Mason Policy & Politics in Nursing and Health Care, 8th Edition
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Chapter 01: Introduction iv iv
MULTIPLE CHOICE iv
1. Which of the following is an example of tertiary prevention?
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a. Vaccination for rotavirus for children younger than the age of 1 yeariv iv iv iv iv iv iv iv iv iv iv
b. Surgical amputation of an extremity with osteosarcoma (bone cancer)
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c. Screening for gestational diabetes after 24 weeks of pregnancy
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d. Sexual education program in elementary schools
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e. Increasing taxes for buying cigarettes iv iv iv iv
iv ANS: B iv
Surgical amputation of an extremity with osteosarcoma (bone cancer) is an example in
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which when a disease is present the treatment (amputation) is done to reduce the impact
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of disease by preventing the tumor from dissemination. Vaccination for rotavirus for
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children younger than the age of 1 year, sexual education program in elementary schools,
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and increasing taxes for buying cigarettes represent examples of primary prevention.
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Screening for gestational diabetes after 24 weeks of pregnancy is an example of
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secondary prevention.
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2. This historic character observed that childbed fever mortality was more common
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among women treated by physicians and medical students compared with women
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treated by midwives. Based on his observations, he implemented a hand wash policy
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that resulted in a decrease in mortality. Name the character that we are talking about.
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a. John Snow iv
b. Edward Jenner iv
c. D.A. Henderson iv
d. Leon Gordis iv
e. Ignaz Semmelweis iv
iv ANS: E iv
Ignaz Semmelweis identified that medical students and physicians transmitted the disease
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by not washing their hands after examining bodies at autopsies and conducting multiple
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examinations in the clinic.
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3. Thanks to the contributions of Edward Jenner, the following disease was eradicated
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later by efforts organized by D.A. Henderson:
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a. Cholera
b. Smallpox
c. Chickenpox
d. Polio
e. Zika
,Test Bank iv 1-2
ANS: B iv
Smallpox was eradicated in 1980. Edward Jenner vaccinated James Phipps in 1796
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against smallpox. Almost 200 years later, the World Health Organization (WHO)
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commissioned
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D.A. Henderson to lead the efforts to eradicate the disease.
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4. Over the past century, a marked decline in the mortality rates of many infectious
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diseases has been observed. Which of the following is the most likely reason for the
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observed decline in mortality rates from common infectious diseases?
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a. Development of penicillin iv iv
b. Development of insulin iv iv
c. Development of vaccines iv iv
d. Improvement in social conditions iv iv iv
e. Worse sanitation and unsafe water iv iv iv iv
iv ANS: D iv
Although medical treatments potentially helped in the decrease of infectious diseases,
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the advancement in social conditions played a major role. These improvements include
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better sanitation, safe disposal of waste, better nutrition, and improvement in housing
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conditions.
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Chapter 02: The Dynamics of Disease Transmission
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Test Bank iv
iv MULTIPLE
CHOICE
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1. Which term most accurately describes the following definition? “The occurrence in a
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community or region of cases of an illness, specific health-related behavior, or other
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health- related events clearly in excess of normal expectancy.” [Porta M, ed. A
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Dictionary of Epidemiology. New York: Oxford University Press; 2014.]
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a. Endemic
b. Epidemic
c. Pandemic
d. Attack rate iv
e. Incubation period iv
iv ANS: B iv
An epidemic is the occurrence of health-related events in a community or region, in clear
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excess of normal expectation. Endemic is not true because it is defined as the constant
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occurrence of a disease, disorder, or noxious infectious agent in a geographic area or
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Copyright © 2020 by Elsevier, Inc. All rights
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reserved.
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, Test Bank iv 1-3
population group. Pandemic is not true because it is defined as an epidemic occurring over
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a very wide area, crossing international boundaries, and usually affecting a large number
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of
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Copyright © 2020 by Elsevier, Inc. All rights
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reserved.
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