COMMUNITY HEALTH EXAM 2 NCLEX REVIEW QUESTIONS
WITH CORRECT ANSWERS.
Nurses in community health often use epidemiology because in the community it is often
_ _ _ _ _ _ _ _ _ _ _ _ _
difficult to control the environment. Which of the following statements demonstrates an
_ _ _ _ _ _ _ _ _ _ _ _
epidemiologic strategy for monitoring disease trends?
_ _ _ _ _ _
A. A nurse in community health conducts an education class for clients newly
_ _ _ _ _ _ _ _ _ _ _ _
diagnosed with diabetes. _ _
B. A nurse in community health investigates a breakout of whooping cough in a local
_ _ _ _ _ _ _ _ _ _ _ _ _ _
middle school. _
C. A nurse in community health organizes a health fair at the community health
_ _ _ _ _ _ _ _ _ _ _ _ _
center.
D. A nurse in community health participates on a county school board that addresses
_ _ _ _ _ _ _ _ _ _ _ _
student health issues. -- Correct Answer ✔✔ B. A nurse in community health
_ _ _ _ _ _ _ _ _ _ _ _ _ _
investigates a breakout of whooping cough in a local middle school. _ _ _ _ _ _ _ _ _ _
What are the purposes of disease surveillance in public health? (Select all that apply.)
_ _ _ _ _ _ _ _ _ _ _ _ _
A. Tries to identify terrorist attacks before they occur
_ _ _ _ _ _ _
B. Provides a means for nurses to monitor disease trends _ _ _ _ _ _ _ _
C. Generates knowledge about disease or outbreak patterns _ _ _ _ _ _
D. Allows the nurse to advocate for policy changes
_ _ _ _ _ _ _
E. Reduces morbidity and mortality and improves health through disease trend
_ _ _ _ _ _ _ _ _ _
monitoring -- Correct Answer ✔✔ B. Provides a means for nurses to monitor
_ _ _ _ _ _ _ _ _ _ _ _ _
disease trends _
C. Generates knowledge about disease or outbreak patterns
_ _ _ _ _ _ _
E. Reduces morbidity and mortality and improves health through disease trend
_ _ _ _ _ _ _ _ _ _ _
monitoring
A client presents at the local clinic with acute symptoms of fever, nausea, lack of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
appetite, malaise, and abdominal discomfort. During the course of the assessment, the
_ _ _ _ _ _ _ _ _ _ _ _
nurse determines that the client is a health care aide working at a daycare center. These
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
facts are important because:
_ _ _
,_
A. acute hepatitis B is self-limiting.
_ _ _ _
B. hepatitis A outbreaks are common in facilities where staff change diapers.
_ _ _ _ _ _ _ _ _ _
C. hepatitis C is the "silent stalker." _ _ _ _ _
D. persons with chronic liver disease are at greater risk for hepatitis A. -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ B. hepatitis A outbreaks are common in facilities where staff change
_ _ _ _ _ _ _ _ _ _ _ _ _
diapers.
A client diagnosed with human papillomavirus (HPV) states to the nurse, "I'm not
_ _ _ _ _ _ _ _ _ _ _ _ _
concerned; I know the lesions disappear after a while." The nurse should counsel the
_ _ _ _ _ _ _ _ _ _ _ _ _ _
client on which of the following? (Select all that apply.)
_ _ _ _ _ _ _ _ _
A. The link between HPV and cervical cancer
_ _ _ _ _ _ _
B. The fact that HPV is a reportable disease
_ _ _ _ _ _ _ _
C. The removal of warts does not eradicate the virus
_ _ _ _ _ _ _ _ _
D. The serious complications for men
_ _ _ _ _ _
E. The lack of a cure -- Correct Answer ✔✔ A. The link between HPV and
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
cervical cancer _
C. The removal of warts does not eradicate the virus
_ _ _ _ _ _ _ _ _
E. The lack of a cure
_ _ _ _ _
A strategy that may improve compliance with tuberculosis (TB) treatment is the:
_ _ _ _ _ _ _ _ _ _ _
_
A. expansion of directly observed therapy. _ _ _ _
B. increased tuberculosis testing protocols. _ _ _
C. increased confirmatory testing protocols. _ _ _
D. treatment compliance education. -- Correct Answer ✔✔ A. expansion of directly
_ _ _ _ _ _ _ _ _ _ _
observed therapy. _
, A breast cancer screening program screened 8000 women and discovered 35 women
_ _ _ _ _ _ _ _ _ _ _ _
previously diagnosed with breast cancer and 20 women with no history of breast cancer
_ _ _ _ _ _ _ _ _ _ _ _ _ _
diagnosed as a result of the screening. The prevalence proportion would reflect:
_ _ _ _ _ _ _ _ _ _ _
A. current and past breast cancer events in this population of women.
_ _ _ _ _ _ _ _ _ _
B. newly diagnosed cases of breast cancer in this population of women.
_ _ _ _ _ _ _ _ _ _
C. past breast cancer events in this population of women.
_ _ _ _ _ _ _ _
D. the population of women that had no evidence of breast cancer. -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ A. current and past breast cancer events in this population of
_ _ _ _ _ _ _ _ _ _ _ _ _
women.
Clinical medicine and epidemiology differ from each other in the major aspect of:
_ _ _ _ _ _ _ _ _ _ _ _
A. practice focus. _
B. health monitoring. _
C. determinants of health and disease. _ _ _ _
D. evaluation of interventions. -- Correct Answer ✔✔ A. practice focus.
_ _ _ _ _ _ _ _ _
One of the basic concepts in epidemiology is the concept of risk. Risk refers to the:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A. prevalence of an event occurring. _ _ _ _
B. probability that an event will occur within a specified time period.
_ _ _ _ _ _ _ _ _ _
C. population most likely to develop a disease. _ _ _ _ _ _
D. rate of development of new cases. -- Correct Answer ✔✔ B. probability that an
_ _ _ _ _ _ _ _ _ _ _ _ _ _
event will occur within a specified time period.
_ _ _ _ _ _ _
Which of the following tools are used in analytic epidemiology? (select all that apply)
_ _ _ _ _ _ _ _ _ _ _ _ _
A. Cohort study
_ _
B. Case-control study
_ _
C. Cross-sectional study
_ _
D. Clinical trials
_ _
E. Community trials -- Correct Answer ✔✔ A. Cohort study
_ _ _ _ _ _ _ _ _
B. Case-control study
_ _
C. Cross-sectional study
_ _
WITH CORRECT ANSWERS.
Nurses in community health often use epidemiology because in the community it is often
_ _ _ _ _ _ _ _ _ _ _ _ _
difficult to control the environment. Which of the following statements demonstrates an
_ _ _ _ _ _ _ _ _ _ _ _
epidemiologic strategy for monitoring disease trends?
_ _ _ _ _ _
A. A nurse in community health conducts an education class for clients newly
_ _ _ _ _ _ _ _ _ _ _ _
diagnosed with diabetes. _ _
B. A nurse in community health investigates a breakout of whooping cough in a local
_ _ _ _ _ _ _ _ _ _ _ _ _ _
middle school. _
C. A nurse in community health organizes a health fair at the community health
_ _ _ _ _ _ _ _ _ _ _ _ _
center.
D. A nurse in community health participates on a county school board that addresses
_ _ _ _ _ _ _ _ _ _ _ _
student health issues. -- Correct Answer ✔✔ B. A nurse in community health
_ _ _ _ _ _ _ _ _ _ _ _ _ _
investigates a breakout of whooping cough in a local middle school. _ _ _ _ _ _ _ _ _ _
What are the purposes of disease surveillance in public health? (Select all that apply.)
_ _ _ _ _ _ _ _ _ _ _ _ _
A. Tries to identify terrorist attacks before they occur
_ _ _ _ _ _ _
B. Provides a means for nurses to monitor disease trends _ _ _ _ _ _ _ _
C. Generates knowledge about disease or outbreak patterns _ _ _ _ _ _
D. Allows the nurse to advocate for policy changes
_ _ _ _ _ _ _
E. Reduces morbidity and mortality and improves health through disease trend
_ _ _ _ _ _ _ _ _ _
monitoring -- Correct Answer ✔✔ B. Provides a means for nurses to monitor
_ _ _ _ _ _ _ _ _ _ _ _ _
disease trends _
C. Generates knowledge about disease or outbreak patterns
_ _ _ _ _ _ _
E. Reduces morbidity and mortality and improves health through disease trend
_ _ _ _ _ _ _ _ _ _ _
monitoring
A client presents at the local clinic with acute symptoms of fever, nausea, lack of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
appetite, malaise, and abdominal discomfort. During the course of the assessment, the
_ _ _ _ _ _ _ _ _ _ _ _
nurse determines that the client is a health care aide working at a daycare center. These
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
facts are important because:
_ _ _
,_
A. acute hepatitis B is self-limiting.
_ _ _ _
B. hepatitis A outbreaks are common in facilities where staff change diapers.
_ _ _ _ _ _ _ _ _ _
C. hepatitis C is the "silent stalker." _ _ _ _ _
D. persons with chronic liver disease are at greater risk for hepatitis A. -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ B. hepatitis A outbreaks are common in facilities where staff change
_ _ _ _ _ _ _ _ _ _ _ _ _
diapers.
A client diagnosed with human papillomavirus (HPV) states to the nurse, "I'm not
_ _ _ _ _ _ _ _ _ _ _ _ _
concerned; I know the lesions disappear after a while." The nurse should counsel the
_ _ _ _ _ _ _ _ _ _ _ _ _ _
client on which of the following? (Select all that apply.)
_ _ _ _ _ _ _ _ _
A. The link between HPV and cervical cancer
_ _ _ _ _ _ _
B. The fact that HPV is a reportable disease
_ _ _ _ _ _ _ _
C. The removal of warts does not eradicate the virus
_ _ _ _ _ _ _ _ _
D. The serious complications for men
_ _ _ _ _ _
E. The lack of a cure -- Correct Answer ✔✔ A. The link between HPV and
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
cervical cancer _
C. The removal of warts does not eradicate the virus
_ _ _ _ _ _ _ _ _
E. The lack of a cure
_ _ _ _ _
A strategy that may improve compliance with tuberculosis (TB) treatment is the:
_ _ _ _ _ _ _ _ _ _ _
_
A. expansion of directly observed therapy. _ _ _ _
B. increased tuberculosis testing protocols. _ _ _
C. increased confirmatory testing protocols. _ _ _
D. treatment compliance education. -- Correct Answer ✔✔ A. expansion of directly
_ _ _ _ _ _ _ _ _ _ _
observed therapy. _
, A breast cancer screening program screened 8000 women and discovered 35 women
_ _ _ _ _ _ _ _ _ _ _ _
previously diagnosed with breast cancer and 20 women with no history of breast cancer
_ _ _ _ _ _ _ _ _ _ _ _ _ _
diagnosed as a result of the screening. The prevalence proportion would reflect:
_ _ _ _ _ _ _ _ _ _ _
A. current and past breast cancer events in this population of women.
_ _ _ _ _ _ _ _ _ _
B. newly diagnosed cases of breast cancer in this population of women.
_ _ _ _ _ _ _ _ _ _
C. past breast cancer events in this population of women.
_ _ _ _ _ _ _ _
D. the population of women that had no evidence of breast cancer. -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ A. current and past breast cancer events in this population of
_ _ _ _ _ _ _ _ _ _ _ _ _
women.
Clinical medicine and epidemiology differ from each other in the major aspect of:
_ _ _ _ _ _ _ _ _ _ _ _
A. practice focus. _
B. health monitoring. _
C. determinants of health and disease. _ _ _ _
D. evaluation of interventions. -- Correct Answer ✔✔ A. practice focus.
_ _ _ _ _ _ _ _ _
One of the basic concepts in epidemiology is the concept of risk. Risk refers to the:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A. prevalence of an event occurring. _ _ _ _
B. probability that an event will occur within a specified time period.
_ _ _ _ _ _ _ _ _ _
C. population most likely to develop a disease. _ _ _ _ _ _
D. rate of development of new cases. -- Correct Answer ✔✔ B. probability that an
_ _ _ _ _ _ _ _ _ _ _ _ _ _
event will occur within a specified time period.
_ _ _ _ _ _ _
Which of the following tools are used in analytic epidemiology? (select all that apply)
_ _ _ _ _ _ _ _ _ _ _ _ _
A. Cohort study
_ _
B. Case-control study
_ _
C. Cross-sectional study
_ _
D. Clinical trials
_ _
E. Community trials -- Correct Answer ✔✔ A. Cohort study
_ _ _ _ _ _ _ _ _
B. Case-control study
_ _
C. Cross-sectional study
_ _
