Question 1

The ability of a screening test to distinguish correctly between persons with and without a disease is known as

Accepted Answer

A) Sensitivity. 
B) Validity 
C) Reliability. 
D) Specificity. 
A) Sensitivity. 
B) Validity 
C) Reliability. 
D) Specificity. B

Question 2

Why are results of screening tests referred to as presumptive?

Accepted Answer

A) If the test result is positive,it may be assumed that the disease is present. 
B) The test results lead to recognition of symptoms. 
C) The tests detect previously unrecognized signs and symptoms. 
D) Because screening test results have less than 100% accuracy,referral for further tests is necessary. 
A) If the test result is positive,it may be assumed that the disease is present. 
B) The test results lead to recognition of symptoms. 
C) The tests detect previously unrecognized signs and symptoms. 
D) Because screening test results have less than 100% accuracy,referral for further tests is necessary. D

Question 3

Sensitivity is the ability of a screening test to accurately identify what aspect of the screening?

Accepted Answer

A) Persons who do not have the disease 
B) Persons who have the disease 
C) Persons with symptoms of the disease 
D) Persons who now have a diagnosis of the disease 
A) Persons who do not have the disease 
B) Persons who have the disease 
C) Persons with symptoms of the disease 
D) Persons who now have a diagnosis of the disease B

Question 4

Which screening tests would be most useful at a health fair at a local YMCA that serves young adults? (Select all that apply.)

Accepted Answer

A) Measurements of blood pressure,blood glucose level,and cholesterol level 
B) Measurements of height and weight 
C) Mammography and prostate examination 
D) Purified protein-derivative skin test (PP
D) and review of immunizations 
E) Stool for occult blood and sigmoidoscopy
F)Vision and hearing 
A) Measurements of blood pressure,blood glucose level,and cholesterol level 
B) Measurements of height and weight 
C) Mammography and prostate examination 
D) Purified protein-derivative skin test (PP
D) and review of immunizations 
E) Stool for occult blood and sigmoidoscopy
F)Vision and hearing

Question 5

Any screening test must absolutely be

Accepted Answer

A) Accurate in its conclusion. 
B) Capable of being administered in a quiet area. 
C) Equally effective with both children and adults. 
D) Inexpensive and easy to perform. 
A) Accurate in its conclusion. 
B) Capable of being administered in a quiet area. 
C) Equally effective with both children and adults. 
D) Inexpensive and easy to perform.

Question 6

A nurse is referring a client who needs follow-up care.Which of the following actions should the nurse take? (Select all that apply.)

Accepted Answer

A) Asking whether the client prefers to have the nurse make all the arrangements 
B) Assessing whether the client meets the eligibility requirements for the receiving agency 
C) Discussing with the client the payment mechanism for follow-up care 
D) Determining whether the client is interested in following up at that particular agency 
E) Arranging for the client to have transportation and child care available
F)Contacting several agencies in the area to see whether they are willing to accept a referral 
A) Asking whether the client prefers to have the nurse make all the arrangements 
B) Assessing whether the client meets the eligibility requirements for the receiving agency 
C) Discussing with the client the payment mechanism for follow-up care 
D) Determining whether the client is interested in following up at that particular agency 
E) Arranging for the client to have transportation and child care available
F)Contacting several agencies in the area to see whether they are willing to accept a referral

Question 7

A volunteer explained to a nurse that a certain client did not wish to fill out the information/consent form.What should the nurse explain to the client as to why the form was required? (Select all that apply.)

Accepted Answer

A) "The agency requires such forms to document personnel time." 
B) "The information serves as data for duplicating the screening in the future." 
C) "You may wish to keep these data so that they are available for needed follow-up." 
D) "The form is needed for student education;the data are collated to determine community-wide needs." 
E) "Consent is needed before any tests,particularly invasive ones,are administered."
F)"The data are used for program evaluation so that more such screenings may be available." 
A) "The agency requires such forms to document personnel time." 
B) "The information serves as data for duplicating the screening in the future." 
C) "You may wish to keep these data so that they are available for needed follow-up." 
D) "The form is needed for student education;the data are collated to determine community-wide needs." 
E) "Consent is needed before any tests,particularly invasive ones,are administered."
F)"The data are used for program evaluation so that more such screenings may be available."

Question 8

Which of the following events might help document the importance of a health screening to the neighborhood?

Accepted Answer

A) Absenteeism caused by illness at the local factory decreased. 
B) Morbidity statistics related to heart disease decreased over the next year. 
C) The incidence and prevalence of hypertension fell precipitously. 
D) The incidence and prevalence of hypertension rose precipitously. 
A) Absenteeism caused by illness at the local factory decreased. 
B) Morbidity statistics related to heart disease decreased over the next year. 
C) The incidence and prevalence of hypertension fell precipitously. 
D) The incidence and prevalence of hypertension rose precipitously.

Question 9

A community/public health nurse had a referral to visit a grandmother in her apartment to follow up on blood pressure readings because she was on a new medication.While in the apartment,the nurse took the blood pressure readings of all the adults and children there.What is the nurse attempting to do?

Accepted Answer

A) Perform a case finding. 
B) Follow the American Heart Association guidelines. 
C) Give care to all members of the family,regardless of reimbursement. 
D) Involve the family in the care. 
A) Perform a case finding. 
B) Follow the American Heart Association guidelines. 
C) Give care to all members of the family,regardless of reimbursement. 
D) Involve the family in the care.

Question 10

Which variables must the nurse consider when planning a health fair? (Select all that apply.)

Accepted Answer

A) Cost and convenience of possible screening tests 
B) Community's culture and support for such screening tests 
C) Number and type of volunteers available to assist 
D) The health risks inherent in the target population 
E) The best photos to use in community advertising
F)Needs of the local community-based agencies 
A) Cost and convenience of possible screening tests 
B) Community's culture and support for such screening tests 
C) Number and type of volunteers available to assist 
D) The health risks inherent in the target population 
E) The best photos to use in community advertising
F)Needs of the local community-based agencies

Question 11

What must be stressed to all participants attending a health fair?

Accepted Answer

A) A screening program is not a substitute for ongoing health supervision from a health care provider. 
B) All test results are only tentative,and so participants who receive negative test results may nonetheless be suffering from a disease. 
C) Results are true today,but disease can develop any time,so participants should attend any future health fairs as well. 
D) There are many other diseases that may be attacking participants that the health fair did not screen for,and so continued vigilance is necessary. 
A) A screening program is not a substitute for ongoing health supervision from a health care provider. 
B) All test results are only tentative,and so participants who receive negative test results may nonetheless be suffering from a disease. 
C) Results are true today,but disease can develop any time,so participants should attend any future health fairs as well. 
D) There are many other diseases that may be attacking participants that the health fair did not screen for,and so continued vigilance is necessary.

Question 12

What is the relationship between sensitivity and specificity?

Accepted Answer

A) The higher the sensitivity,the higher the specificity. 
B) The higher the sensitivity,the lower the specificity. 
C) The higher the specificity,the higher the sensitivity. 
D) The more sensitive a test is,the more specific it becomes. 
A) The higher the sensitivity,the higher the specificity. 
B) The higher the sensitivity,the lower the specificity. 
C) The higher the specificity,the higher the sensitivity. 
D) The more sensitive a test is,the more specific it becomes.

Question 13

As nursing students were setting up a health screening at a local community center,they reviewed the need to screen for heart disease and cancer.One student asked,"But colon cancer is prevalent;why aren't we setting up for sigmoidoscopy?" How would the instructor reply?

Accepted Answer

A) "A sigmoidoscopy is expensive to perform and invasive." 
B) "Can you find adequate privacy for a sigmoidoscopy?" 
C) "What a great idea.Would you like to help arrange it?" 
D) "Would you like to administer that test for the screening?" 
A) "A sigmoidoscopy is expensive to perform and invasive." 
B) "Can you find adequate privacy for a sigmoidoscopy?" 
C) "What a great idea.Would you like to help arrange it?" 
D) "Would you like to administer that test for the screening?"

Question 14

A nurse was trying to determine what resources might be available to support a screening program for middle-aged adults in the local community.The nurse should be sure to assess which variables? (Select all that apply.)

Accepted Answer

A) Cost and funding sources 
B) Equipment and personnel to run the screening tests 
C) Free newspaper publicity 
D) Local diagnostic and treatment resources 
E) Temporary personnel who could be hired to assist
F)Volunteers to help with the screening 
A) Cost and funding sources 
B) Equipment and personnel to run the screening tests 
C) Free newspaper publicity 
D) Local diagnostic and treatment resources 
E) Temporary personnel who could be hired to assist
F)Volunteers to help with the screening

Question 15

A client received positive results on a screening test.What does this result mean for the client?

Accepted Answer

A) The client does not have the disease. 
B) The client has the disease and needs immediate treatment. 
C) The client has a laboratory finding confirming disease. 
D) The client will need further testing and follow-up. 
A) The client does not have the disease. 
B) The client has the disease and needs immediate treatment. 
C) The client has a laboratory finding confirming disease. 
D) The client will need further testing and follow-up.

Question 16

The community/public health nurse was asked why a church was chosen as the site for a recent health fair,because not everyone in the community attended this church.What would be the most likely response by the nurse?

Accepted Answer

A) "It is accessible to most of the residents of the community,it is large and has several restrooms,and it is centrally located." 
B) "Most residents of the neighborhood either do or should attend the church." 
C) "I am a member of that church and could reserve the site without charge." 
D) "The church is community service-oriented,and hosting the screening met its mission." 
A) "It is accessible to most of the residents of the community,it is large and has several restrooms,and it is centrally located." 
B) "Most residents of the neighborhood either do or should attend the church." 
C) "I am a member of that church and could reserve the site without charge." 
D) "The church is community service-oriented,and hosting the screening met its mission."

Question 17

Specificity is the ability of a screening test to accurately identify what aspect of the screening?

Accepted Answer

A) Persons who do not have the disease 
B) Persons who have the disease 
C) Persons who need follow-up in relation to the disease 
D) Persons who were unaware that they had the disease 
A) Persons who do not have the disease 
B) Persons who have the disease 
C) Persons who need follow-up in relation to the disease 
D) Persons who were unaware that they had the disease

Question 18

A nurse is planning the evaluation of a mental health screening program in the community.What should be included in the process evaluation of this program?

Accepted Answer

A) Asking whether program goals were adequately met 
B) Determining whether more people sought follow-up care after the screening 
C) Determining the number of people who attended and were screened 
D) Measuring whether the incidence of disease changed 
A) Asking whether program goals were adequately met 
B) Determining whether more people sought follow-up care after the screening 
C) Determining the number of people who attended and were screened 
D) Measuring whether the incidence of disease changed

Question 19

A community/public health nurse was planning a prostate cancer screening in cooperation with the local community hospital.Whom should the nurse be sure to invite?

Accepted Answer

A) Men older than 50 years in the community 
B) Anyone who had ever been involved with the local community hospital 
C) Anyone who has a family history of cancer 
D) Community members from infants to senior citizens 
A) Men older than 50 years in the community 
B) Anyone who had ever been involved with the local community hospital 
C) Anyone who has a family history of cancer 
D) Community members from infants to senior citizens

Question 20

Some nursing students were taking blood pressure measurements at one spot in the large room where many of the health screening stations were set up.A student pulled aside her instructor and said,"This man's blood pressure is 220/160.Whom should I call to get him to treatment immediately?" What should be the instructor's first action?

Accepted Answer

A) Ask the gentleman if he has health insurance. 
B) Call a local ambulance. 
C) Follow up with previously determined emergency plans. 
D) Check the reliability of the findings. 
A) Ask the gentleman if he has health insurance. 
B) Call a local ambulance. 
C) Follow up with previously determined emergency plans. 
D) Check the reliability of the findings.

Exam 19: Screening and Referral

The ability of a screening test to distinguish correctly between persons with and without a disease is known as

Why are results of screening tests referred to as presumptive?

Sensitivity is the ability of a screening test to accurately identify what aspect of the screening?

Which screening tests would be most useful at a health fair at a local YMCA that serves young adults? (Select all that apply.)

Any screening test must absolutely be

A nurse is referring a client who needs follow-up care.Which of the following actions should the nurse take? (Select all that apply.)

A volunteer explained to a nurse that a certain client did not wish to fill out the information/consent form.What should the nurse explain to the client as to why the form was required? (Select all that apply.)

Which of the following events might help document the importance of a health screening to the neighborhood?

Which variables must the nurse consider when planning a health fair? (Select all that apply.)

What must be stressed to all participants attending a health fair?

What is the relationship between sensitivity and specificity?

As nursing students were setting up a health screening at a local community center,they reviewed the need to screen for heart disease and cancer.One student asked,"But colon cancer is prevalent;why aren't we setting up for sigmoidoscopy?" How would the instructor reply?

A nurse was trying to determine what resources might be available to support a screening program for middle-aged adults in the local community.The nurse should be sure to assess which variables? (Select all that apply.)

A client received positive results on a screening test.What does this result mean for the client?

The community/public health nurse was asked why a church was chosen as the site for a recent health fair,because not everyone in the community attended this church.What would be the most likely response by the nurse?

Specificity is the ability of a screening test to accurately identify what aspect of the screening?

A nurse is planning the evaluation of a mental health screening program in the community.What should be included in the process evaluation of this program?

A community/public health nurse was planning a prostate cancer screening in cooperation with the local community hospital.Whom should the nurse be sure to invite?

Responsibilities for Care in Communitypublic Health Nursing

Origins and Future of Communitypublic Health Nursing

The United States Health Care System

Financing of Health Care: Context for Communitypublic Health Nursing

Global Health

Legal Context for Communitypublic Health Nursing Practice

Epidemiology: Unraveling the Mysteries of Disease and Health

Communicable Diseases

Environmental Health Risks: At Home, at Work, and in the Community

Relevance of Culture and Values for Communitypublic Health Nursing

Home Visit: Opening the Doors for Family Health

A Family Perspective in Communitypublic Health Nursing

Family Case Management

Multiproblem Families

Community Assessment

Community Diagnosis, planning, and Intervention

Evaluation of Nursing Care With Communities

Health Promotion and Risk Reduction in the Community

Health Teaching

Vulnerable Populations

Disaster Management: Caring for Communities in an Emergency

Violence: A Social and Family Problem

Adolescent Sexual Activity and Teenage Pregnancy

Substance Use Disorders

Rehabilitation Clients in the Community

Children in the Community

Older Adults in the Community

State and Local Health Departments

School Health

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