chapter 9 -Screening Flashcards

1
Q

Which of the following would represent a disadvantage concerning screening?

a. Health insurance companies rarely cover screening.
b. Uncertainties in scientific evidence for normal range.
c. Most screening involves significantly invasive tests.
d. Screening negates the role of nursing as health educators.

A

b. Uncertainties in scientific evidence for normal range.

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2
Q

Which of the following is a Healthy People 2020 goal related to the screening?

a. Increase the proportion of children taught about handwashing.
b. Increase the proportion of school children age 6 to 10 who receive vision screening.
c. Screen for hearing loss no later than age 1 month.
d. Increase alcohol screening in hospital settings.

A

a. Increase the proportion of children taught about handwashing.

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3
Q

The nursing role, when incorporating multicultural awareness into the screening process, initially begins with:

a. evaluating the screening program that targets a specific population.
b. identifying factors influencing the population’s access to health care.
c. planning for population characteristics such as lifestyle, socioeconomic status, and religious and cultural beliefs.
d. partnering with individuals and organizations in the community to facilitate success in implementing the screening program.

A

b. identifying factors influencing the population’s access to health care.

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4
Q

Successful implementation of a screening program depends on the availability of appropriate:

a. transportation.
b. community resources.
c. utilization by community members.
d. staffing.

A

b. community resources

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5
Q

The proportion of a given population with the disease or condition at any one point in time is the definition of:

a. epidemiology.
b. morbidity.
c. incidence.
d. prevalence.

A

d. prevalence

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6
Q

Many preventive care services are provided by nurses in the community setting. Which of the following elements of health promotion and disease prevention are likely to be conducted in the retirement community setting?
Select all that apply.

a Blood pressure, diabetes, and cholesterol tests

b. Counseling on quitting smoking, eating healthfully, losing weight, and increasing physical activity
c. Flu and pneumonia shots
d. Adjustments in medication regimen
e. Physical therapy

A

a Blood pressure, diabetes, and cholesterol tests

b. Counseling on quitting smoking, eating healthfully, losing weight, and increasing physical activity
c. Flu and pneumonia shots

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7
Q

Clinical and community preventive services are vital components of health promotion and disease prevention. What are some of the goals associated with screening?
Select all that apply.

a. Used as a diagnostic measure.
b. Identifies acute illness.
c. Detects risk factors and a disease or condition early.
d. Reduces costs associated with disease.
e. Improves quality of care.

A

c. Detects risk factors and a disease or condition early.
d. Reduces costs associated with disease.
e. Improves quality of care

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8
Q

Which of the following analysis determines the optimal use of a resource so as to reach a predetermined constant end-point or desired health outcome?

a. Cost-effectiveness analysis
b. Cost-benefit ratio analysis
c. Cost-efficiency analysis
d. Cost-cutting analysis

A

a. Cost-effectiveness analysis

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9
Q

Home health nurses utilize scales to measure the weight of a patient with congestive heart failure with each visit. A nurse is being asked to trial a portable scale that can be transported easily. What are the variables that aid in a screening instrument’s evaluation?
Select all that apply.

a. Reliability
b. Validity
c. Reproducibility
d. Cost-effectiveness
e. Patient comfort

A

a. Reliability
b. Validity
c. Reproducibility

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10
Q

Disease screening instruments provide accurate measurement outcomes of sensitivity when they:

a. identify the person who tests positive as having the disease.
b. reproduce the test results when different individuals perform the test.
c. correctly distinguish between diseases and nondiseased individuals.
d. measure the test’s ability to recognize negative reactions or nondiseased individuals.

A

a. identify the person who tests positive as having the disease.

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