Question 1

Which of the following screening parameters is NOT included among recommended preventative screening services for children and adolescents?

Accepted Answer

A)  Anemia screening
B)  Screening for high blood pressure in children
C)  Screening or major depressive disorder
D)  Screening for IQ in children D

Question 2

Which of the following plans is appropriate when planning and implementing a health screening event directed at diverse and minority populations?

Accepted Answer

A)  Provide a standard care approach for everyone in the interest of equality for all persons.
B)  Partner with key individuals and organizations
C)  Provide pre-screening sessions to help diverse populations integrate with the mainstream culture.
D)  Insure that all personnel at the screening site are members of minority populations. B

Question 3

A nurse is planning to offer a depression screening at a local community center.Which of the following should be considered prior to implementation of the program?

Accepted Answer

A)  Limited referral sources in the community
B)  Limited support groups in the community
C)  Insufficient evidence that depression screening tools are cost-effective
D)  Insufficient evidence mental health screening is appropriate A

Question 4

A nurse is planning a comprehensive health-promotion activity to provide community members with a better opportunity to manage their own risk.Which of the following activities would be most appropriate for the nurse to perform?

Accepted Answer

A)  Obtaining blood pressures and distributing free BP home measuring devises
B)  Obtaining blood pressures and family histories during a screening
C)  Obtaining blood pressures and discussing the importance of exercise during a screening
D)  Obtaining blood pressures and scheduling follow up visits with a hypertension clinic.

Question 5

Which of the following goals would be consistent with Healthy People 2020, as it pertains to screening and health promotion?

Accepted Answer

A)  Promoting mammography for all women
B)  Encourage colonoscopy to screen for colorectal cancer for all adults
C)  Educate high-school students regarding sun safety
D)  Increase screening via cat scans to detect for brain tumors.

Question 6

A nurse is assessing a community and is trying to determine the appropriateness of conducting a Type 2 diabetes screening in the community.Which of the following questions would the nurse need to answer when making this decision? (Select all that apply.)

Accepted Answer

A)  Is Type 2 diabetes considered a community problem?
B)  What are the health benefits of screening for Type 2 diabetes?
C)  Can Type 2 diabetes be detected by screening?
D)  What are the tangible and intangible costs?

Question 7

Which of the following is a disadvantage of screening?

Accepted Answer

A)  Uncertainties of scientific evidence
B)  Negative patient perception
C)  Some tests have high sensitivity and high specificity
D)  Lack of patient autonomy

Question 8

A nurse is creating a hypertension screening program.Which of the following methods would be the best way to design a successful program?

Accepted Answer

A)  Work with stakeholders to conduct a community assessment.
B)  Purchase state-of-the-art sphygmomanometers to measure blood pressures.
C)  Use the program developed at a previous place of employment.
D)  Contact a local church to see if the program can be implemented there.

Question 9

Which represents a disadvantage of screening?

Accepted Answer

A)  Utilization of group screening methods
B)  Utilization of multiple test screening
C)  Utilization of a test with high specificity
D)  Utilization of a test with low sensitivity

Question 10

During a screening, a test with a high specificity and low sensitivity is utilized.Which of the following issues could arise by using this test?

Accepted Answer

A)  Ethical issues
B)  Race issues
C)  Gender issues
D)  Cultural issues

Question 11

A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community.Which of the following measures of life is being investigated?

Accepted Answer

A)  Quality adjusted life year (QALY) 
B)  Quantity of life
C)  Disability adjusted life year (DALY) 
D)  Satisfaction of life

Question 12

The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease.Which of the following measures of accuracy of the instrument is being evaluated?

Accepted Answer

A)  Sensitivity
B)  Specificity
C)  Validity
D)  Efficacy

Question 13

Which of the following is an example of a screenable population for hypertension?

Accepted Answer

A)  High school students
B)  Professional hockey players
C)  High-level business executives attending an annual conference
D)  Cardiac rehabilitation clients

Question 14

A nurse determined the interobserver reliability of a blood pressure reading.Which of the following describes the method that was used by the nurse?

Accepted Answer

A)  Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
B)  Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
C)  Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
D)  A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.

Question 15

REACH (Racial and Ethnic Approaches to Community Health) provides strategies to facilitate health promotion within to diverse populations.The common thread to all of these strategies is

Accepted Answer

A)  providing mentorship.
B)  building trust.
C)  creating safe and crime-free communities.
D)  decreasing poverty and economic disparities.

Question 16

A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease.Which of the following ratios is being described?

Accepted Answer

A)  Cost-disease analysis
B)  Cost-efficiency analysis
C)  Cost-benefit ratio analysis
D)  Cost-effectiveness analysis

Question 17

The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity.What does this statement mean?

Accepted Answer

A)  Rarely identifies children who have developmental delays.
B)  Rarely identifies children who do not actually have developmental delays.
C)  Has a large number of false positive results.
D)  Has a large number of false negative results.

Question 18

A nurse is educating a 26-year-old, sexually active, female care recipient about preventive care and health screening.Which of the following screening services would the nurse include in this discussion?

Accepted Answer

A)  Osteoporosis screening
B)  HIV screening
C)  Ovarian cancer screening
D)  All of the above.

Question 19

Which type of cases tends to be expressed in terms of incidence?

Accepted Answer

A)  Chronic conditions
B)  Acute conditions
C)  Diseases which target primarily children
D)  Conditions where full recovery is expected

Question 20

A nurse is using a sweat test to screen people for cystic fibrosis.Which of the following results demonstrates poor sensitivity?

Accepted Answer

A)  When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis.
B)  When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis.
C)  When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis.
D)  When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis.

Exam 9: Screening