NURS 3600: Final Questions With Complete Solutions
Define concepts of disasters Correct Answer 1. Natural:
earthquakes, floods, epidemics
2. Human-made: water issue, terrorism (Chemical, Biological,
Radiological, Nuclear, Explosive), transportation
3. NA-TECH: combo of natural and technological
4. Multiple casualty incident: >2, <100
5. Mass casualty incident: 100 or greater
Difference between community vs population assessment
Correct Answer Community assess: comprehensive assessment
that covers entire city/community
Population assess: focuses on a specific population and looks for
gaps in services to target
*New services should target gaps; no dupes of services*
Difference between developed and developing countries
Correct Answer Developed: economy stable, less child
mortality and high gross national income
Developing: doesn't have the traits above
-May be resource limited: lack of personnel and infrastructure,
mistrust between public and authorities, difference in
communication systems
Difference between exposed, latent, and active TB Correct
Answer -Exposed: no infection or disease with TST being 0
mm
,-LTBI (infection with no disease): +TST, asymptomatic, CXR,
no need for culture, not communicable
-Active TB: +TST sx, CXR, *+sputum/culture, communicable*
Difference between prevalence and incidence? Correct Answer
Prevalence: measures chronic illness in a population that's
always present during a period of time; helps plan for health
services, resources, and facilities
Incidence: measures new illness in a population; provides
assessment about the status of, and the risk associated with,
particular disease
Difference between validity of screening tests? Correct Answer
1. Sensitivity: ability of the test to identify persons who have the
disease (true positive); it will find the smallest indication of the
disease, there'll be no cases that are inaccurately identified as
negative
2. Specificity: ability of the test to identify persons who don't
have the disease (true negative); it will ignore almost anything
except the potential examples of the disease
*Confirmation is always next step after screening*
Disease issue: malnutrition Correct Answer Impact:
-2.3 million deaths/year
-Poor cognitive and educational outcomes
-Growth stunt
-GDP lower
First 1,000 days campaign: supplements, breastfeeding, early
childhood stimulation, improved farming techniques
, Disease issues: diarrheal disease tx Correct Answer
Contaminated water
-ST: filter and disinfect water source
-LT: community wells or connected to city water
Malnutrition
-Nutrient rich foods and treating infections
ORT: *mixture of salt and sugar in clean water; don't regularly
use sports drinks as its high concentration of sugar can make
diarrhea worse*
Disease issues: Ebola Epidemic Correct Answer -West Africa
and CDC partnered together to use case-finding and contact
tracing in three countries
-Quarantined contacts: someone without symptoms of disease
whose been in contact with a person with the disease. Person is
quarantined for a period of time until it's clear that they haven't
developed the disease
-Isolated cases: confirmed case
-Partnership strengthened surveillence
-Conducted epi-analysis
Disease issues: Zika Correct Answer -Region of Brazil
outbreak attributed to Zika
-In Oct 2015, >4000 cases of microcephaly linked to pregnant
women with Zika rash
-First time a mosquito transmitted infection known to cause
congenital malformations
-can be transmitted sexually
Define concepts of disasters Correct Answer 1. Natural:
earthquakes, floods, epidemics
2. Human-made: water issue, terrorism (Chemical, Biological,
Radiological, Nuclear, Explosive), transportation
3. NA-TECH: combo of natural and technological
4. Multiple casualty incident: >2, <100
5. Mass casualty incident: 100 or greater
Difference between community vs population assessment
Correct Answer Community assess: comprehensive assessment
that covers entire city/community
Population assess: focuses on a specific population and looks for
gaps in services to target
*New services should target gaps; no dupes of services*
Difference between developed and developing countries
Correct Answer Developed: economy stable, less child
mortality and high gross national income
Developing: doesn't have the traits above
-May be resource limited: lack of personnel and infrastructure,
mistrust between public and authorities, difference in
communication systems
Difference between exposed, latent, and active TB Correct
Answer -Exposed: no infection or disease with TST being 0
mm
,-LTBI (infection with no disease): +TST, asymptomatic, CXR,
no need for culture, not communicable
-Active TB: +TST sx, CXR, *+sputum/culture, communicable*
Difference between prevalence and incidence? Correct Answer
Prevalence: measures chronic illness in a population that's
always present during a period of time; helps plan for health
services, resources, and facilities
Incidence: measures new illness in a population; provides
assessment about the status of, and the risk associated with,
particular disease
Difference between validity of screening tests? Correct Answer
1. Sensitivity: ability of the test to identify persons who have the
disease (true positive); it will find the smallest indication of the
disease, there'll be no cases that are inaccurately identified as
negative
2. Specificity: ability of the test to identify persons who don't
have the disease (true negative); it will ignore almost anything
except the potential examples of the disease
*Confirmation is always next step after screening*
Disease issue: malnutrition Correct Answer Impact:
-2.3 million deaths/year
-Poor cognitive and educational outcomes
-Growth stunt
-GDP lower
First 1,000 days campaign: supplements, breastfeeding, early
childhood stimulation, improved farming techniques
, Disease issues: diarrheal disease tx Correct Answer
Contaminated water
-ST: filter and disinfect water source
-LT: community wells or connected to city water
Malnutrition
-Nutrient rich foods and treating infections
ORT: *mixture of salt and sugar in clean water; don't regularly
use sports drinks as its high concentration of sugar can make
diarrhea worse*
Disease issues: Ebola Epidemic Correct Answer -West Africa
and CDC partnered together to use case-finding and contact
tracing in three countries
-Quarantined contacts: someone without symptoms of disease
whose been in contact with a person with the disease. Person is
quarantined for a period of time until it's clear that they haven't
developed the disease
-Isolated cases: confirmed case
-Partnership strengthened surveillence
-Conducted epi-analysis
Disease issues: Zika Correct Answer -Region of Brazil
outbreak attributed to Zika
-In Oct 2015, >4000 cases of microcephaly linked to pregnant
women with Zika rash
-First time a mosquito transmitted infection known to cause
congenital malformations
-can be transmitted sexually
