Ch. 8: Epidemiological Applications  (quiz 1)
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Questions and Answers

Epidemiology would be a primary tool used by the nurse scientist for researching which topic?

  • Social characteristics and traits of healthy older persons
  • Morbidity statistics
  • Contributing factors to childhood obesity (correct)
  • Experiences of cancer care services

In which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?

  • Providing treatment and health education to a client with a disease
  • Eliciting the health history of a client presenting with an illness
  • Evaluating the number of clients presenting with similar diseases (correct)
  • Performing a physical assessment of an ill client

During the years 2015 to 2020, in a particular district, 1,000 of 10,000 girls aged 16 to 18 years tested positive for a sexually transmitted infection (STI). Of the 1,000 diagnosed STIs, 300 were gonorrhea and 500 were chlamydia. Which statement would the community health nurse (CHN) recognize as being true?

  • The proportion of cases of gonorrhea to all STIs was 300:1,300.
  • The proportion of cases of gonorrhea to all STIs was 50%.
  • The proportion of cases of gonorrhea to chlamydia was 300:500.
  • The proportion of STIs to the total population was 10 per 1,000. (correct)

Which model best explains the reasons why homeless individuals are at increased risk of disease as a result of multiple agent, host, and environmental factors?

<p>The web of causality (D)</p> Signup and view all the answers

Which actions could be taken by the community health nurse (CHN) who wishes to provide secondary prevention to decrease the incidence of obesity in elementary school children?

<p>Weighing students to identify those who are overweight (D)</p> Signup and view all the answers

What is a community health nurse (CHN) implementing when advising a client with osteoporosis to have three servings of milk or dairy products daily?

<p>Tertiary prevention (C)</p> Signup and view all the answers

What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?

<p>A clinical trial (B)</p> Signup and view all the answers

Which action proposed to prevent problems related to coronary artery disease (CAD) in a region with a high prevalence is most likely to have positive outcomes?

<p>Distributing handouts about age-appropriate games, self-assessments, and educational materials on heart-healthy lifestyles, availability of community screenings for hyperlipidemia in persons age 35 years and older, and walking programs for those affected by CAD (B)</p> Signup and view all the answers

People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even though they are infected. Which of the following measurements will the CHN conclude to be low when the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?

<p>Sensitivity (B)</p> Signup and view all the answers

The CHN can enhance the sensitivity and specificity of a test by using its predictive value. Which one of the following best defines positive predictive value?

<p>The proportion of persons with a positive test who actually have the disease (C)</p> Signup and view all the answers

A community health nurse (CHN) determines that out of 8,000 women screened for breast cancer, 35 have previously been diagnosed with a cancer event and 20 are newly diagnosed with a cancer event. What is the prevalence rate in this group?

<p>55/8,OOO (A)</p> Signup and view all the answers

The community health nurse (CHN) knows that a regular-sized blood pressure (BP) cuff will provide readings that are falsely high if used to measure BP in an obese person and will provide readings that are falsely low if used to measure BP in a small or very thin person. Which of the following does a regular-sized BP cuff lack when used to measure BP in all individuals?

<p>Validity (A)</p> Signup and view all the answers

Which of the following is an example of primary prevention?

<p>COVID-19 immunization clinics (C)</p> Signup and view all the answers

Flashcards

What is epidemiology?

The basic science of public health, epidemiology studies the patterns of health events in populations and the factors influencing those patterns.

What does analytical epidemiology focus on?

Analytical epidemiology aims to discover the causes of diseases and health conditions.

What is the role of a nurse epidemiologist?

The nurse epidemiologist's role involves analyzing health data, identifying trends, and recommending interventions to improve community health.

What is a proportion in epidemiology?

A proportion in epidemiology is a ratio where the denominator includes the numerator. It represents a part of a whole.

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What is the web of causality?

The web of causality illustrates the complex interactions of multiple factors that influence health, recognizing that disease is rarely caused by a single factor.

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What is primary prevention?

Primary prevention involves actions taken to prevent disease or injury before it occurs.

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What is secondary prevention?

Secondary prevention aims to detect a disease or injury at an early and treatable stage.

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What is tertiary prevention?

Tertiary prevention focuses on preventing the worsening of a condition and improving the quality of life for individuals with chronic diseases.

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What is a clinical trial?

A clinical trial is a research study designed to evaluate the effectiveness of an intervention or treatment, often comparing it to a control group.

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What is sensitivity in a test?

Sensitivity refers to a test's ability to correctly identify those who have a disease, meaning it is less likely to miss a positive case.

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What is specificity in a test?

Specificity refers to a test's ability to correctly identify those who do not have a disease, meaning it is less likely to give a false positive.

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What is positive predictive value?

Positive predictive value measures the proportion of people with a positive test who truly have the disease.

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What is prevalence rate?

Prevalence rate is a measure of the number of individuals in a population with a disease or condition at a specific point in time.

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What is validity in a test?

Validity of a test refers to its accuracy in measuring what it claims to measure.

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What is reliability in a test?

Reliability of a test refers to its consistency in producing similar results when repeated under the same conditions.

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What is the epidemiological triangle?

The epidemiological triangle is a model that explains disease occurrence based on the interaction of an agent, host, and environment.

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What are levels of prevention?

Levels of prevention are a framework for public health interventions aimed at preventing disease, promoting health, and optimizing outcomes.

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What is health promotion?

Health promotion focuses on empowering individuals and communities to take control of their health and well-being.

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What is a cross-sectional study?

A cross-sectional study observes a group of people at a single point in time to gather information about their health and exposures.

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What is an ecological study?

An ecological study analyzes health data collected from populations rather than individuals.

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What is a retrospective analysis?

A retrospective analysis examines past data to identify patterns and trends related to health outcomes.

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What is a case-control study?

A case-control study compares a group of individuals with a certain condition (cases) to a group without that condition (controls) to identify risk factors associated with the condition.

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What is a cohort study?

A cohort study follows a group of individuals with similar characteristics over time to observe the occurrence of disease or other health outcomes.

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What is the Health Belief Model?

The Health Belief Model suggests that individuals are more likely to take action to prevent a disease or health problem if they perceive it as a threat, feel susceptible to the threat, and believe taking action will be beneficial.

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What is the Transtheoretical Model of Change?

The Transtheoretical Model of Change (Stages of Change) describes a process individuals go through to change their behavior.

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What is the Social Cognitive Theory?

The Social Cognitive Theory emphasizes the importance of reciprocal interactions among personal factors, environmental influences, and behavioral factors in understanding health behaviors.

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What is the Social-Ecological Model of Health Behavior?

The Social-Ecological Model of Health Behavior focuses on the interconnectedness of multiple levels of influence on health, including individual, interpersonal, organizational, community, and policy levels.

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What is a social determinant of health?

A social determinant of health is a factor that influences an individual's health but is not directly related to healthcare, such as poverty, education, and access to healthy food.

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What is a health disparity?

A health disparity is a difference in health outcomes between groups of people, often stemming from social determinants of health.

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Study Notes

Epidemiological Applications in Community Health Nursing

  • Epidemiology is a primary tool for nurse scientists researching contributing factors to health issues, such as childhood obesity.
  • Epidemiology studies the distribution and determinants of health events in populations.
  • It encompasses the origins of diseases.
  • Community health nurses (CHNs) use epidemiological methods to evaluate the number of clients with similar illnesses.
  • This helps in identifying patterns and factors influencing health events.
  • Epidemiology differentiates from clinical medicine, focusing on diagnosis and treatment of individuals, whereas epidemiology studies populations.
  • Proportions in public health statistics, expressed as per 1000, reflect a small proportion.
  • Primary prevention aims to avert disease onset, like immunizations.
  • Secondary prevention aims to identify and treat diseases early, like screening for cancer or diabetes.
  • Tertiary prevention aims to minimize chronic disease impact, like rehabilitation programs.
  • Identifying risk factors for diseases, such as those associated with homelessness, is crucial for effective community interventions.
  • The web of causality model highlights the complex interrelationships of various factors influencing health.
  • Epidemiological studies help understand long-term benefits and risks of treatments, using clinical trials.
  • A clinical trial is the best way to determine causality.
  • Screening tools, such as the Mantoux test for Tuberculosis, can have limitations, especially in individuals with acquired immune deficiencies.
  • Sensitivity and specificity, components of a screening test's characteristics, help assess a test's accuracy and reliability.
  • Predictive values (positive and negative) and prevalence rates are further measures to assess and understand a health situation's totality.
  • A community health nurse (CHN) assesses the effectiveness of interventions.
  • Using adequate equipment (cuffs for blood pressure) and tools is essential for reliable measurements regarding health.

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Description

Explore the vital role of epidemiology in community health nursing. This quiz covers how epidemiological methods aid community health nurses in evaluating health issues, identifying patterns, and implementing prevention strategies. Dive into the distinctions between epidemiology and clinical medicine as well as the importance of public health statistics.

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