15 Jan Ignorance and inadequate

Question 1 What is one of the strengths of the Chronic Care Model developed first by E. H. Wagner?

It identifies and emphasizes the importance of volunteers and access to free services

It identifies essential elements of the health care system that promotes high quality chronic disease care

It provides information on the importance of primary prevention and education

It advocates for services and additional support as well as political advocacy to increase chronic care access

Question 2 A patient goes to the health clinic and states they were bitten by a mosquito this morning and they have chills and flu like symptoms now and are worried about menningitis. You re-assure them that it is unlikely because symptoms will not present themselves for at least 3 days. This time frame is called:

Period of infectivity

Infectivity route

Incubation period

Virulence period

Question 3 Common causes of chronic disease, caused by lifestyle choices, includes all the items below except:

Physical inactivity

Excessive drinking

Genetics

Tobacco use

Question 4 You visit Ms. X at home, who has COPD, for a home health visit. She has continued to smoke even though she had a recent admission to the hospital for a COPD exacerbation. Today she tells you that she is thinking of using the patches to try to quit and wants you to tell her more about the patches and the support systems available to help her quit. Ms. X is in what stage of change according to the Stages of Change Model ?

precontemplation

preparation

Maintenance

Termination

Question 5 Prochaska et al. suggest that behavioral change occurs in the following order

Preparation, contemplation, maintenance, termination

Action, maintenance, contemplation, termination

Preparation, action, maintenance, termination

Pre-contemplation, action, preparation, termination

Question 6 Caregivers for those with chronic illness or disability may have few or no resources to share the tasks and responsibilities and may develop fatigue, depression, and emotional distress. This condition is called:

Caregiver Fatigue

Caregiver Role Strain

Caregiver Support

Respite Care

Question 7 According to the Video from 20/20, Sick in America, under socialized medicine, in other countries, there is no rationing of healthcare nor long wait times for treatment.

True

False

Question 8 Immunizations are an examples of which prevention to avoid the spread of communicable disease?

Primary

Secondary

Terciary

None of the above

Question 9 According to the NOVA Genetics video: Genomics tells us there are mutations on genes that cause disease and new gene based therapy/medications are being created to correct these mutations by inserting a gene into a patient’s cells instead of using drugs or surgery.

True

False

Question 10 Chipotle shut down some stores because of E.Coli contamination that resulted in at least 20 hospitalizations. Jimmy John’s had an outbreak of Salmonella. What is the name of this type of illness/infection which causes unnecessary illness, hospitalization and additional cost to the health care system which is completely preventable?

Vector-borne

Food-borne

Zoonoses

Parasitic

Question 11 For which condition is Direct Observed Therapy the best treatment method to ensure the patient follows the prescribed treatment plan to avoid further spread of the disease?

HIV

Rabies

Syphyllis

Tuberculosis

Question 12 Cuba is reported to have a lower infant mortality rate than the United States. According Human Rights advocates in the video, the Healthcare in Cuba is not what is shown in the video created by Michael Moore. In fact, the United Nations only publishes data reported by countries and does not verify any information provided.

True

False

Question 13 Grief emerging from continual loss during the trajectory of an illness or disability is called:

depression

apathy

chronic sorrow

suffering

Question 14 Disease may be transmitted by

Droplet nuclei

Soiled clothing

Dust particles

All of the above

Question 15 Public health nurses working with patients who are newly disabled need to be aware of the four basic stages of adjustment to disability which are:

Fear, adjustment, grief, and acceptance

Shock, denial, anger, acceptance

Fear, shock, grief, adjustment

Shock, denial, grief, despair

Question 16 During which stage of the Stages of Change Model does the patient not want to consider change and your role as a nurse and educator encourages re-evaluation and acknowledgement of the risk of doing nothing.

Precontemplation

Contemplation

Preparation

Termination

Question 17

H5N1, the Avian Flu, is deadly to birds and the first documented human case occurred in 1997. H3N8 viruses from horses have recently crossed over and has caused outbreaks in dogs. In 1998, the H3N2 virus from humans also crossed over into pigs and caused widespread disease among pigs. These kinds of infections are called:

Influenzas

Food-Borne

Zoonoses

Parasitic

Question 18

According to the Nova Genetics documentary, we have focused on treating people with disease and much less effort to prevent the disease in the first place. If you are going to shift to prevention which could be one of the most critical tools you could imagine?

Education

Genome Sequencing

Screening

Gene splicing

Question 19 The following are all disparities that affect health in chronic illness and disability except:

Racial disparities

Gender disparities

Economic disparities

Geographic disparities

Question 20 Ms. H, an 80 year old female has been diagnosed with a rare form of leukemia. The oncologist tells her that she has a 50-50 chance of 5 year survival after chemotherapy but that the chemotherapy is expected to make her very sick. They tell her her life expectancy would be about 1 year without treatment. Ms H. decides she will refuse treatment. When the nurse asks her why she decided against treatment she tells her she has had a good and long life but she has now declined significantly because of debilitating arthritis and is almost wheelchair bound. All her loved ones have all passed and she is at peace with enjoying the remainder of the year she has left and making the most of it rather than take a chance on spending the final year very sick from chemo and end up dying anyway. This typology of nonadherence is called:

Ignorance and inadequate knowledge

post traumatic stress

educated nonadherence

nonadherence from psychological resistance or psycholpathology