NR-503 EPIDEMIOLOGY FINAL QUESTIONS AND
ANSWERS VERIFIED AND REVIEWED
Cultural Awareness - correct answers :Self-examination of one's own prejudices and biases
toward other cultures. An in-depth exploration of one's own cultural/ethnic background.
Cultural competence in nursing consists of four principles. - correct answers Care is designed for
the specific client.
Care is based on the uniqueness of the person's culture and includes cultural norms and values.
Care includes self-employment strategies to facilitate client decision making to improve health
behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the
questions that can be utilized. - correct answers What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
,According to Giger and Davidhizer (2000), although cultures differ, they all have the same basic
organizing factors that must be assessed in order to provide care for culturally diverse patients.
These factors include - correct answers communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
The NCCC uses four major approaches to fulfill its mission, including - correct answers Web-
based technical assistance, (2) knowledge development and dissemination, (3) supporting a
community of learners, and (4) collaboration and partnerships with diverse groups.
Epidemiological Triad: - correct answers host, agent, environment
Genetics - correct answers The study of individual genes and their impact on relatively rare
single gene disorders
Absolute risk - correct answers is the probability of an event, such as illness, injury, or death.
Gives no indication of how its magnitude compares with others
The odds ratio - correct answers closely approximates the relative risk if the disease is rare.
Odds ratio and the relative risk are used - correct answers to assess the strength of association
between risk factor and outcome.
How is Attributible risk used - correct answers is used to make risk-based decisions for
individuals.
,Population-attributable risk measures - correct answers are used to form public health decisions
EGAPP: - correct answers Evaluation of Genomic Applications in Practice and Prevention
GAPPNet - correct answers Genomic Applications in Practice and Prevention Network
(established in 2009) is a collaborative initiative involving partners from across the public health
sector working together to realize the promise of genomics in health care and disease
prevention.
GEDDI - correct answers Genetics Early Disease Detection Intervention project (GEDDI)
(established in 2009) developed a model strategy for using clinical, genetic, and family history
information to reduce the risk of disease, death, and disability in affected individuals, family
members, and populations.
HuGENet - correct answers Human Genome Epidemiology Network (HuGENet) (established in
1998) helps translate genetic research findings into opportunities for preventive medicines and
public health by advancing the synthesis, interpretation, and dissemination of population-based
data on human genetic variation in health and disease. HuGENet reviews are systematic, peer-
reviewed synopses of the epidemiologic aspects of human genes, including prevalence of allelic
variants in different populations, population-based information on disease risk, evidence for
gene-environment interaction and quantitative data on genetic tests and services carried out
according to specific guidelines.
NHANES III - correct answers DC's Office of Public Health Genomics (established in 2002) formed
a multidisciplinary working group with members from across CDC. It developed a proposal to
measure the prevalence of selected genetic variants of public health significance in a
representative sample of the U.S. population and to examine the association between the
selected genetic variants and disease outcomes available in NHANES III data.
The World Health Organization defines a pandemic - correct answers as a global epidemic that
spreads to more than one continent (WHO, 2009). One of the more recent pandemics that you
might be familiar with is the H1N1 influenza outbreak of 2009.
, Outbreak - correct answers the occurrence of disease within persons in excess of what would
normally be expected in a clearly defined community, location, or time of year. An outbreak may
only last for a matter of days or weeks, but may last for years
Quarantine - correct answers the separation and restriction of the movement of people who
were or are exposed to a contagious disease for a set period of time, to see whether they
become ill
Antigenic drift - correct answers is a term describing the changes that occur within virus's
ribonucleic acid that changes the virus. Typically, these changes create seasonal changes or new
strains of a virus
WHO Pandemic Phases - correct answers Phase 1—None of the current viruses circulating in
animals have been reported to cause infection in humans.
Phase 2—An animal-based influenza virus is known to have caused infection in humans and is
considered a potential pandemic threat.
Phase 3—An animal- or human-animal-based virus has caused some clusters of cases in people,
but has not caused human-to-human transmission that is significant enough to cause
community-level outbreaks.
Phase 4—Human-to-human transmission of an animal or human-animal virus is causing
community outbreaks and sustained disease. This is a significant shift in risk and any country
with such an outbreak should consult with WHO.
Phase 5—There is human-to-human spread of the virus in at least two countries. This phase
means that pandemic is imminent and that community action and implementation of planned
mitigation procedures is needed.
Phase 6—This is the pandemic phase, characterized by outbreaks in more than one WHO
defined region in addition to all Phase 5 criteria (WHO, 2009)
Phase 1 - correct answers None of the current viruses circulating in animals have been reported
to cause infection in humans.
ANSWERS VERIFIED AND REVIEWED
Cultural Awareness - correct answers :Self-examination of one's own prejudices and biases
toward other cultures. An in-depth exploration of one's own cultural/ethnic background.
Cultural competence in nursing consists of four principles. - correct answers Care is designed for
the specific client.
Care is based on the uniqueness of the person's culture and includes cultural norms and values.
Care includes self-employment strategies to facilitate client decision making to improve health
behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the
questions that can be utilized. - correct answers What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
,According to Giger and Davidhizer (2000), although cultures differ, they all have the same basic
organizing factors that must be assessed in order to provide care for culturally diverse patients.
These factors include - correct answers communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
The NCCC uses four major approaches to fulfill its mission, including - correct answers Web-
based technical assistance, (2) knowledge development and dissemination, (3) supporting a
community of learners, and (4) collaboration and partnerships with diverse groups.
Epidemiological Triad: - correct answers host, agent, environment
Genetics - correct answers The study of individual genes and their impact on relatively rare
single gene disorders
Absolute risk - correct answers is the probability of an event, such as illness, injury, or death.
Gives no indication of how its magnitude compares with others
The odds ratio - correct answers closely approximates the relative risk if the disease is rare.
Odds ratio and the relative risk are used - correct answers to assess the strength of association
between risk factor and outcome.
How is Attributible risk used - correct answers is used to make risk-based decisions for
individuals.
,Population-attributable risk measures - correct answers are used to form public health decisions
EGAPP: - correct answers Evaluation of Genomic Applications in Practice and Prevention
GAPPNet - correct answers Genomic Applications in Practice and Prevention Network
(established in 2009) is a collaborative initiative involving partners from across the public health
sector working together to realize the promise of genomics in health care and disease
prevention.
GEDDI - correct answers Genetics Early Disease Detection Intervention project (GEDDI)
(established in 2009) developed a model strategy for using clinical, genetic, and family history
information to reduce the risk of disease, death, and disability in affected individuals, family
members, and populations.
HuGENet - correct answers Human Genome Epidemiology Network (HuGENet) (established in
1998) helps translate genetic research findings into opportunities for preventive medicines and
public health by advancing the synthesis, interpretation, and dissemination of population-based
data on human genetic variation in health and disease. HuGENet reviews are systematic, peer-
reviewed synopses of the epidemiologic aspects of human genes, including prevalence of allelic
variants in different populations, population-based information on disease risk, evidence for
gene-environment interaction and quantitative data on genetic tests and services carried out
according to specific guidelines.
NHANES III - correct answers DC's Office of Public Health Genomics (established in 2002) formed
a multidisciplinary working group with members from across CDC. It developed a proposal to
measure the prevalence of selected genetic variants of public health significance in a
representative sample of the U.S. population and to examine the association between the
selected genetic variants and disease outcomes available in NHANES III data.
The World Health Organization defines a pandemic - correct answers as a global epidemic that
spreads to more than one continent (WHO, 2009). One of the more recent pandemics that you
might be familiar with is the H1N1 influenza outbreak of 2009.
, Outbreak - correct answers the occurrence of disease within persons in excess of what would
normally be expected in a clearly defined community, location, or time of year. An outbreak may
only last for a matter of days or weeks, but may last for years
Quarantine - correct answers the separation and restriction of the movement of people who
were or are exposed to a contagious disease for a set period of time, to see whether they
become ill
Antigenic drift - correct answers is a term describing the changes that occur within virus's
ribonucleic acid that changes the virus. Typically, these changes create seasonal changes or new
strains of a virus
WHO Pandemic Phases - correct answers Phase 1—None of the current viruses circulating in
animals have been reported to cause infection in humans.
Phase 2—An animal-based influenza virus is known to have caused infection in humans and is
considered a potential pandemic threat.
Phase 3—An animal- or human-animal-based virus has caused some clusters of cases in people,
but has not caused human-to-human transmission that is significant enough to cause
community-level outbreaks.
Phase 4—Human-to-human transmission of an animal or human-animal virus is causing
community outbreaks and sustained disease. This is a significant shift in risk and any country
with such an outbreak should consult with WHO.
Phase 5—There is human-to-human spread of the virus in at least two countries. This phase
means that pandemic is imminent and that community action and implementation of planned
mitigation procedures is needed.
Phase 6—This is the pandemic phase, characterized by outbreaks in more than one WHO
defined region in addition to all Phase 5 criteria (WHO, 2009)
Phase 1 - correct answers None of the current viruses circulating in animals have been reported
to cause infection in humans.
