TEST BANK FOR
FOUNDATION OF
POPULATION
HEALTH FOR
COMMUNITY
PUBLIC HEALTH
NURSING 5TH
EDITION
STANHOPE.
,Chapter 27: HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases Stanhope:
Foundations for Population Health in Community/Public Health Nursing, 5th Edition
1.1. In which of the following cases would the school nurse be correct to advise the parents of
an HIV-infected child to keep the child home from school? (Select all that apply.)
a. The child develops allergies with sneezing.
b.The child persists in biting behavior or is unable to control body secretions.
c. The nurse is not comfortable with being responsible for the child.
d. There is an outbreak of chickenpox in the school.: ANS: B, D
Not attending school may be advisable if cases of childhood infections, such as chickenpox or
measles, occur in the school, because the immunosuppressed child is at greater risk for suffering
complications. Alternative arrangements, such as homebound instruction, might be instituted if a child
is unable to control body secretions or displays biting behavior. HIV-positive children are encouraged
to obtain routine immunizations, because their immune systems are compromised and they are more
susceptible to such infections. To date, no cases of HIV infections being transmitted in a school setting
have occurred in the United States. Strong disapproval by parents of well children is an opportunity to
teach these persons how HIV is transmitted.
2.1. Which of the following sexually transmitted diseases can be prevented through
immunization?
a. Chlamydia
b. Gonorrhea
c. Hepatitis B
d. Herpes: ANS: C
At the time of this writing, HBV infection can be prevented by immunization; vaccines for the remaining
options are not yet available.
3.2. A woman and man who have come to the health clinic begin to argue loudly. You gave me
an STD! the man yells. The woman screams back, Not me. I dont have an STD! Which of the
following statements would be most appropriate for the nurse to say to them? (Select all that
apply.)
a. Actually, youre very fortunate to have been tested so you and your partner can begin
treatment before more serious damage is done.
, b. Some STDs may not have any symptoms, so you need to be tested for other conditions and
treated if necessary.
c. Sometimes the test is inaccurate, so before getting too upset, you should ask to be tested
again.
d. You may be able to get treatment from your pharmacist so you wont have to be embarrassed
like this again.: ANS: A, B, C
Often cases of gonorrhea and chlamydia are asymptomatic, so treatment may not be sought and these
infections are spread to others through sexual activity. Similarly, during latency, syphilis has no
symptoms. It should be noted, however, that STD test results can sometimes be incorrect and the
coexistence of other medical conditions may cause a false-positive test result. Having a partner
retested, if the results were negative, would also suggest retesting the first person.
4.2. Which of the following provides the best explanation as to why people do not immediately
seek medical treatment when they first become ill with HIV?
a. They are afraid to get tested for fear results will be positive.
b. They avoid the problem (maybe it will go away).
c. They dont recognize their symptoms as possibly being due to HIV.
d. It is too expensive to get an HIV test.: ANS: C
When HIV enters the body, it can cause a flu-like syndrome referred to as a primary infection or acute
retroviral syndrome. This may go unrecognized. The symptoms are similar to flu or a bad cold
including sore throat, lethargy, rash, fever, and muscle pain. An antibody test at this stage is usually
negative. So the person or a medical provider may not recognize the illness as HIV.
