NR 442 - Exam 1 Questions with Correct Answers Graded A+
Community - Answers - a group of people who share something in common and interact with one
another, who may exhibit a commitment with one another and may share a geographic boundary
- PRIMARY FOCUS OF COMMUNITY HEALTH
Public Health Intervention Wheel: Levels of Practice - Answers - Community
- Individual
- System
System/group Level of Practice Example - Answers community health nurse working with the state
health department and federal vaccine program to coordinate a response to an outbreak of measles in a
migrant population.
Community/Population Level of Practice Example - Answers public health nurses working with area high
schools to give each student a profile of his or her health to promote nutritional and physical activity
lifestyle changes to improve the student's health.
Individual Level of Practice Example - Answers nurse receives a referral to care for an individual with a
diagnosed mental illness who would require regular monitoring of his medication compliance to prevent
rehospitalization
Core Functions of Public Health - Answers - assessment
- policy development
- assurance of availability
Primary Prevention - Answers - prevention of problem before it occurs
- immunization
Secondary Prevention - Answers - early detection and intervention
- screening for an STD
- for diseases that can be controlled
Tertiary Prevention - Answers - correction and prevention of deterioration of a disease state
- teaching insulin administration at home
What is the main focus of Public Health? - Answers PREVENTION
What is the main focus of Medicine? - Answers disease management and diagnosis
, Childhood Obesity - Answers - focus on a healthier lifestyle
- reduce the rate the childhood obesity
- education
What causes more than half of Premature Deaths? - Answers behavior and environment reasons
What has the greatest influence on Community Health? - Answers behavioral choices
What are the 3 elements of the Epidemiology Triangle? - Answers - agent
- host
- environment
Epidemiology Triangle - Answers - depends on the extent of the host's exposure to an agent, the
strength or virulence of the agent, and the host's genetic or immunological susceptibility.
- also depends on the environmental conditions existing at the time of exposure
Web of Causation - Answers illustrates the complexity of relationships among causal variables
Incidence Rate - Answers describe the occurrence of new cases of a disease or condition in a community
over a period of time relative to the size of the population at risk for that disease or condition during
that same time period.
Prevalence Rate - Answers the number of all cases of a specific disease or condition in a population at a
given point in time relative to the population at the same point in time
Endemic - Answers Diseases that are always present in a population (e.g., colds and pneumonia)
Epidemic - Answers Diseases that are not always present in a population but flare up on occasion (e.g.,
diphtheria and measles)
Pandemic - Answers The existence of disease in a large proportion of the population: a global epidemic
(e.g., human immunodeficiency virus, acquired immunodeficiency syndrome, and annual outbreaks of
influenza type A)
Chronic vs Acute (prevalence) - Answers chronic always has a higher prevalence than acute disease
Passive Immunity - Answers - natural contact with antibody
- hep a --) immunoglobin
- through blood or plasma
EXAMPLE: Infant born with temporary antibodies to measles. Temporary or through colostrum and
breast milk
Community - Answers - a group of people who share something in common and interact with one
another, who may exhibit a commitment with one another and may share a geographic boundary
- PRIMARY FOCUS OF COMMUNITY HEALTH
Public Health Intervention Wheel: Levels of Practice - Answers - Community
- Individual
- System
System/group Level of Practice Example - Answers community health nurse working with the state
health department and federal vaccine program to coordinate a response to an outbreak of measles in a
migrant population.
Community/Population Level of Practice Example - Answers public health nurses working with area high
schools to give each student a profile of his or her health to promote nutritional and physical activity
lifestyle changes to improve the student's health.
Individual Level of Practice Example - Answers nurse receives a referral to care for an individual with a
diagnosed mental illness who would require regular monitoring of his medication compliance to prevent
rehospitalization
Core Functions of Public Health - Answers - assessment
- policy development
- assurance of availability
Primary Prevention - Answers - prevention of problem before it occurs
- immunization
Secondary Prevention - Answers - early detection and intervention
- screening for an STD
- for diseases that can be controlled
Tertiary Prevention - Answers - correction and prevention of deterioration of a disease state
- teaching insulin administration at home
What is the main focus of Public Health? - Answers PREVENTION
What is the main focus of Medicine? - Answers disease management and diagnosis
, Childhood Obesity - Answers - focus on a healthier lifestyle
- reduce the rate the childhood obesity
- education
What causes more than half of Premature Deaths? - Answers behavior and environment reasons
What has the greatest influence on Community Health? - Answers behavioral choices
What are the 3 elements of the Epidemiology Triangle? - Answers - agent
- host
- environment
Epidemiology Triangle - Answers - depends on the extent of the host's exposure to an agent, the
strength or virulence of the agent, and the host's genetic or immunological susceptibility.
- also depends on the environmental conditions existing at the time of exposure
Web of Causation - Answers illustrates the complexity of relationships among causal variables
Incidence Rate - Answers describe the occurrence of new cases of a disease or condition in a community
over a period of time relative to the size of the population at risk for that disease or condition during
that same time period.
Prevalence Rate - Answers the number of all cases of a specific disease or condition in a population at a
given point in time relative to the population at the same point in time
Endemic - Answers Diseases that are always present in a population (e.g., colds and pneumonia)
Epidemic - Answers Diseases that are not always present in a population but flare up on occasion (e.g.,
diphtheria and measles)
Pandemic - Answers The existence of disease in a large proportion of the population: a global epidemic
(e.g., human immunodeficiency virus, acquired immunodeficiency syndrome, and annual outbreaks of
influenza type A)
Chronic vs Acute (prevalence) - Answers chronic always has a higher prevalence than acute disease
Passive Immunity - Answers - natural contact with antibody
- hep a --) immunoglobin
- through blood or plasma
EXAMPLE: Infant born with temporary antibodies to measles. Temporary or through colostrum and
breast milk
