Chapter 13: Infectious Disease Prevention and Control

Public Health Nursing Population Centered Health Care in the Community 9th Edition by Marcia Stanhope

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Chapter 13: Infectious Disease Prevention and Control

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A community health nurse is caring for a client with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following should the nurse be aware of?
a. Persons with MRSA usually have a chronic illness.
b. MRSA is a hospital-acquired infection and not often seen in the community.
c. Vancomycin-resistant Staphylococcus aureus (VRE) follows MRSA.
d. MRSA is becoming more common in the community.

 

 

ANS:   D

MRSA is being seen more and more in the community with outbreaks frequently associated with school athletic programs and prison populations. MRSA is still largely a health care-associated infection, but it is becoming more common. VRE was found before MRSA. MRSA is not associated with chronic illness.

 

DIF:    Cognitive level: Applying                  REF:    p. 288

TOP:    Nursing process: Planning

MSC:   NCLEX: Safe and Effective Care Environment: Safety and Infection Control

 

  1. The ability of an agent to produce a severe pathologic reaction is known as:
a. antigenicity.
b. invasiveness.
c. toxicity.
d. virulence.

 

 

ANS:   D

The ability of an agent to produce a severe pathologic reaction is known as virulence. Antigenicity is the ability to stimulate an immunological response. Invasiveness is the ability to penetrate and spread throughout a tissue. Toxicity is the ability to produce a poisonous reaction.

 

DIF:    Cognitive level: Remembering          REF:    p. 290 (Box 13-1)

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Safety and Infection Control

 

  1. Immunity is a characteristic of the:
a. agent factor.
b. host factor.
c. environmental factor.
d. epidemiologic triad.

 

 

ANS:   B

Immunity refers to species-determined resistance to an infectious agent and is determined by the characteristics of the host. The agent is the infection that is causing the infection/disease. Environmental factors may influence the susceptibility of the host. The epidemiologic triad involves the interaction of the host, agent, and environment.

 

DIF:    Cognitive level: Understanding         REF:    p. 290

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Safety and Infection Control

 

  1. A nurse is investigating the role of the agent in the cause of an illness. Which of the following best describes what the nurse is examining?
a. Host resilience
b. Virus
c. Infectiousness
d. Bug bite

 

 

ANS:   B

An agent is described by its ability to cause disease and the nature and the severity of the disease. The four major categories of agents are: (1) bacteria, (2) parasites, (3) fungi, and (4) viruses. Host resilience is a host factor. Infectiousness is the measure of the potential ability of an infected host to transmit the infection to other hosts. Environmental factors facilitate the transmission of an infectious agent from an infected host to other susceptible hosts, such as a bug bite.

 

DIF:    Cognitive level: Applying                  REF:    p. 290

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Safety and Infection Control

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