?

Accepted Answer

A)   Case finding children who may have been exposed to a teacher with hepatitis A
B)   Counselling families about ways to treat head lice
C)   Working toward achieving high immunization rates for hepatitis B
D)   Administering tuberculosis (T
B)   medications to children with the disease

Question 17

A nurse is screening clients at a local health centre for tuberculosis after a recent outbreak in Vancouver. Which client response would constitute an immediate quarantine and notification of the local public health department?

Accepted Answer

A)   Has travelled within the last 10 days to Ontario and has nausea and vomiting
B)   Has been in contact with a health care worker from Vancouver and has a chronic gastrointestinal upset
C)   Has been in contact with a person with active tuberculosis in the last 5 weeks
D)   Has not travelled to an area of tuberculosis in the last 10 days but has a temperature of 37.5°C

Question 18

A public health nurse has identified a client who has had contact with an infectious individual who has been diagnosed with active tuberculosis. What term is used to describe the amount of time the client has spent with the infectious individual?

Accepted Answer

A)   Incubation period
B)   Degree of exposure
C)   Mode of transmission
D)   Control measure

Question 19

The public health department has been alerted to a potential outbreak of hepatitis A after eight people who attended a wedding in Mexico have tested positive for the hepatitis A IgM. The public health nurse is now involved in contact tracing. The nurse is interviewing the infected individuals regarding contacts they were exposed to during the incubation of the disease. What is the most likely mode of transmission of the pathogen in this scenario?

Accepted Answer

A)   Drinking water contaminated with the bacteria
B)   Ingestion of non-cooked food contaminated by infectious food handlers
C)   Direct contact with respiratory droplets from nose or throat of the infected person
D)   The bite of an infected mosquito

Question 20

What is a nurse today likely to encounter while working with clients with tuberculosis (TB)?

Accepted Answer

A)   Increased compliance with chemoprophylaxis
B)   Healthy young adults with the disease
C)   Multi-drug-resistant strains
D)   Easily cured infection with antibiotics

Exam 12: Communicable Diseases