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MSN 5550 Health Promotion: Prevention of Disease

Chapter 9

1.            An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening?

a)            Allows for the beginning of a multiple test screening process

b)            Provides an opportunity for health education

c)            Allows for preliminary diagnosis of coronary artery disease

d)            Provides the opportunity for a referral to a physician

2.            Which of the following is a disadvantage of screening?

a)            Uncertainties of scientific evidence

b)            Negative patient perception

c)            Some tests have high sensitivity and high specificity

d)            Lack of patient autonomy

3.            Researchers are studying a particular disease which occurs among Americans at a rate of 36 per 100 annually. What type of rate is this statement describing?

a)            Prevalence rate

b)            Incidence rate

c)            Morbidity rate

d)            Mortality rate

4.            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?

a)            Quality adjusted life year (QALY)

b)            Quantity of life

c)            Disability adjusted life year (DALY)

d)            Satisfaction of life

5.            Which of the following is an example of screening? (Select all that apply.)

a)            Asking if someone performs self-breast exam

b)            Performing a self-breast exam

c)            Obtaining a mammogram

d)            Undergoing a needle biopsy

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

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.

7.            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?

a)            Osteoporosis screening

b)            HIV screening

c)            Ovarian cancer screening

d)            All of the above

8.            A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population?

a)            HIV screening

b)            Blood pressure screening

c)            Colorectal cancer screening

d)            Breast cancer mammography screening

9.            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?

a)            Ethical issues

b)            Race issues

c)            Gender issues

d)            Cultural issues

10.          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?

?             Sensitivity

?             Specificity

?             Validity

?             Efficacy

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

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.

12.          Which of the following statements is correct regarding the Pender Health Promotion model?

a)            The model assists to identify factors which will influence behavioral changes.

b)            The model promotes health through standard, time-tested strategies.

c)            The model avoids asking subjective questions thus is non-threatening to the care recipient.

d)            The model is excellent for screening but less useful for teaching or primary prevention.














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