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Exam (elaborations)

NR 442 - Exam 1, community health exam 1 Questions with Verified Answers (Correct Update)

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NR 442 - Exam 1, community health exam 1 Questions with Verified Answers (Correct Update)

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NR 442 - Exam 1, community health exam 1 Questions with
Verified Answers (Correct Update)
Question 1: Community

Answer: - a group of people who share something in common and interact with one another, who may
exhibit a commitment with one another and may share a geographic boundary
- PRIMARY FOCUS OF COMMUNITY HEALTH

Question 2: Public Health Intervention Wheel: Levels of Practice

Answer: - Community
- Individual
- System

Question 3: System/group Level of Practice Example

Answer: community health nurse working with the state health department and federal vaccine program
to coordinate a response to an outbreak of measles in a migrant population.

Question 4: Community/Population Level of Practice Example

Answer: public health nurses working with area high schools to give each student a profile of his or her
health to promote nutritional and physical activity lifestyle changes to improve the student's health.

Question 5: Individual Level of Practice Example

Answer: nurse receives a referral to care for an individual with a diagnosed mental illness who would
require regular monitoring of his medication compliance to prevent rehospitalization

Question 6: Core Functions of Public Health

Answer: - assessment
- policy development
- assurance of availability

Question 7: Primary Prevention

Answer: - prevention of problem before it occurs
- immunization

Question 8: Secondary Prevention

Answer: - early detection and intervention
- screening for an STD
- for diseases that can be controlled




Page 1

,Question 9: Tertiary Prevention

Answer: - correction and prevention of deterioration of a disease state
- teaching insulin administration at home

Question 10: What is the main focus of Public Health?

Answer: PREVENTION

Question 11: What is the main focus of Medicine?

Answer: disease management and diagnosis

Question 12: Childhood Obesity

Answer: - focus on a healthier lifestyle
- reduce the rate the childhood obesity
- education

Question 13: What causes more than half of Premature Deaths?

Answer: behavior and environment reasons

Question 14: What has the greatest influence on Community Health?

Answer: behavioral choices

Question 15: What are the 3 elements of the Epidemiology Triangle?

Answer: - agent - host - environment

Question 16: Epidemiology Triangle

Answer: - depends on the extent of the host's exposure to an agent, the strength or virulence of the agent,
and the host's genetic or immunological susceptibility.
- also depends on the environmental conditions existing at the time of exposure

Question 17: Web of Causation

Answer: illustrates the complexity of relationships among causal variables

Question 18: Incidence Rate

Answer: describe the occurrence of new cases of a disease or condition in a community over a period of
time relative to the size of the population at risk for that disease or condition during that same time
period.




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, Question 19: Prevalence Rate

Answer: the number of all cases of a specific disease or condition in a population at a given point in time
relative to the population at the same point in time

Question 20: Endemic

Answer: Diseases that are always present in a population (e.g., colds and pneumonia)

Question 21: Epidemic

Answer: Diseases that are not always present in a population but flare up on occasion
(e.g., diphtheria and measles)

Question 22: Pandemic

Answer: The existence of disease in a large proportion of the population: a global epidemic (e.g., human
immunodeficiency virus, acquired immunodeficiency syndrome, and annual outbreaks of influenza type
A)

Question 23: Chronic vs Acute (prevalence)

Answer: chronic always has a higher prevalence than acute disease

Question 24: Passive Immunity

Answer: - natural contact with antibody
- hep a --) immunoglobin
- through blood or plasma EXAMPLE: Infant born with temporary antibodies to measles. Temporary or
through colostrum and breast milk

Question 25: Active Immunity

Answer: - Natural contact and infection with the antigen
- acquiring measles

Question 26: Leading Cause of Preventable Death

Answer: - smoking
- alcohol
- lifestyle choices

Question 27: Herd Immunity

Answer: those not immune to an infectious agent are protected if a certain proportion of the population
has been vaccinated or is otherwise immune




Page 3

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