NUR 443 FINAL EXAM STUDY
QUESTIONS AND ANSWERS
During the incubation stage of infection, the disease is not communicable until
symptoms are present.
True or False - Answer-False
There is a measles outbreak in a nearby town an hour away. As a public health nurse,
you are asked by members of the town's council regarding the best activities to prevent
the spread to other communities. Which primary prevention activity would you
implement?
A. Ensure compliance with treatment regimens for community members diagnosed with
measles
B. Provide education to community members regarding measles infection and
transmission
C. Offer early screening tests for measles in the community
D. Discuss the prognosis of measles cases with community members who have been
diagnosed - Answer-B
Primary Prevention of Lyme Disease would be to educate the residents to:
A. wear long-sleeved, light-colored clothing to cover exposed areas when outdoors
B. know how to detect a bull's eye rash on the skin
C. take doxycycline for four weeks
D. report the disease to local departments of health - Answer-A
You are a nurse in the student health center on campus and have been informed that
there is an outbreak of a sexually transmitted infection (STI). What is the best way to
prevent the further spread of this STI?
A. Demand that all bathrooms on campus be cleaned with an antibiotic-enriched
sanitizer
B. Ensure each person with a case of the STI gets treated and completes treatment
C. Provide brochures encouraging abstinence in all common areas on campus
D. Have a free screening program on campus for anyone who wants to get tested -
Answer-B
For the stages of infection, which of the following best describes an agent during its
incubation period?
A. The host is not able to infect others
B. The agent is incubating in the lab before release
C. The agent is being shed by the host
,D. Symptoms of disease mark the end of the incubation period - Answer-D
You are a nurse in the operating room and have just finished assisting with surgery.
Which of the following best describes why hospitals are careful to sanitize surfaces and
medical equipment after each operation?
A. To decrease transmission by biological vectors
B. To avoid direct patient-to-nurse transmission of infection
C. To provide a clean environment for patients so they can have visitors after their
surgery
D. To decrease transmission by fomites - Answer-D
Smallpox is an example of an infectious disease that is officially:
A. controlled
B. eliminated
C. eradicated
D. subclinical - Answer-C
In addition to a high amount of infectivity, which of the following characteristics best
describes agents like the COVID-19 virus and other agents that cause pandemics:
A. Low pathogenicity but high virulence
B. High pathogenicity but low virulence
C. High pathogenicity and high virulence
D. Low pathogenicity and low virulence - Answer-C
All of the following accurately describes carriers of an infectious disease EXCEPT:
A. they are able to spread the agent to others
B. Typhoid Mary is an example of a famous carrier
C. They do not have symptoms of disease
D. They are unable to spread the agent to others - Answer-D
There is an outbreak of a communicable disease in your community. Your state's health
department recommends quarantining community members who have been exposed to
the infectious agent as a way to break the chain of transmission. Quarantining is an
example of controlling:
A. the portal of entry
B. the portal of exit
C. the agent
D. the human reservoir - Answer-D
Home health care can be defined as a broad spectrum of health and social services
offered in the home environment to recovering, disabled, or chronically ill persons.
, Participation in providing the needed maintenance care for the home care client is
essential by which of the following?
A. Chaplain
B. Family caregivers
C. Home health aides
D. Physician - Answer-B
Working with the family in providing care to an individual client is essential. Family is
defined by the individual and includes any caregiver or significant person who assists
the client in need of care at home. The caregiver is essential in providing the needed
maintenance care between the skilled visits of the professional provider.
Hospice care would be an appropriate option to discuss with which of the following
patients?
A. Patient with stage II lung cancer who is undergoing chemotherapy
B. Patient with early Alzheimer's disease whose caregiver needs respite care
C. Patient with metastatic breast cancer who has discontinued chemotherapy
D. Patient with severe debilitating osteoporosis - Answer-C
The criteria for entry into hospice care are that the disease process or condition has
progressed to the point that further treatment cannot cure and death within 6 months
would not be unexpected. This does not mean that the patient will die within the next 6
months, only that if death occurred, it would not have been unexpected. Patients must
select care measures to keep them comfortable.
Home health agency types, whether official, private and voluntary, combination,
hospital-based, or proprietary, are similar in terms of which of the following?
A. Conditions of Participation (COP) for medicare and Medicaid
B. Federal income tax exemption status of accreditation status
C. Governance models and administrative structures
D. Homemaker services or service contracting practices - Answer-A
Home health agencies are different in administrative and organizational structures such
as funding and governance, but they are similar in terms of the standards they must
meet for licensure, certification, and accreditation. Nursing care in home health is
covered by Medicare and other third-party payers as long as the care being delivered is
skilled care.
Nurses come to home health from a variety of educational and practice settings. Based
on educational level, nurses are prepared to practice at various levels. To ensure public
competence and quality in a highly competitive healthcare environment, it may become
necessary for nurses to seek which of the following?
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