Ch. 9 Screening And Health Promotion Flashcards
Which is an example of asymptomatic pathogenesis?
A. Blood pressure of 170/98 experiencing headaches
B. Positive finding on colonoscopy and blood in his or her stool
C. Elevated prostate-specific antigen (PSA)
D. Elevated TSH who is always tired
C. Elevated prostate-specific antigen (PSA)
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
B. Provides an opportunity for health education
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
A. Prevalence rate
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
A. Uncertainties of scientific evidence
Which type of cases tends to be expressed in terms of incidence?
A. Chronic conditions
B. Acute conditions
C. Diseases which target primarily children
D. Conditions where full recovery is expected
B. Acute conditions
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
B. Quantity of life
Which represents a disadvantage of screening?
A. Utilization of group screening methods
B. Utilization of multiple test screening
C. Utilization of a test with high specification
D. Utilization of a test with low sensitivity
D. Utilization of a test with low sensitivity
The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who don’t have the disease. Which of the following measures of accuracy of the instrument is being evaluated?
A. Sensitivity
B. Specificity
C. Validity
D. Efficacy
C. Validity
The proportion of people with a condition who correctly test positive when screened is known as
A. Sensitivity
B. Specificity
C. Validity
D. Efficacy
A. Sensitivity
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 don’t actually have developmental delays
C. Has a large number of false positive results
D. Has a large number of false negative results
B. Rarely identifies children who don’t actually have developmental delays
A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
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
A. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses
A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?
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 n’t actually have cystic fibrosis
C. When 6 out of every 10 sweat tests performed are negative, and the six individuals really don’t have cystic fibrosis
D. When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis
A. When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis
A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?
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
A. Work with stakeholders to conduct a community assessment
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?
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. Limited referral sources in the community
A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?
A. No cutoff point
B. Low cutoff point
C. Intermediate cutoff point
D. High cutoff point
B. Low cutoff point
