1. A nurse is using analytic epidemiology when conducting a research project.
Which of the following projects is the nurse most likely completing?
a. Reviewing communicable disease statistics
b. Determining factors contributing to childhood obesity
c. Analyzing locations where family violence is increasing
d. Documenting population characteristics for healthy older citizens: <answer> B
Epidemiology refers not only to infectious epidemics but also to other health-
related events. The goal of analytic epidemiology is to discover the determinants
of out- comes—the how and the why. Analytic epidemiology looks at the etiology
(origins or causes) of disease. It discusses the disease in terms of how and why.
Descriptive epidemiology considers health outcomes in terms of what, who,
where, and when. It discusses a disease in terms of person, place, and time.
2. A nurse is employed as a nurse epidemiologist. Which of the following
activities would most likely be completed by the nurse?
a. Eliciting the health history of a client presenting with an illness
b. Evaluating the number of clients presenting with similar diseases
,c. Performing a physical examination of an ill client
d. Providing treatment and health education to a client with a disease: <answer> B
Epidemiology monitors the health of the population by examining measures of
morbidity, especially incidence proportions, incidence rates, and prevalence pro-
portions and learning about the risk for disease, the rate of disease development,
and the levels of existing disease in a population, respectively. Epidemiology
differs from clinical medicine, which focuses on the diagnosis and treatment of
disease in individuals.
3. Which of the following actions by Florence Nightingale demonstrates her role
as an epidemiologist?
a. She convinced other women to join her in giving nursing care to all the
soldiers.
b. She demonstrated that a safer environment resulted in decreased mortality
rate.
c. She obtained safe water and better food supplies and fought the lice and rats.
d. She met with each soldier each evening to say goodnight, thereby giving
psychological support.: <answer> B
Nightingale examined the relationship between the environment and the recovery
,of the soldiers. Using simple epidemiological measures, she was able to show
that
, improving environmental conditions and adding nursing care decreased the
mortal- ity rates of the soldiers. Nightingale used statistics to document
decreased mortality rates when the environmental factors were improved. Asking
other women to assist with providing nursing care, obtaining safe water, and
meeting with each soldier are not interventions that demonstrate the use of
epidemiology (the relationship between the health events and the determinants
or factors that influence those patterns).
4. Which of the following statements describes how nursing in the community is
more challenging than nursing in an acute care setting?
a. There is limited access to information useful to the nurse in giving care in the
community.
b. More paperwork and forms are required when giving care in the home.
c. It is more challenging to control the environment in the community.
d. Specialization isn't possible in the community setting.: <answer> C
In the community, nurses often use epidemiology, since the factors that affect
the individual, family, and population group cannot be as easily controlled as
in acute care settings. It is essentially impossible to control the environment
in the